Recent Posts

NatalieNTexas
on 3/25/14 8:57 pm - houston, TX
Topic: Plastics Insurance experience?

Hello!  I am curious if anyone has any experience getting approved for body contouring through insurance. I paid cash for my surgery back in 2007 and the amount of excess skin I have is ridiculous and uncomfortable to say the least.  Granted..I do not have boils bursting out of every fold ..I do have issues that i am now realizing that maybe I should start documenting.  If anyone is willing to share can you tell me what your insurance providers requirements were, what type of insurance, your pre op BMI and anything else you think that might be helpful. My case is going to be weird because I paid cash originally in the first place. Any advice would be greatly appreciated. 

 

Thanks!

Member Services
on 3/25/14 6:57 am - Irvine, CA
Topic: The Early Bird Catches the ...

The Early Bird catches the savings!  There are only six more days until the Early Bird Ticket discount flies away on March 31st. 

Our Conferences have something for everyone regardless where you are on your bariatric journey.  Check out what members say about their experience at the OH Conferences. 

We hope you'll join us for the fun, friendships - old and new, education, exchange of information and motivation. 

Member Services
on 3/24/14 6:01 am - Irvine, CA
Topic: Only 1 WEEK to go!

Don't miss out - there is only 1 WEEK to go before the Early Bird Tickets deadline is here. Make sure to buy your tickets before March 31st for only $50. After March 31st, the ticket price will be $75! 

Brittany H.
on 3/23/14 11:00 am
Topic: Help about 6 month supervised diet

(cross posting in hope of getting response)

Long time lurker on here and now finally on track for surgery! Had my first consult on February 27th with Dr Kolasch at Southeast bariatrics in Charlotte. I found out my insurance (Empire BCBC) DOES require the six month supervised diet. Initially this was extremely frustrating for me as i know it has been for others. I have only been in Charlotte for the last 7 months so my new PCP I don't have much history with, but she understands and knows about my pursuit of WLS. Whats confusing about it is that i am seeing a PCP for the monthly check ins ( they call it med management?) and am SO WORRIED that I'm not going to follow the requirements or miss something and get denied in 5 months when my bariatric office submits my paperwork to insurance Anyone else have to do a 6 month supervised diet and if so what exactly did you discuss or have recorded by your PCP at each appointment??? this last month that i went in they weighed me, took my BP, Doc came in for maybe 4 minutes, palpated my abdomen, listened to my heart, told me i had lost 3 pounds-good for me because my BP also came down and sent me on my way. As i left the room i was sure to ask "you'll record everything at my visits for my insurance right?" and she says yes of course. I'm afraid that I'm going to miss something or not have enough information. My insurance is already super vague about what exactly should be included in a 6 month supervised diet.  Every time i have called, they just refer me to documentation online. Any suggestions or personal experience with the 6 month supervised visits welcomed!  So far what i have completed on my WLS journey:
  • Exercise Evaluation: Check
  • Nutritional Evaluation: Check
  • Psyche Eval: Scheduled
  • Support meetings:Scheduled
  • EGD: Scheduled
  • Sleep Study: Scheduled
  • 6 Month Supervised diet: on-going 1 month down, 5 to go.

5'3" HW:295  CW:283  GW:145

 

    

Cher76
on 3/19/14 2:45 am
Topic: POMCO?

Anyone know their requirements?? 

thanks

    

(deactivated member)
on 3/14/14 7:24 am - Springfield, IL
Revision on 03/04/13
Topic: RE: Lindstrom Obesity Advocacy

I honestly don't remember for sure.  I know they had a couple different plans to choose from.  I want to say it was around $1000 for the plan i picked maybe a little more but it was so worth it.  They do all the work and you just sit back and wait.  It was a long year of a battle but so work it cause i am now 140 pounds less!  Good luck!

ernurse12
on 3/13/14 1:28 pm
Topic: RE: Lindstrom Obesity Advocacy

Just curious what their rates are?

 

 

 

ceedott
on 3/13/14 9:30 am - PA
Topic: denied for revision surgery

my doctor office did a peer to peer and i was denied didn't receive the denial letter but was trying to get a head start on an appeal i have personal choice insurance..can anyone help me i was trying to get the band removed and revise to vsg

pharmagirl_45
on 3/13/14 6:01 am - NJ
VSG on 01/14/14 with
Topic: RE: Cigna question

I have Cigna!  Once my paperwork was submitted it took about two weeks for me to get a denail letter.  They said I didn't have all of the correct info.  Once everything was resubmitted, it took about 11 days to get approved.

     VSG on 1/14/14 with Dr. Samuel Wasser

    

    
Laxelrod63
on 3/9/14 7:49 am - Mission viejo, CA
Topic: RE: Cal optima and Talbert Medical Group

Did cal optima ever cover the procedure. That's what I have and starting out?

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