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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.
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I have Lipedema and Lymphedema. I also have a passion for Obesity and Health Insurance Advocacy.
Blog: born2lbfat.com Facebook: Born2lbFat Twitter: @born2lbfat
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.
on 5/24/13 7:02 am
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.
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)
on 5/23/13 5:24 am
Just curious...why do you suggest I avoid those places? So far the research I've done indicated lots of positive feedback in those facilities...? Do you have any suggestions? The doctors seem to be pretty practiced. The prices are in various ranges.
any feedback would be awesome!
HA! There are doctors in TJ that the Canadian govt warns about. They have socialized medicine, when someone returns from TJ with a hack job the country of Canada is responsible for paying to fix them. Thus, they have govt warnings about them.
Those doctors have the highest leak stats, perforations, infections, and death stats. But, people see a smoking good price and they don't know what the actual costs are for doing surgery such as the cost of staples and such. So, they put up with untrained staff, black market supplies, and store front clinics in a home depot strip mall instead of an actual hospital.
One of those surgeons claims he is a Top surgeon. Top Surgeons are a US thing, not a MX thing. It's where US doctors vote for their fav US surgeons yet this guy claims he is a top surgeon. Impossible.
One guy claims he is board certified in surgery when in fact, he is not. He's tried that test three times and failed it three times. But people just listen to the coordinator and they don't research. So... they get what they get. :o(
Just curious...why do you suggest I avoid those places? So far the research I've done indicated lots of positive feedback in those facilities...? Do you have any suggestions? The doctors seem to be pretty practiced. The prices are in various ranges.
any feedback would be awesome!
That is probably the case...Thanks! I'm already going through the process of getting it done in Mexico. lots of great reviews of the doctors there, the facility is state of the art---hopefully will get it done by end of July. This was my plan all along if Ins refused to cover it....Thanks for the response!