I called my Insurance Company today

smileyjamie72
on 4/28/09 7:13 am - Palmer, AK

I was SOOOOOO close to wimping out!!! All of the "insurance" jargan is so confusing to me, I swear, It literally just shuts my poor brain down!!!

I asked a "general" question about coverage for bariactric revision surgery: The primary says: "non-surgical or medical necessity for coverage." The secondary says: "actually excluded in the plan" And she went on to say to definately submit the co-pays into them, they still might cover some of the expenses.

So, not getting my hopes too high
-Jamie

P.S.
I am posting this on the revision and DS boards

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**

(deactivated member)
on 4/29/09 5:11 am - Bridgeport, CT

RNY on 03/09/04

Awww, Jamie, if it is meant to be it will be. I am sure you will be fine. If your PCP is behind you then you should be fine....

Good Luck!

Mary

smileyjamie72
on 4/29/09 7:03 am - Palmer, AK

DS on 12/29/11

Thanks, Mary!!!!

I really like my PCP, but he just does not know a whole lot about this field. And I do not think that I would have anyone here in Alaska touch me for a revision. I have no problem, at all, traveling to have it done, but it is just a frustrating stumbling block being in Alaska. Oh well, it'll all fall in place

-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**

Sue O.
on 5/4/09 1:55 pm - Brookfield, WI

Revision on 12/14/09

At least you got a reply of some sort to work your way through. I called my insurance company to find out the types of data that they wanted to evaluate in considering revision surgery. My insurance company told me that there is a separate company that performs the surgical pre-authorizations. Ok, so I called them. They told me that they couldn't tell me anything, because I'm "only the patient". So, my doctor wil request the authorization and we'll find out what information they want to see. Same old games, maybe worse, that we played before my original surgery in 2004.

Good luck in your dealings with your company.

Sue .
Lap RNY 12/7/04 310 lbs; Lap ERNY 12/14/09 238 lbs
RNY: 310/268.5/202/170 (never got there!)
ERNY: 240/228/215/170

smileyjamie72
on 5/5/09 6:11 am - Palmer, AK

DS on 12/29/11

Oh, GEEZE!!!! Talk about games!!!
Seriously. All that they want? Is for you to just give up & walk away. That's it.

Here's to hoping that your doc can get you some answers!!!!
-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**

I called my Insurance Company today

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I called my Insurance Company today