Recent Posts

stephaniesjourney
on 7/6/13 12:45 pm
Topic: RE: United Healthcare

I'll definitely keep you updated.  I've got my last psych evaluation on Aug. 6th and am hoping to have my request to submitted and responded to by the end of August....I'm trying to get my hands on my document now too.  I'm hoping its as straight forward as what they've told me...fingers crossed.  If not, I'll just buckle down and start doing the other stuff too....but at least i'll have all this other stuff out of the way too :)  I wish i could find someone that had a similar situation as I do....same BMI, similar background....there's a woman on the boards that's been successful fighting UHC....dont know if she had a dr supervised diet or not in the end but she won appeals etc.....not sure I've got that much energy.....

I'll let you know what I find out :) 

walkingbear36
on 7/6/13 11:54 am - Ferndale, MI
Topic: RE: United Healthcare

oops, forgot to answer your last question - no i haven't started to submit for insurance approval yet because the surgeons office is expecting me to attend 12 months of weight loss and exercise programs. once i've completed that then they will submit all necessary documentation to the insurance company for approval.

walkingbear36
on 7/6/13 11:52 am - Ferndale, MI
Topic: RE: United Healthcare

i called UHC a couple of times and spoke to them and yes, i need a 5 year history of high BMI,  in network doctor, etc. but they said they don't require the documentation of a 12 month diet and exercise plan. i asked that they send me a list of the requirements since it's not on their website and they said i have to acquire that thru my HR department which sounds odd to me.

thanks for your response.

Wany
on 7/6/13 8:01 am - NY
Topic: HEALTHFIRST/MEDICAID NYC

Has anyone had any experience dealing with Healthfirst/Medicaid nyc..... If so what was it like? I'm switching from UHC because they require me to do the 6 months diet And I really don't wanna wait that long. 

stephaniesjourney
on 7/6/13 7:59 am
Topic: RE: United Healthcare

See...they havent mentioned that in my process yet.  When i called and when my drs office called they indicated that i needed 1.  a current bmi of over 40.....2. a 5 year history of a bmi over 40....3.  the dr needs to be in the network (so does the hospital)  4.  have to be over 21 i think....

 

do you work with ING also??  requirements are different b/w companies but i'd think some of the processes would also be the smae.....i dunno.  do you have the other requirements (5 year bmi history etc??)  I can't find the actual information on uhc's website...i would have thought it would be available that way.  I'm really just at the point that I'm going through all my drs requirements so they can actually submit for approval and then we'll see what they say.....

 

have you actually submitted your insurance request yet?? 

ancy89
on 7/5/13 1:44 pm
Topic: Need help

Hi everyone. I'm new here, I'm really happy I found this forum because I have a bunch of questions that I really have no idea how find answers to, so I'm hoping you nice people will be able to help me. I just recently moved to the US, and I'm working and I do have some health insurance but it doesn't really cover anything. I've had a weight problem all my life, and after 10 years of diets I decided to get surgery. I've read a lot about it, about the options, what's available and possible, and now that I've covered that, I'd like to start the process. The problem is that the insurance that I have doesn't cover it. So this is my plea for help. Could you please, tell me, what specific insurance plans DO cover weight loss surgery? I've been going from page to page of the insurance companies but I just can't find anywhere that is simply says what is covered and what is not.

Thank you in advance!

Ancy

(deactivated member)
on 7/4/13 8:17 pm
Topic: need help-feedbeck from the people after weight loose surgeries
HI I'm a nurse from Poland. I'm suffering from the morbid obesity science I remember. In my country there is a difficulty to undergo the bariatric surgeries, it's still not popular and the people do not have a knowladge about it. I'm trying to write a master thesis about the quality of life after bariatric surgeries. The main aim of it is to make a surgeries more popular by showing how life saving it is. It in NOT for any marketing reaserch or anything like that. I'm studying nursery on Jagiellonian University, the resulsts will be analysed and used in a masters thesis, and hopefully If I will get enought of respondents I will publish the results for the use of medical stuff in Poland. My opinion is that the feedbeck from the patients is the most valiable sourse of how the procedures are recieved. I kindly request your help in conducting research aimed at improving the quality of life of people after bariatric surgery. The questionnaire is anonymous. The questionaire contains 39 questions it takes about 5-10 min. It is very important to answer all of them. Please help me to help other people who struggle with obesity. http://moje-ankiety.pl/respond-49823.html
Kay1a
on 7/4/13 7:52 pm
Topic: what is considered medically necessary?
Hello everyone
Im new here and im looking to get gastric bypass. Ive gone to some information sessions at Beth Israel deaconess medical center. Ive also completed some mandatory appointments such as: blood test, abdominal/gallbladder ultrasound, sleep study, nutritionist and psychological visit. Next week I have my last set of appointments which consists of an EKG, meeting the nurse and last but not least the medical director.

Im beginning to get nervous about whether or not ill be approved. I don't have any Comorbidities like high blood pressure or diabetes, if anything I have an arthritic ankle. Im still waiting on my sleep study results to know if I have sleep apnea or not. I guess what im getting at is this: is having a high BMI considered medically necessary? I have a BMI of 51.3 and have network health forward for insurance. Ive called them and from what I gather my surgery has to be medically necessary to be approved.

Any thoughts or answers to my questions and concerns would be most appreciated. Thank you
walkingbear36
on 7/4/13 7:20 pm - Ferndale, MI
Topic: RE: United Healthcare
I am just starting out too and I have UHC. I have to go thru 12 months in a weightloss and exercise program before they will approve the surgery. I have a BMI of 46. You don't have to do the weightloss program for a year?
Member Services
on 7/4/13 1:47 am - Irvine, CA
Topic: HAPPY INDEPENDENCE DAY!!

Dear ObesityHelp Members,

We hope you have a happy and healthy Fourth of July celebration!! 

A big shout-out to our members that are veterans and active military, and their families, that allow us to celebrate our independence and freedoms we enjoy every day.

Sincerely,
ObesityHelp Team

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