Recent Posts

linzeelee
on 2/27/13 3:23 am - Omaha, NE
VSG on 05/17/13
Topic: Prosper funding

Hello, I was wondering if anyone has ever had a loan for surgery in Mexico funded by Prosper. Thanks for any feedback!

pwx1972
on 2/24/13 5:34 pm
Topic: RE: Out of pocket with medicare

My copay to the doctors office is $401 and $1,1600 ($100 upfront then $100 each month).

Medicare took care of the rest. Hope this helps.

pwx1972
on 2/24/13 5:31 pm
Topic: Can some refer a medical financing company?

Can someone refer me to a medical financing company that they have used?

I need a tummy tuck and would like to secure financing.

viper6549
on 2/22/13 3:31 am - Wayne, OK
Topic: RE: Cigna OAP

I have Cigna OAP and my deductible counts towards my maximum out of pocket. YMMV though.

noftessa0401
on 2/22/13 3:23 am - San Diego, CA
RNY on 12/27/12
Topic: RE: Disappointing News

Very nice!  Good Luck!

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)

Chachi1028
on 2/22/13 3:22 am - NY
Topic: RE: Disappointing News

Thanks for responding!!winkI have narrowed down my list to: 

Dr.  Piotr Gorecki with New York Methodist Hospital

Dr. James McGinty with St. Luke's Roosevelt Hospital

and I was able to get and appt. with both on Dr.'s so it looking good.

noftessa0401
on 2/22/13 2:08 am - San Diego, CA
RNY on 12/27/12
Topic: RE: Disappointing News

I don't have any experience with the NY doctors, but I'm sorry this happened.  Ugh!

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)

Chachi1028
on 2/21/13 7:11 am - NY
Topic: Disappointing News

Well yesterday I received disappointing news that Dr.Roslin is no longer in my network (Health First) so the search for a new Dr. is on again... 


So far I have:

Dr.  Piotr Gorecki with New York Methodist Hospital

Dr. James McGinty with St. Luke's Roosevelt Hospital

Dr. Leaque Ahmed with Harlem Hospital

Dr. Daniel Herron with Mont Sinai Hospital

If anyone has worked with any of the Dr.’s I have listed I would greatly appreciate your feedback. Thanks so much!

Eisha

 

noftessa0401
on 2/20/13 3:14 am, edited 2/20/13 3:14 am - San Diego, CA
RNY on 12/27/12
Topic: RE: WAITING FOR APPROVAL/UHC

That is a good question for someone from UHC to answer.  Here is what I found on-line:

Surgical revision or a second bariatric surgery is proven for inadequate weight loss if the original criteria for bariatric surgery (BMI, co-morbidities and patient selection criteria) continue to be met.  

Surgical adjustment or alteration of a prior bariatric procedure is proven for complications of the original surgery, such as stricture, obstruction, pouch dilatation, erosion, or band slippage when the complication causes abdominal pain, inability to eat or drink or causes vomiting of prescribed meals.

Based on this, I don't think you would have to start over from the beginning.

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)

noftessa0401
on 2/20/13 3:11 am - San Diego, CA
RNY on 12/27/12
Topic: RE: Cigna appvd Band rmvl but denied revision because technical failure wasn't proved??

I think the requirements for band removal and revision are different.  I believe the revision requirements are more detailed and demanding, whereas with the band removal, they simply require "complications such as stricture or obstruction."

As for the revision, the specific requirements they have are listed in my post above.  Normally I would agree with you that since the band has been taken out, it is no longer a factor.  But, the band was just taken out.  If you go that route (of a regular WLS), then I imagine your time starts over again (for showing obesity, etc.).  Keep in mind that the policy is reviewed again in May of this year, so there may be WLS policy changes for Cigna.

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)

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