ebonisekim

Same policy different provider

Sorry for all the missing words

Okay , I call my insurance company which is breech street and they informed me that my plan hasn't changed just my ppo provider to Aetna so I don't get she say my plan the same but I'm tryna figure out of this mean I do what Aetna requires or beech street but the rep said everything is stool the same ..I don't get it

This is what I'm going thru except my new plan doesn't active until aug. 2012 and my health insurance now is breech street which covers it I'm afraid that this new one won't Aetna ... I'm tryna continue and prepare for the new insurance tryna go by thier requirements ...sad thing is that I don't no if my employer excluded it and would they consider it a pre existing condition ?

Thanks! u ladies have been very helpful and encouraging

Thank you , so tell me what should the doctor notes include

I haven't started the six month diet cus I don't no if I'm suppose to join a weight program or do it w my pcp ... I want it to count and be able to use it for the insurance company plz help me and tell me how am I suppose to be supervised on this six month diet

Thanks ladies very helpful .. I haven't been pre approved yet I'm still in process

I'm not a member yet so Do u think calling will help usually when call a insurance company they ask for your member ID but maybe I should call to find out in general .. Thank you Kathy imma do that appreciate you

Hi my name is Kim I now have beech street insurance my insurance is changing Aetna ... My insurance before covered wls I want to kno is there anyone with this insurance and what was the process like I'm in the middle of my process with just sleep study , phys eval and six month diet .. The enrollment for this new insurance is in June and it will take effect in August .... So I just want alittle in site on it I kno insurance varies depending what your employers pick ...

You know what that's not a bad idea ... Thank you can I call you MK ....

My insurance covers it I had to find that out first my surgeons office required that ... I just think he should call me and tell me why and I think it's unfair to pay a copay to find out

Yes I was open w him from the beginning my heart doc is on board w it I have recommendation from him my pcp even asked me once how did my heart doc feel about it ... But to answer your Q my insurance company pays for it my surgeons nurse would to find that out in the beginning to even continue on w the process and I've calls several times ... Yes it's only been four months but I told him in the beginning that we could build a patient doc relationship and he had his nurse call me and say he would do I just think he should tell me why he's not and I don't want to pay a copay to found out he's my pcp he should just call me

Hello everyone my name is Kim I'm 28 yrs old four boys 290lbs 5'8 I have acid reflux , hernia ( 2nd time do to weight ) Pvc's and joint pain ... Ok. So my pcp I've been seeing him for four months now and when I first saw him I told him I was interested in having the sleeve done and the reason for seeing him was to get healthy and the sleeve ... I ask him would support me is that something he believe in if not I find another doc that would help me .... So i did all my blood work test and other requirements ... So make a long story short two and a half weeks ago my doctor nurse called and said he would write the letter ... So today I call to find out how was it coming along the nurse said I'll call you back w the answer so she called me and said my pcp said he's not going to write the letter ....what!!!!! That I needed to diet and exercise .... What and you just told me you gone write it now u changed your mind and didn't call me to tell me this just has me thinking for two and a half week that you where working on it ... Oh !! That's not it had his nurse tell me this but didn't tell me why she said he made his choice .... I said if you say yes then no and you don't say why that's not rt I have the rt to know why he changed his mind .... I have to found another doctor and start over I can just walk in doctor office and say I want this the pcp doesn't know me ... Please if you have any advice about what I should I be glad to hear them

I haven't had surgery yet still in process .. I stop when I decided to have the surgery cold turkey it's been three months ... I still crave only in the mornings ... I decided to quit for myself and to show my doctor I was serious about wls ... I want it do bad that giving my cig up was the best thing

I decided to share With ever one in wanting to get sleeved .. I felt comfortable w my choice of wanting this surgery because it's people who are in the same situation as some of us who are over weight , obese and need help but don't know where to start are fear of talking to their families about wanting the surgery .. If someone says why did I have the surgery and not do it on my own ill tell them that if I don't have this surgery I will die from the complications of being obese watch their faces change ... I'm not sleeve yet I'm in the process and I want to say god bless and good luck to each and everyone of you

My son is nine and I told him that I was getting a smaller tummy and that the doctor was gone shrink it w doctor tools but it wasn't going to hurt cus I was going to be sleep .... And he didn't ask me any more Qs but you know boys they are not as engaged as little girls are

Have any of u heard anything he's online but no update ...

This is like my third time reply to a thread but I been follow this one and omg I have become so worried because no update I'm praying for you jimmy hope things work out .... Hope to hear something soon cus my anxiety is driving me ... Not sleeve yet but in the process...

One of my friends told me what if I die me being funny isaid well imma die skinny , but it was joke cus she was being way to serious ... You kno ppl that say those things don't have to worry they are already skinny like my friend I told her don't be scared just pray for me I want this to bad to be scared I'm 28 yrs old w three boys and a husband that I need to keep up with

Thank you very much .. I'm going to north lake surgical association Dr Carl Oryodone and it's across the street from st. Tammany hospital that the hospital they use .. Imy paper work have not be sent in my pysch eval is $ 225 so I'm tryna put that together my insurance said I needed six month diet do I hope they just forget about it cus I don't wanna wait six more months but if I have to I will .. Im 5'8 and I'm 285 everyone looks at my like I'm crazy cus my body is well put together but I'm not at the weight that allows me to he healthy

Yes I've started the process , i live in covington and today I just got a call from my pcp that he was going to write my letter and after that I need a pysch eval. ... I did all my blood work , EKG , stress test ect but I don't have the six month supervised diet but the lady at my surgeon office that deal w the process said not worry about it .. And my insurance company does not require you to any health issue as long as your Bmi is 40 cus I don't have any besides a hiatal hernia and acid reflux do to that ..

To Queen crop yes it's about getting healthy as of now I don't have high blood pressure ect ... And maybe I should put that in my reply but I was being funny about it cus my friend was being serious ... But to better health

Thanks I kno that's weird .. But i kno they cover the sleeve and i kno all the requirements .. I just wish I knew someone who went throught this company .. Have you been sleeve Imskinny and what part of La

I'm not sleeved yet but I tell everyone my consideration and some judge some don't but who care ppl judge cus of fear they are not educated on it ... I had one friend tell me you could die .. I said well I die skinny and laughed .. Dying in kno way is funny but I'm a firm believer that everyone is different and I told her don't be scared for me pray for me .. I also had a friend say many ppl have complications .. I said true but many ppl have success .. And don't believe that hype no one person experience will be the same