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Merrilou
-Billie Jo
Congratulations!!!! Time is going to FLY by and soon you will be living your new life!!!!!!
Lisa
229 / 148/ 135
Open DS Surgery with Dr. Martin @ Madigan
Revision from 2006 - VBG
Hernia repair and tummy tuck - 05/12/2010
Sorry...
You must do the thing which you think you cannot do.
~~Eleanor Roosevelt
Much love to all
Kim :o)
You are correct... This is the new CPTcode 43775 Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy). This does not mean all insurance companies will cover this procedure.
Helen
Consult W/Surgery W/Revision W/Goal W
332.5/302.6/231/200
Kathy...
I went to the Washington State Insurance Commissionor Website.... I think this is law you are referring to... I don't think you have the right to go to "any" Women's Healthcare provider.
Here is what I found....
http://www.insurance.wa.gov/consumers/health/womens_direct_a ccess.shtml
Women's Direct Access
Related Resources
Need more help?
E-mail, or
Call our Free Insurance Consumer Hotline at
1-800-562-6900
Having a problem with your insurance company or agent?
Women in Washington state have the right to timely and appropriate health care services, such as maternity care, gynecological care, general exams, and preventive care.
State law requires health plans to allow female patients access to an adequate network of women’s health care providers - including licensed specialy doctors and registered nurse practioner specialists in women's heatlh and midwifery - without first having to see a "gatekeeper" or primary care doctor.
Under the Women's Direct Access law, your health insurer must:
- Tell you about women’s medical services and include the specific medical services in its benefit book that are considered women's health care services.
- Remove any barriers to prevent you from seeing a provider or getting medical care. And they cannot create unnecessary obstacles or unusual referral procedures to prevent you from making a reasonable choice of a provider or health care services. This includes demanding special fees or copayments from women.
- Provide you with an adequate list of providers and allow you to choose a health provider from the full list of participating women’s health care providers contracted with them. The list cannot indirectly limit your choice by including inadequate numbers or incomplete types of health care specialties.
Consult W/Surgery W/Revision W/Goal W
332.5/302.6/231/200
Hey there all, not sure if anybody has the answer to this, but here goes:
I have Basic Group Health plan through work, and am very happy with it (and my WLS Doc). However, the GYN that I have always had, is NOT a GH doc. I want to go back to her (am intent on only seeing her...I've had her as by "female" doc for 18 yrs.) for my annual pap, etc., and to follow up on some possible problems with an ablation I had in 2001. ANYWAY... I have had two co-workers tell me that it is a LAW that women can choose which OB/GYN they want to see, whether they are a GH provider or Preferred Provider with your insurance plans. That your current plan MUST cover whichever OB/GYN you want to see.
IS THIS TRUE? If so, WHERE CAN I FIND THIS "LAW" so I can go over it with Group Health Consumer/Customer Service?
*sigh*.....nothing is ever easy... Thanks for any input.
Hugs to you all-
Kathy
It knows it must outrun the fastest lion or it will be killed.
Every morning in
It knows that it must run faster than the slowest gazelle, or it will starve.
It doesn't matter whether you're a lion or a gazelle
when the sun comes up you'd better be running.
RNY 2/9/09 Buh bye Gallbladder 8/28/09; 100% EWL (181 lbs.) on 2/19/10;
Kathy S. · 0 replies · 2648 views
