new here/insurance?

valpack
on 12/20/08 11:27 am, edited 12/21/08 5:10 am - Glenwood, NJ
 Hi, I'm new here! My name is Valerie & I will be 20 next week. I'm going to a seminar that a bariatric surgeon is holding in January. I was just curious if anyone knew about getting insurance approval. I'm not too sure of my exact weight or height, but I'm somewhere between 42-44....
jodybob
on 12/20/08 11:38 am - NJ
I ,just had surgery on 11/24 .  I was able to get authorization in 4 days, I was shocked it was approved that fast.   My Surgery was scheduled and done withing 35 days of my first appointment.  Not sure who your carrier is but I have Qualcare.  My saw Dr. Jean-Baptiste in plainfield.  Good luck.
valpack
on 12/21/08 5:02 am - Glenwood, NJ
 I have Aetna. I've heard mixed reviews about their coverage....
The one thing I worry about is the diet/program. I have never joined any official group like Weigh****chers even though I have been athletic (multiple sports & seasons) all my life & go to the gym at my university....I think the doctor I'm looking into has a program that might qualify me....
http://www.laparosurgery.com/
trouble256
on 12/29/08 6:50 am - Athens, AL
I have aetna.  it wasnt that hard of a situation for me...i have a 40+ bmi, and i basically followed their clinical policy bulletin.  if you have any questions, email me, and i can help you out, i just got my approval today, only took 10 days from when i submitted all the paper work. i am scheduled for surgery feb 2 (at my request, gotta get money together and all that jazz)
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valpack
on 1/1/09 10:48 am - Glenwood, NJ
 thanks, i'm going to a seminar in one week so hopefully they can have some more information for me. did you do a weight loss program with your doctor or through something else like jenny craig?
trouble256
on 1/2/09 7:21 am - Athens, AL
i actually went to my local gym, had them do an assessment on me and set me up with a plan, im sure jenny craig would work.
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valpack
on 1/10/09 12:47 pm - Glenwood, NJ
okay. i went to the seminar this week & i know my mom was pleased. i feel like she is getting more comfortable with this. i also got my last few years of medical history. in 2005 my BMI was 40.1 2006 i was 38 (although i'm going to question my doctor because i don't recall a drop in weight that year) 2007 i don't have but summer of 2008 i was 42.8. i believe i saw on the Aetna insurance website that it had to be 2 consecutive years of a BMI over 40. i guess i didn't go to the doctors in 2007, but i know i was still over. i think i'm going to make an apointment with my doctor (since i've never mentioned wls to her) to discuss my history & get me on a program so that by the time i am done, i might be eligable....


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