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Recent Posts

chinamama
on 3/23/13 4:41 pm - Bend, OR
Topic: FEP Blue Peer to Peer

I have been approved for my lapband removal but denied the VSG from Fed Blue cross. According the the insurence the dr can request a peer to peer review, Anyone done a peer to peer? What is the process????

 

       

Highest /Consult/Pre-Op/Band Surgery/Lowest Band/ VSG Surgery/Current/Goal

  306    274      263      253           211           232         213   134

 

 

                            

vsgme2013
on 3/21/13 8:26 am
Topic: RE: Lindstrom Obesity Advocacy

I am so glad that I saw this because I just called them and the lady I spoke with with wonderful.  My husband of course was concerned because they are in California and if they were the real deal or not.  Thank you so much for posting.  I am hoping for an approval of my revision soon.  Aetna is making me crazy!!!  lol

VSG on 6/12/2013.  Surgery weight 251 lbs. 

    

 

Mom22Monsters
on 3/16/13 11:28 am - Lakewood, CO
VSG on 08/26/13
Topic: RE: Requirements for Kaiser Bariatrics?
I have Kaiser of Colorado and the requirements were a BMI over 40 or a BMI over 35 with comorbidities (like sleep apnea, hugh blood pressure, diabetes).
(deactivated member)
on 3/15/13 9:51 am - Springfield, IL
Revision on 03/04/13
Topic: Lindstrom Obesity Advocacy

I just wanted to verify that Lindstrom is one of the best practices to hire if you are having any issues with insurance.  When i was about to give up i decided to hire them and i am so glad i did.  It took a year for me to get approved for my revision but i am so glad i had them by my side fighting for me.  They are very good about getting back to you in a timely manner and keeping up updated on everything that is going on.  I dont know how many times i bugged them with questions but no matter what i always got a response.  For sure worth it if you are thinking about it!!

noftessa0401
on 3/13/13 11:28 am - San Diego, CA
RNY on 12/27/12
Topic: RE: Molina / Michigan
No.

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

avanma01
on 3/13/13 11:27 am - MI
Topic: RE: Molina / Michigan

Do you have this insurance?

noftessa0401
on 3/13/13 6:52 am - San Diego, CA
RNY on 12/27/12
Topic: RE: Molina / Michigan

Each insurance company is allowed to set their own requirements, based on the state laws for each state in which they issue insurance policies.  Michigan allows that a 12-month requirement for doctor-supervised diet is reasonable.  Sorry, there is not much you can do about it.

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

kisseycat
on 3/11/13 11:08 pm
Topic: RE: Help with cpt code 43848

Hoping you can help me too. Hope you are doing well. I had a 25 year old surgery revised 12/11. BCBS has not paid yet. I know it needs some kind of code besides 43848.  Did you ever get yours resolved.... Seems like ,surely, I not the first person to have had this problem in AL. Maybe someone can help me.......

avanma01
on 3/11/13 1:44 pm - MI
Topic: Molina / Michigan

I really need some help I have 5 years of trying to get this weight off, now I have high blood pressure, and Molina wants me to have 12 months of seeing my doctor and I have 5 yrs but it has to be 12 months and you have to go each month. Why does Molina in some other states only a 6 month visit with your doctor?

avanma01
on 3/11/13 1:38 pm - MI
Topic: RE: Ohio Molina approved

I am so upset Molina in Michigan makes you wait 12 months :( I don't get why is so different from state to state can someone help me?

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