Tennessee Weight Loss Forum

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melsreturn
on 5/15/10 8:45 am - Madison, TN

Topic: RE: Turned down by insurance for abdominoplasty

Steve is going through the exact same thing, with Humana! I think you should not give up either... I bet that its their first blanket response, and if a person gives up... insurance doesn't have to pay! Do you know what your policy says about what they consider as medically necessary (when they will cover abdominoplasty)? My policy had specific statements, and my pictures proved one of the requirements so they did cover mine. (I have BC). Good luck... I am not sure how much Dr. Wagstrom charges. Perhaps Steve can help you there.

mjloyd
on 5/15/10 4:01 am - Gallatin, TN

Topic: Turned down by insurance for abdominoplasty

My abdominoplasty was turned down by insurance (Humana). I'm really down about it but not going to give up! I haven't had any problems such as back pain or excessive yeast underneath the abdominal apron. I'm so meticulous about my hygiene that the least amount of redness or yeast I notice I go to work getting rid of it. Anyone have any suggestions for an appeal? Dr. Wagstrom said they should pay but unfortunately I got the dreaded denial letter today. Anyone else have problems getting insurance to pay? How much does it cost anyway to get it done without insurance?

Thanks in advance for any advice!
Janie

k9ophile
on 5/13/10 4:12 pm

Topic: DS Support Group Sat. 5/15

Just a reminder that we'll be meeting at CRMC at 10 am to noon. Although it is DS centered, all are welcome. We may spend some time devoted to DS issues, but certainly general support is always on the agenda.

"Our ultimate freedom is the right and power to decide how anybody or anything outside ourselves will affect us." Stephen Covey

Don't litter! Spay or neuter your pet

Susan J.
on 5/12/10 8:24 pm - Madison, TN

RNY on 01/31/06

Topic: RE: Lunch Bunch this Saturday

We were wondering how you did with the flooding. Glad to hear you are okay but sorry to hear about the damage to your sister's house.

We'll catch up in June.

Susan (AKA bilsrib)
300/135/135 - Plastics February 2008 - Dr. Lois Wagstrom

P E A C E - It does not mean to be in a place where there is no noise, trouble, or hard work. It means to be in the midst of those things and still be calm in your heart.

Nsg4Him
on 5/12/10 10:02 am - Sevierville, TN

RNY on 12/21/07

Topic: Smoky Mountain Obesity and WLS Support Group MTG

Our next meeting will be Monday, May 17 at 6:30 pm at LeConte Medical Center in Sevierville. We will meet in the classrooms. This month's topic will be "Vacation,Healthy Habits or Not?" If you have questions, please PM me, or email me at [email protected].

Marilyn
Smoky Mountain Obesity and WLS Support Group
1/17 6:30 LeConte Medical Center

Barbara D.
on 5/11/10 9:52 pm - Mt. Juliet, TN

RNY on 07/15/08

Topic: RE: Lunch Bunch this Saturday

Thought I would get to this one, but my sister's downstairs flooded (where I had been living) and Saturday is a work day for her. I have moved into my new house. Most of the boxes are unpacked and some of the pictures are even hung. You guys have a good time and hope to see ya next month.

Steve615
on 5/11/10 9:00 pm

Topic: RE: How a flawless surgery can change the plans of another

This is so true. I have had five friends who have seen my success and decided to 'take the leap' and have weight loss surgery.

On one hand, I am happy that they are changing their lives for the better. But on the flip side, were they to have any complications, I would feel so guilty.

Congrats Sharon!