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Hi! I'm "the wife." I was denied because my surgeon believes that the risks outweigh the benefits based on my BMI. It makes me angry because I should be able to decide for myself how much risk is too much risk, right? Needless to say, I am starting the appeal process...
Just had this occur to me. Has anyone had any discussions with their Surgeon's office about what may happen, if anything, after the first of the year and Obamacare starts? I won't be done until Feb and wondered what anyone knew about how WLS may be affected. I will ask at next visit and I can't believe I didn't think of it earlier.
Thanks!
Does anybody know if you can claim self pay wls surgery expense on you tax return?
We may be able to help you better if you let us know the reason your wife was denied the DS surgery.
Vicki 
DS (lap) with Dr. Clifford Deveney. Cholecystectomy (lap) with Dr. Clifford Deveney 19 months post-op.
Has not weighed myself since 1/2010. Letting my clothes gauge my progress instead.
I am curious if anyone has experience with Group Health - Medicare. I have an appointment with a case manager on the 10th of October and I am not a patient person. I was wondering what to expect and how long the process might take till I can set a surgery date.
I have been battling my weight since I was in Kindergarten. I am tired of being obese and I feel like if I don't get this done I won't live very long. My BMI is above 60 and I am only 44. I have sleep apnea, High A1C, arthritis, and high blood pressure.
I am basically worried about passing the psych eval. If anyone has any advice I would certainly appreciate it.
Thanks,
Mo
I was successful in getting approved with the 3-month program, but I documented about 102 days worth, just in case. I also was told not be less than 90 days. I did doctor-supervised HMR shakes and had weekly classes ( where I met with a nurse, doctor, and nutritionist every week). As part of this program, I documented my food intake, exercise program, and weekly weigh-ins. I was approved in about 8 business days. Listen to Nan - she was instrumental in helping me get approved so quickly.
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
I was hoping you all might be able to help me. I have been approved for DS through Fremont Kaiser but My Wife whose BMI is 47 with no comorbities was denied the DS surgery. I was wondering if you any of you still have those any supporting documents that you have used to successfully appeal a denial by Kaiser. Any help or guidance would be greatly appreciated.
I have GEHA now, but I'm thinking about switching during open season. Do you know the specific requirements (for approval) for FepBlue? I see none other than preauthorization/approval is required. Just researching all my options! = )
Thank you for clearing that up. It gets really confusing as my surgeon's office made it sound like I just needed 3 visits once/month. Ugh! I wish Aetna would make this easier and clearer.
Height: 5'1" HW: 229 SW: 203 CW: 147.7
Hockeymom87 · 0 replies · 626 views
