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crazydiamond

LAP-BAND Patients
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Posts posted by crazydiamond


  1. Thank you everyone for your replies. I just found out a couple days ago that I was approved! I'm just waiting until Tuesday for the doctor's surgery scheduler to call me and give me a date. So excited!

    Erin

    I have BCBS TRS Active Care. I was told at my nutrition visit not to lose or gain a large amount (50 pounds) during my visits. I am assuming whenever she submits her paperwork it will show my weight at every visit. I am not sure but I do know she does a lot of documentation when we do visit. She stated that the insurance company does not tell us everything and that they can be very picky about the documentation. I would ask your case manager at your surgeon's office her opinion.


  2. Hi Tina,

    I have Highmark BCBS of PA. I've read other people's posts about them and have read mixed reviews, so I'm not sure how to feel at this point. I'm trying to remain positive yet not get my hopes up, lol. Thanks so much for the reply, it makes me feel better!

    Erin

    Erin,

    I really do not think that you have anything to worry about. The same thing happened to me. I asked my patient advocate and she said that it will NOT affect your insurance approval because you are not REQUIRED to lose weight to get approved. Now this was the case with Aetna. I am not sure what insurance you have, but it may be different. You may want to call and ask.


  3. Hi there, I'm new here too, you might want to try Care Credit...I think they work with people that have bad credit. They provide financing for medical procedures.

    Anyone have any suggestions on how to finance self pay? I don't have the best credit and can't borrow from friends or family.


  4. Hi there, Just wanted to see if anyone can help. I started this whole process in September. I started my monthly dietary evaluations in October and finished them in March. I went through some very hard times and became very depressed during this time, and gained about 30 pounds. Before the weight gain, my BMI was 37+ and I had co-morbids of sleep apnea, hypertension, and acid reflux. After the weight gain, my bmi is now 41. My insurance required a bmi of 35 plus 1 or more co-morbidities, or a bmi of 40+. I meet both requirements now, and all the paperwork has been submitted. I have been through the whole process of being denied once because they said they didn't receive all my paperwork for nutritional eval. They said medically I qualified. My doctor's office appealed and re-submitted the paperwork, and now I'm waiting to find out if they will approve it. I'm worried that they will see the weight gain and deny me again. Does anyone know about this?

    Thank you,

    Erin

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