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daisy6962

LAP-BAND Patients
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Posts posted by daisy6962


  1. Wow! I work 2 jobs, one is a desk job and one at a restrauant, on my feet for 3 1/2 hours after doing my 8 hr desk job. I do it 3 days a week. I have said I will retrun to both in 6 days. Thats my plan!

    I had surgery on Tuesday and went back to work on Thursday. So for me out was out of work for a total of 2 days.


  2. My information was sent to both of my insurance companies on 11/4/2011. I called every day to both of them and yesterday I was told approved by BCBS but had to wait till this morning for them to really mean the approval. Then I called UHC, today and asked if it made a difference that they were my secondary and the ysaid yes, why did we get all of this paperwork ? I said I am unsure what you are saying, she said because UHC is secondary, I didn't need to send all 22 pages of information, when it comes to secondary you just submit it to be paid. UHC said if BCBS said yes ,then we say yes. I am still uneasy about them just giving me an approval over the phone. And I don't get a copy of the approvals! Just the Dr. Both places said they faxed it over already and my dr's office is saying no they don't have it and no date can be set till they get it. I call BCBS back and now the so called nice nurse is not so nice anymore, she said I faxed it and if the dr's office is saying no, then they have to call not you! I was like hey, this is my policy and my life, why don't I get a copy of this approval letter? She said have dr office to call and hung up. Drives me crazy !! So best advice call them daily and ask for a reference number. Good luck!


  3. Awesome! That is my goal!!

    Hoping both approve it,if i had to choose one over the other to approve, I would choose UHC, lower deductibles and plus they are paid up for the year.

    I guess BCBS would have to deny first and the UHC pay. I am thinking I will appeal their decision if either/both deny.


  4. I have 2 insurances, NC State BSBC(70/30) and UHC(80/20). I have heard BCBS is easier to get approval and fast at responding but UHC can take awhile to respond. I am hoping so bad that both of them are approved. If I get at least one approved I will be happy but would have out of pocket expense, if both approve no $$ OOP. Does anyone have 2 insurances? What was the outcome? My family dr said that if they are going to pay for all the pre-test, why wouldn't they pay for the surgery?


  5. I just went this morning to do my 1st Nutrition visit and my Breath-tex test, it was postive. I could not beleive it! I still can't believe this! I have to take 14 days of Prevpac and have read that the meds do not work and that the side effects are terrible. I read that the test is not accurate and that after taking the meds for 14 days I have to wait for another 14 days after taking meds for accurate test. I have read a lot of crap online about this and how you get it and how you get rid of it. Dr will not do surgery with a postive test result, only good news that came out of this is that we do not have to have this test result sent to insurance to try and get approval.

    Has anyone else been through this? How did you handle it?

    Thanks!


  6. I just went this morning to do my 1st Nutrition visit and my Breath-tex test, it was postive. I could not beleive it! I still can't believe this! I have to take 14 days of Prevpac and have read that the meds do not work and that the side effects are terrible. I read that the test is not accurate and that after taking the meds for 14 days I have to wait for another 14 days after taking meds for accurate test. I have read a lot of crap online about this and how you get it and how you get rid of it. Dr will not do surgery with a postive test result, only good news that came out of this is that we do not have to have this test result sent to insurance to try and get approval.

    Has anyone else been through this? How did you handle it?

    Thanks!


  7. Hi,I was wondering if anyone heard about the FDA possibly lowering their BMI requirements from 35 with comorbidities to 30 with cormobidities? On the FDA website under the news and events,if you go under meetings to the advisory meeting calendar (tried to put a link in before wouldn't work) and slated for December 2-3,2010 is the gastroenterology devices panel meeting that states that they will be discussing the issue of lowering the bmi range. This may be good news for some of us that fall between 30 and 35 bmi because hopefully they'll lower the requirements and the insurance companies will follow. I don't know how long it takes to make changes happen if they do decide to do that.

    This is was from the FDA website. But again how long will it take for the insuarnce companies to make the change??

    The Feb. 16, 2011, approval expands the use of the LAP-BAND to include obese individuals with a BMI of 30 to 34 who also have an existing condition related to their obesity.


  8. I just had my first visit today with Dr David Newman, in Greensboro, NC.

    I have 2 insurances and really worried that neither one of them will approve me. I am borderline with my BMI for approval. Got all my appointments lined up for this coming week .What is the earliest anyone got approved for insurance and the shorest time you got your surgery?

    Will spending a lot of time on her reading about everyone.

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