Recent Posts

LoveLee07
on 6/3/13 2:23 pm - Hampton, GA
Topic: RE: Medicaid

Try Emory bariatrics that's who I'm using! ;) they have a very straight forward program keep me posted!! ;)

missshante
on 6/3/13 1:49 pm - lawrenceville, GA
Topic: RE: Medicaid

I also have straight medicaid and I have to pick a specific carrier am seeking bariatric surgery, here in Georgia what were the other requirements for Amerigroup? Ive been in contact with Peachtree Bariatrics and i spoke to one of their insurance reps they told me Wellcare is very lenient as far as approvals, but peachstate has denied alot of people.So thats why i chose in my head wellcare but if Amerigroup has a 3 month supervised diet i would choose them first. To get this ball rolling or in other words this fat rolling off.

(deactivated member)
on 6/2/13 1:26 am
Topic: RE: Need info on financing WLS in Mexico!!
On May 27, 2013 at 1:17 AM Pacific Time, Londa7 wrote:
Lap BPD-DS scheduled for July 10 with Dr Aceves. Very excited!!

Be very careful going to Aceves for DS.  He is not a vetted surgeon and he has only done 35 DS procedures.   DS is a very difficult surgery type to do and Aceves told me himself he's not a fan of DS but that is what people want.  Two years ago he told me he won't feel comfortable doing them until he's done at least 100 then he will feel more confident.

As of 2 weeks ago he's done 35.

(deactivated member)
on 6/2/13 1:24 am
Topic: RE: Need info on financing WLS in Mexico!!
On January 11, 2012 at 12:19 PM Pacific Time, AngelNichole wrote:
I have heard bad things about going to mexico for surgery..My surgeon told me that he had paitents who went to mexico for surgery and came back and didnt loose any weight only to find out the dr in mexico never actually did the procedure ..

Your surgeon is in business to make money just like all the rest of us.  He isn't going to give you all the reasons to go to those he competes with on a daily basis.

Surgeons are surgeons, there are good surgeons and bad surgeons in every single country including the US.  Just because someone is from Mexico doesn't mean they don't know how to do surgery.

Your surgeon is being manipulative.

(deactivated member)
on 6/2/13 1:20 am
Topic: RE: Medicaid

Call them and see if they cover WLS.  Many states are simply running out of money, there aren't enough dollars so they are cutting benefits.  I believe AZ is one state that no longer does WLS under their various welfare plans.  :o(

Rustmyer
on 6/2/13 1:15 am
Topic: RE: Question about insurance... sort of
Thank you guys very much for your information. We'll be checking around to see what we can find.
(deactivated member)
on 6/2/13 1:14 am
Topic: RE: Program Fee Financing

Most finance companies require a credit score of 650, that's pretty darn good credit.

Have you considered finding a less greedy surgeon?  ;)  I do believe it is greed when these surgeons do this, they feel the thousands they make from the actual surgery isn't enough so they found a legal way to charge even more.

Not all surgeons charge program fees, I have seen them range from $0 to $7K.

(deactivated member)
on 6/2/13 1:12 am
Topic: RE: Question about insurance... sort of

Many surgeons believe the thousands they get for the surgery isn't enough, it is greed.  Some surgeons charge as much as $7,000 for a program fee.

If you can't find a surgeon that does not charge a program fee then the fee will have to be paid.  It's completely legal for them to do this.

(deactivated member)
on 6/2/13 1:10 am
Topic: RE: Tricare
On June 1, 2013 at 11:27 AM Pacific Time, 2beskinnymammy wrote:

Band to bypass revision denied.  Any information regarding band for appeal would be great.  Has anyone been successful with a Tricare appeal?

 

This completely depends on the reason for the denial.  Sometimes they have a rule of 1 WLS per lifetime, sometimes they just need additional info, sometimes you don't meet the requirements.  What was the reason for denial?  Appeals depend on this information.

2beskinnymammy
on 6/1/13 4:27 am - AL
VSG on 10/10/17
Topic: Tricare

Band to bypass revision denied.  Any information regarding band for appeal would be great.  Has anyone been successful with a Tricare appeal?



    
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