Recent Posts

Carol S.
on 11/12/11 2:06 am - Milwaukee, WI
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).
Carol

SW/276 CW 150 GW 185

9 Years out.
            
tammym
on 11/7/11 5:37 am - Portland, OR
Revision on 01/16/12
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.
kayjay50
on 11/7/11 3:23 am - Castle Rock, WA
Topic: RE: APPROVED! After 4th appeal
Do you mind if I ask who your insurance provider is?
DBlazer325
on 11/5/11 2:20 pm - Portland, OR
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
Lori T.
on 10/31/11 6:30 am - WA
RNY on 02/08/12
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?
Pattycarr1962
on 10/28/11 8:33 am - OR
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.

        
tammym
on 10/27/11 6:58 am - Portland, OR
Revision on 01/16/12
Topic: I've got a date!
January 9th.  I have an apt with Dr. Patterson on December 13th. 
OneFinger
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.


High Weight = 310     Surgery Weight = 300   Dr's Goal = 200   My Goal = 190    
tammym
on 10/26/11 7:19 am - Portland, OR
Revision on 01/16/12
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/
calimal
on 10/22/11 2:34 pm - Beaverton, OR
Topic: RE: APPROVED! After 4th appeal
Happy for you. Took me 3 appeals , I just found out last week.  So happy for you

    5' 9.5",    HW 340,     SW 310        GW 165             
                

    
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