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gingerbug

LAP-BAND Patients
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Everything posted by gingerbug

  1. My insurance requires one. I am curious what they are looking for with these. I have read that some only took an hour or so and some whe had to clear out 4 hours of their day. What is it the insurance company looking for that they want you to sit through a 4 hour therapist session???
  2. or BMI of 40 or more? Does that sound right? I took notes when I was on the phone with my insurance co. and it seems that if my BMI was at least 40 I did not need any comorbidities. Does that sound right to any of you?
  3. My insurance wants a list of comorbidities. To my knowledge, I do not have diabetes or any of the other more obvious comorbidities. I do have plantar facitis (sp?), tendonitis in my knees, incontinence, lowered sex drive - that type of thing. Do these count? Do you have any examples of other comorbidities? Chronic Fatigue Sydrom? I really want to be thourogwhen filling out my medical history form.
  4. I have been thinking about that. I have two kids under the age of 4 so I am startingto plan on regualr events we can do that are outside, active, and away from food! I am joining the YMCA later today because I can swim easily as it is lower impact and my kids can hang out there. We just moved to the Houston area and there is lots to do, I need to keep out of the house.
  5. After researching it and discussing it with my husband, I plan to get banded. I have Unitedhealth care plus and our insurance covers it after jumping hrough some hoops, I suppose. If they keep refusing my and saying no to my appeals then we will pay for it ourselves. I figure 6 months of trying before we pony up the money. I am hoping this board will prepare me for what is coming and inspire me. Any advice on how best to handle my insurance company and how to prepar myself for the surgury and what life is like afterwards is very welcome. I want to know EVERYTHING. thanks!
  6. Hi! This is my first post here. I read the entire thread - we have UHC choice plus and am planning to call my care coordinater in the morning to find out what I need. All the customer service rep could tell me was morbid obesity was covered but no details. He said something about 35% BMI and 40% bmi as well as 5 years so on so forth. I need to figure out what I would need for 5 years - I have access to my medical records - my mom is an LPN at the clinic I always went to. Do they need to be the actual medical records? Can it be a letter from my doctor or some compilation of my weight over the last 5 years? I was also seen at the same clinic for my pregnancies but Idont think that would count! Any advice on how to best prepare for submitting to insurance would be greatly appreciated!!

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