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Recent Posts

VSG on 06/12/13
Topic: RE: Any luck with UHC in Maryland
If you meet the plan's criteria, you will get approved. IMO, UHC did little to try to connect any dots, so make sure your submission is water tight and you should be good to go!

I recommend you get a copy of your plan's guidelines if you haven't already. A call to customer support can tell you if your provider/hospital are in network.

Good luck!

   

Sleeved 6/12/13 - 100 pounds lost to get to goal!

VSG on 06/12/13
Topic: RE: Question about insurance... sort of
Look around at what other docs are doing. I have observed that they charge different fees around ATL.

   

Sleeved 6/12/13 - 100 pounds lost to get to goal!

Rustmyer
on 5/29/13 12:30 pm
Topic: Question about insurance... sort of

Just wondering if any one else had run into this. My mother is looking to get a gastric sleeve, she has three different insurance coverages, ChampVA, Medicare, and Medicaid. She's got approval from her doctor, and from the insurance, we're told she would be completely covered. We live in Fl so we find a place in the area that does the surgery, get her set up with a doctor who wants her in for a consultation for which he wants 500 bucks won't be covered by the insurance. Neither of us has that kind of money to just throw down. The only reason we have been able to go through this far is because the insurance was covering everything. Now don't get me wrong a 20000 dollar surgery for 500 bucks is a steal, but she has low income, and I'm not doing much better than her so can't lend her the money right now, as a result we would have to cancel the whole thing until we could come up with the money, which we'd rather not do as that could take quite some time. So now that the exposition is over the question I have is this; has anyone else heard of this, or had it happen to them, or is the doctor just trying to get an extra 500 bucks? Thank you in advance for any information.

LoveLee07
on 5/29/13 11:57 am - Hampton, GA
Topic: RE: Medicaid
Congrats! I'm in ga so here we get approved then we select which carrier ie - amerigroup, WellCare and I think the other option is called peachcare. I would go ahead and select my Bariatric office remember it has to be an office that takes your insurance and speak with the bariatric coordinator to ask questions. She or he will be able to tell you which insurance has a smoother process. In ga amerigroup was the best choice because the supervised diet was 3 months instead of 6 with WellCare. Remember insurance is different from state to state but Let me know if I can answer any other questions for you.
tennisrob101
on 5/26/13 10:12 pm - MD
Topic: RE: Dual Insurance Coverage?

I work in medical billing so I can say the primary insurance is the one that is going to be billed first is really does not matter which one you have had longer. Insurance you have on your own is always going to go as primary over insurance you have through a spouse. One thing that they are going to do is try to coordinate the benefits so any copay is probably going to fall under the secondary policy and not out of your pocket. I am going through the same thing, I have UHC as primary and Coventry as secondary through my wife because of the amount of health problems I have ( hench why I  want to get WLS). It is frustrating because neither is going to want to pay and more then likely try to pawn off the bill to the other. Good luck. 

Londa7
on 5/26/13 6:17 pm
DS on 07/10/13
Topic: RE: Need info on financing WLS in Mexico!!
Lap BPD-DS scheduled for July 10 with Dr Aceves. Very excited!!
Sarahlicious
on 5/26/13 12:08 pm - Miami Shores, FL
Topic: Early Bird Registration Ends Tomorrow! Save $25 - ObesityHelp 2013 Anaheim Event

Tomorrow is the final day for Early Bird registration, save $25 and be entered to win some fabulous prizes! If you have friends or support group members who might be interested encourage them to register now! 

Check the link for updated speaker information!http://events.obesityhelp.com/exciting-things-are-happening/

If you are planning on attending, please join our FB Events page for updates and to connect with others who will be attending. https://www.facebook.com/events/163866037105202/  

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

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

tennisrob101
on 5/25/13 8:14 am - MD
Topic: Any luck with UHC in Maryland

I am starting the process to get approval for VSG. I have UHC and was told it is covered by my plan but they have a third party that handles everything. They are asking about a 6 month weight lose plan and other forms to be filled out by my doctor. I would like to use St Agnes Hospital and Dr Averbach. Has anyone had any problems getting the approval from UHC. My BMI is 43.5 plus I have hyper tension and pre diabetic. I was told Maryland is actually one of the few states that require it to be covered by insurance. But I also heard UHC is very difficult to get approval from.

(deactivated member)
on 5/24/13 7:02 am
Topic: RE: Deeply depressed

 

HA!  I have pages and pages and pages of links and posts that have been removed.  Advertisers....  That's all I have to write.

The US, Canadian, AND Mexican govts are not warning about all of Mexico, just specific cities and most of all, Tijuana.

But if price is that important to you, go to Tijuana.  Enjoy yourself.

SANDRA62
on 5/23/13 6:18 am
Topic: RE: Deeply depressed

Well of course the governments in the US and Canada will have 'warnings' about these doctors...they're losing millions of dollars in revenue to them!  I have read dozens of reviews of actual people who have had these procedures there and I have yet to find a bad one?  You would think if it was so bad there would be dozens to find?   I never go by what a corporation or government tells me..I usually go by word-of-mouth recommendations from plumbers to dentists to mechanics and such...that is the only way not to get screwed over. I will let you know how it goes... :0)

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