Update on Medical Insurance
Mental Disorder
Mental Disorder in the current edition of International Classification of Diseases, published by the U.S. Department
of Health and Human Services or is listed in the current edition of Diagnostic and Statistical Manual of Mental
Disorders, published by the American Psychiatric Association.
means any disease or condition, regardless of whether the cause is organic, that is classified as aMorbid Obesity
shortened life span. The current clinical standard measure for Morbid Obesity is a BMI (Body Mass Index) of 40+.
The BMI is a factor produced by dividing a person’s weight (in kilograms) by his/her height squared (in meters).
is a serious disease associated with a high incidence of medical complications and a significantlyNo-Fault Auto Insurance
reparations provision of a law providing for payments without determining
fault in connection with automobile accidents. (24) Obesity. part of the treatment plan for another Sickness. Medically Necessary non-surgical charges for Morbid Obesity will be covered. (25****upational. work for wage or profit including self-employment.
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And this is under the "Plan Exclusions"
Charges for nutritional supplements.
This is all just as it is written in my primary insurance plan booklet.
Thanks again, for making me look back at it.
-Jamie
(23) Nutritional supplements.
is the basicPlease.... go to the band boards and do a shout out for Vicki the Ins Guru. She volunteers her time to read stuff like this and she will HELP you work through all this. She doesn't charge a dime, she just helps people with ins issues.
Do a shout out for her and supply this link. She'll come over here and she will talk you through every step of the process.
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
I just wanted to tell you how nice and informative you are! You go to great lengths to help others on this board.
In case you haven't been told before, you're special!
JRolfson
Thank you, that is very sweet of you to write.
There are vets here that really do try to help people. Vicki will help anyone with any insurance issue. Mindy will help people clean up their credit to get loans for surgery. I help people research doctors and verify information vs. believing what the coordinators tell them. Others are experts in surgery types... we all do what we can. It's the right thing to do.
btw, my surgeon will be Dr Buchwald at the University of MN. Almost a pioneer in the procedures, very knowledgable, up front, and caring.....
Take care, I'll look forward to hearing how things pan out for you.
Connie
I hope your GI and swallow study go well, and you get some answers.
I am just trying to figure out the language of the insurance company exclusions. UUGGHHHH. Oh well, I will get a translation eventually.
Thanks Again!!!! I was born in Northern Minnesota. Warren. 30 miles from Grand Forks.
-Jamie
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
Thanks!!!!!
-Jamie
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
By your post here it sounds like to me your Dr. is planning on giving you a ERNY. Which is an extended RNY...He will probably shorten your common channel or perhaps bypass more intestines. If he's not planning on doing anything with your pouch or stoma, I believe that is what he might do.
I am having an ERNY next month and have done much study on the subject....It's not the fix for everyone but I'm hoping it is for me.
Good Luck you are very generous to offer your home....What a great person!
Janie