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Thanks so much for the input!
Don't let shills sell you the marking term 'center of excellence' as if it's designed around your wellbeing. It is designed around the wellbeing of the insurance company’s uhc’a wallet. Why wouldn’t Boston General Harvard med school training facility be on there or some of the other better university med schools around the country. Use your reasoning. Here is the skinny, no pun intended, if you are outside 50 miles from one of their 'centers of excellence' then you can go to your choice of facility and they have to pay as if it were a center.. Stay informed, do your own research. Pick what you are comfortable with and never listen to people who tell you “you are out of luck “or cannot be done”, they are idiots.
Here is the medical policy for BCBS of Oklahoma Federal Employees.
http://medicalpolicy.hcsc.net/medicalpolicy/disclaimer.do?co rpEntCd=OK1#hlink
Virgie Tschirhart
Lap Band - 2008, Sleeve - 2009, RYN - 2017
Started Program Weight July 13, 2017 - 194.2
Before Surgery Weight December 27, 2017 - 185.0
Current Weight - February 2018 - 161.0
Hi,
Yes, they are very strict when it comes to the restrictions. You have to prove a BMI of over 40 for at least a 2 year history or they will deny. Myself and all three of my kids have had the surgery and were approved through Aetna. Two of us were originally denied and I had to appeal to get approved but in all four cases, we had to prove that 2 year history of >40 BMI.
My daughter was denied at first because she had one office visit where she slipped below to a BMI of 39. She was denied even though she clearly had a BMI of >40 for 4 years. But because of one office visit in one of those years, she was denied. We put together an appeal and simply didn't submit that one office visit in the appeal and she finally got approved.
Nan
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
One of our favorite features at ObesityHelp Events is the Fashion Show. Sure, there are beautiful clothes but the very best part is having our members wear those beautiful clothes and share their WOW moment on the runway. It is amazing to see our members celebrate and share their journey at the Fashion Show.
We invite you to join us at the 2013 ObesityHelp National Conference on October 4th and 5th, in Anaheim, California. It isn't too late for you to join us in the Fashion Show if you register now. It will be a memory you will cherish forever!!
A picture is worth a million words! Check out these photos of our members at our ObesityHelp National Conference as they strut their stuff and celebrate their new healthy lifestyle!
If you are struggling with post-WLS weight regain, check out Dr. Arya Sharma's Obesity Notes. Get back on track or stay on track and join us at the ObesityHelp National Conference on October 4th and 5th with Dr. Sharma as our Key Note Speaker.
Dr. Sharma will sell his book "Stop Being a Yo-Yo" that only available at Dr. Sharma's speaking engagements. Dr. Sharma is an obesity expert and speaks around the world. We are very excited to have Dr. Sharma join us at our Conference! You won't want to miss his presentation and workshop along with buying his book!
The countdown is on........
Hockeymom87 · 0 replies · 637 views
