WElllllllllll....

Meagan S.
on 10/24/04 12:36 pm - Killeen, TX
RNY on 08/14/18
My mom has said finally that she'll support me in what i choose to do just to know she cant help financially... which i understand since they're still paying for my sisters $20,000.00+ wedding.... least i have her support now! *~*~* Meagan *~*~*
artisticdork
on 10/24/04 1:14 pm - brigantine, NJ
thats awesome! its always nice to have a parental unit on your side :D but doesn't insurance cover any of it, the surgery?!
Meagan S.
on 10/24/04 1:18 pm - Killeen, TX
RNY on 08/14/18
the insurance most likely WONT cover it in that case i wont be able to have the surgery... but ive decided to let Barix Clinics fight for me on that....
artisticdork
on 10/24/04 1:19 pm - brigantine, NJ
how come its not gunna cover it?
Meagan S.
on 10/24/04 1:26 pm - Killeen, TX
RNY on 08/14/18
cuz its a pain in my butt? they say its a exclusion when this is all it says for exclusions: Exclusions Non-emergency Health Care Services that are not provided, ordered, prescribed, or authorized by a Group Physician or Referral Physician. Cosmetic and reconstructive procedures undertaken to improve or modify a member's appearance, except for mastectomy reconstruction following breast cancer surgery. Custodial or domiciliary care. Artificial aids, corrective appliances, and medical supplies, except to the extent items shall be specifically listed as covered. Services or supplies which are provided by an employer or governmental agency or entity. Elective abortions, which are not necessary to preserve the health of the Member. Experimental health care procedures. In-vitro fertilization therapies or reversal of voluntary surgically-induced sterility. Personal or comfort items during inpatient hospitalization. Physical examinations and reports for employment, licenses, or insurance. Psychological or other testing for educational purposes or services for non-medically necessary special education and developmental programs. Cost of services in excess of the usual, customary, and reasonable charges. In cases involving non-emergent treatments performed or prescribed by non-Health Plan providers, either inside or outside of the Service Area, and for which Health Plan has not authorized a referral, Health Plan will not cover any expenses associated with such treatments. In no event shall Health Plan cover any treatments which are excluded from coverage under this agreement. Services for sex change operations or any related services. Services covered under Worker's Compensation. Experimental organ transplants and artificial organs. Eyeglasses, contact lenses and any fitting charges. Routine dental care.
artisticdork
on 10/25/04 12:51 am - brigantine, NJ
okay...what do they cover? lol and this is doesnt seem like any of the listed things above :/ but anyway, g/l with it :D im sure the clinic will fight for ya
Meagan S.
on 10/25/04 1:10 am - Killeen, TX
RNY on 08/14/18
they say its part of cosmetic surgery... but imma print the exclusions because it used to say exactly weight loss surgery.... Meagan
briddlelucia
on 10/25/04 8:27 am - Studio City, CA
yeah let the clinic fight it for you that what I did with my insurance. If you have any past documentation like family physicians, chiropractor, etc... that you discussed about your weight and issues regarding your weight let your surgeon's office know cause that can help sway the insurance company sometimes. Hell mine was that I went to go see an acupuncturist to help with weightloss.
Meagan S.
on 10/25/04 9:10 am - Killeen, TX
RNY on 08/14/18
Well Barix Clinics called today and i have a HMO policy which if i go to the barix clinics is not in the service network... so im trying to get a low cost PPO that will cover it...
briddlelucia
on 10/25/04 2:32 pm - Studio City, CA
If you are getting an individual PPO plan that's makes you the scriber (spelling) make sure that you disclose all prior health problems. Example... Back in 1999 I got an individual PPO plan Blue Shield disclosed most but once they found out I was trying to get weight loss surgery they retroactively dropped me from the insurance saying that I did not disclose all information causing me to pay for the sleep test, blood test etc... and no surgery. Not saying that will happen with you but just letting you know.
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