Recent Posts
Topic: RE: Was denied for breast reduction, need some advice
Ask to see the requirements IRT your policy. They should be in a manual somewhere. I believe you are entitled to see this and you may even be able to access it online. I know our manuals are all online (Tricare).
Topic: RE: APPROVED! After 4th appeal
I have Aetna. WLS was not a written exclusion when I first started the process, but they have since revised some of there policies (including mine) to deny all WLS requests outright.
Topic: RE: Kaiser Timeline
Hi there, my name is Peggy Blazer and I also have Kaiser. It took me exactly 18 months to get from orientation to surgery. I had my surgery on August 22, 2006 I started out at 527 lbs, the 1st time I talked to my Dr, she put me on xenical which is a medication blocks fat absorbtion. I lost over 100 lbs before surgery by changing my diet and exercise. I am down 270 lbs right now, I go in every 6 months to have bariatric labs done, my most recent visit my dr told me that my diabetes is in "remission" which is good my a1c is 5.4.
Who may i ask is your primary care physician? Is it thru Sunnybrook/? I'm just curious. Do not get discouraged, it does take time, I thought my appt would never come, now that it is over, I would do it again if i had the chance. I have basically hit the brick wall on loosing, but i am doing what i can to keep on loosing. Feel free to write to me anytime , my e-mail address is [email protected].
Good luck on your journey
Who may i ask is your primary care physician? Is it thru Sunnybrook/? I'm just curious. Do not get discouraged, it does take time, I thought my appt would never come, now that it is over, I would do it again if i had the chance. I have basically hit the brick wall on loosing, but i am doing what i can to keep on loosing. Feel free to write to me anytime , my e-mail address is [email protected].
Good luck on your journey
Topic: Psychologist question
Hi, I'm new here. This is my first post.
I have my pre-op psychological evaluation on Wednesday, and I'm really nervous. I'm seeing Mary Lee Nichols, since she was covered by my insurance, and I am required to see either her or Dr. Ude (sp?) by my bariatric surgery group in Vancouver. Does anyone have any experience with Dr. Nichols?
I have my pre-op psychological evaluation on Wednesday, and I'm really nervous. I'm seeing Mary Lee Nichols, since she was covered by my insurance, and I am required to see either her or Dr. Ude (sp?) by my bariatric surgery group in Vancouver. Does anyone have any experience with Dr. Nichols?
Topic: Was denied for breast reduction, need some advice
Help, I was just denied for a breast reduction. I have been dealing with back pain for years. I have slept in a recliner for 8 years, have done physcial therapy, had injections in my back and now that I have lost weight the pain still isn't gone. So I finally decided I would try a breast reduction and my insurance said, I don't have enough history of issues. Can someone help figure out what I need to write in my appeal to the insurance company to make them see that it is more cost effective for them to help me now. I am just so frustrated that I am in tears.
OneFinger
on 10/26/11 2:59 pm
on 10/26/11 2:59 pm
Topic: RE: Anyone here went to Legacy Weight managment?
Thanks so much for the support group info. I need to sign up for the mailing list.
I was planning to go to the support group tonight. Even programmed it into the GPS so I could find it. But, I've come down with a killer cold the past couple of days and didn't have the energy to venture out. Hope to be there next month.
I was planning to go to the support group tonight. Even programmed it into the GPS so I could find it. But, I've come down with a killer cold the past couple of days and didn't have the energy to venture out. Hope to be there next month.
Topic: RE: Anyone here went to Legacy Weight managment?
FYI- the support group is tonight! 630pm. There is an email list for the support group. You can sign up here. http://health.groups.yahoo.com/group/GoodSambypassers/
Topic: RE: APPROVED! After 4th appeal
Happy for you. Took me 3 appeals , I just found out last week. So happy for you