Recent Posts

sparkle123
on 8/2/13 12:08 pm - MI
Topic: RE: United Healthcare out of pocket

Hi there! 

     I was wondering if you have an individual or group plan?? I am looking for a new insurance and one that would help cover WLS but having a tough time.

sparkle123
on 8/2/13 12:06 pm - MI
Topic: RE: Tips for newbies who are worried about qualifying for insurance (xpost)

Hello there,

    Congratulations! On getting approved and sticking to it. I am also having trouble with my insurance. I heard about Lindstrom's and seen on their website their in california. Do you happen to know if you have to live in California to get their help? 

 

Thanks so much!!!!

Sarahlicious
on 8/1/13 2:12 pm - Portsmouth, OH
Topic: RE: abdomioplasty quedtion

Yes, have doctor document the skin issues, and Tricare is known to cover at least a panniculectomy, removal of the skin, they might not cover a full abdominoplasty with muscle tightening, but you have enough need to go for a consult and get the PS opinion on what he can do and what documentation he can submit for coverage.

I have Lipedema and Lymphedema. I also have a passion for Obesity and Health Insurance Advocacy

Blog: born2lbfat.com Facebook: Born2lbFat Twitter: @born2lbfat

Sarahlicious
on 8/1/13 2:09 pm - Portsmouth, OH
Topic: RE: getting health insurance 11 years after WLS

I've only heard of people having to wait 5 years to be covered. Even if they tried to say WLS is a pre-existing it should not go back 11 years!

I have Lipedema and Lymphedema. I also have a passion for Obesity and Health Insurance Advocacy

Blog: born2lbfat.com Facebook: Born2lbFat Twitter: @born2lbfat

Sarahlicious
on 8/1/13 2:07 pm - Portsmouth, OH
Topic: RE: m

That looks pretty thorough, weight/height, and discussion of diet plan!

I have Lipedema and Lymphedema. I also have a passion for Obesity and Health Insurance Advocacy

Blog: born2lbfat.com Facebook: Born2lbFat Twitter: @born2lbfat

Sarahlicious
on 8/1/13 1:23 pm - Portsmouth, OH
Topic: Advocate: 10 Years in the Making

My story of WLS, Lymphedema and Lipedema is currently on the home page and here!  You won't want to miss it!

 

sarah

I have Lipedema and Lymphedema. I also have a passion for Obesity and Health Insurance Advocacy

Blog: born2lbfat.com Facebook: Born2lbFat Twitter: @born2lbfat

kitkat88
on 7/31/13 10:14 am, edited 9/7/13 11:29 pm - Metairie, LA
RNY on 11/18/13
paula K.
on 7/28/13 7:19 am - newnan, GA
DS on 12/04/13
Topic: RE: FEPBLUE APPROVAL FOR DS?

I just found your post as I am also looking at a DS with FEPBLUE (Standard).  Did you ever get any information?

CPA_Loser
on 7/27/13 12:32 am, edited 7/27/13 7:29 am - WA
Topic: RE: Aetna ughhhhh HELP!!!
I have Aetna as well and they directed me to the clinical bulletin. You need to read what the specific criteria is for the two different options. Your surgeons office should be able to help you as well since I am sure they have had other patients in the past that have had to meet Aetna's criteria. Hope you figure it out!
Mary O.
on 7/24/13 5:35 am - Dallas, TX
Topic: getting health insurance 11 years after WLS

My husband's job was eliminated-COBRA ends in August. We're being told that I cannot get coverage through any of the major insurance companies because I've had WLS.  I had Roue-en-Y in Oct of 2001--no complications-have just kept of 130 lbs for 11 years. Had a full physical this month.  No prescription meds-no health problems other than borderline high cholesterol and I was told to take OTC krill oil to bring it down, not RX statins.

 

Would I have the surgery again? Yes-just wish I had known this would be one of the results. If you don't disclose the surgery and they find out they drop you anyway.

 

Now I go into temporary insurance until January and pray that Obamacare kicks in.

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