Jersrose43

I had same thing happen with mine and had to keep on top of them. She sent it late and it was denied they had to resend everything. It was a pain! And I work there. Geez!

I am pre op and don't have these issues but I think your hubby is wonderfully supportive.

#9grammy. Isn't medicare an 80/20 plan? I don't think it's 10 unless you have a supplement

Documented back ailments may classify. I would have the doc clearly state you have had it and how long

I didn't know a sleeve could move? Can you elaborate?

What I weigh and what I choose to do about it is my business not yours. Well intentioned friends have tried in the past it comes off offensive and cruel and non supportive These are the same friends who tell you eat less excercise more. Don't take the easy way out blah blah

They use 35 bmi and comorbidities for approval. Or 40 bmi with none. I don't believe they require you to lose weight Just monitored for >=89 days

Finding a Cigna Center of Excellence is easy, register on mycigna.com for your plan. Then search for a doctor/hospital, etc, and there are several filters. Search by Procedure, then enter bariatric surgery, then your city the COE come up at the top of the list -- St Agnes, Univ of Md, Baltimore General, and more Good luck to you!

Sorry to hear its a coverage restriction. This is not an appealable option. But you have other options. 1. If this is through an employer, talk to your employers HR department, ask them if they have given though to adding the coverage. It is a known fact that obesity related complications are costly. And in the end you would save your company money by having the surgery. 2. If you purchase this plan on your own - look elsewhere. The fact that IBC doesn't cover bariatric is BS. They have an indemnity plan, it is more costly, much more so, but it covers way more than the HMO / POS Keystone option they like to sell you. 3. Welcome to Obama care babe --- SHOP! Go on the exchanges, see what is offered, call each and every one of those plans and get the information on coverage of benefits. Someone has the coverage. Buy it. 4. IF you're married, check the wife's plan for this coverage. Get on her plan. If you have an employer coverage, you can buy a private plan as well. If you can afford another plan for a year, and it covers bariatric, buy it. Cheaper than paying cash for this surgery and its potential complications out of pocket. You would be required to get a denial from the employer coverage first, then file with your personal plan, it works.

Thank you. 20 days left to go

Surgery is June 24 In order to prepare I started having 1 Protein shake a day instead of a meal. So far 7 days, 11 pounds down Today I appled for short term disability I hope to be out about two full weeks and then work at home for additional time I am not hiding the fact I'm having surgery. I have told friends I have told family I have told coworkers. I really truly don't give a rats ass what people have to say but Two somewhat off putting comments early on One my boss who was adamantly against it and hasn't really discussed it with me since, but she's ok with me taking time off One my coworker --- you're not that big---- really? 5'5 240 pounds and 3 comorbidities. Don't have to weigh 600 pounds to feel it's necessary really. This one particularly is bothering me occasionally. I am not sure why. I am started to get emotional. Depression Anxiety, depression some more Just trying to keep my mind off of this. Thanks

A lot of people on the site have 6 month supervised visits. I don't understand?

Well call and see if they can send you the link to their medical policy on line. It's a very local plan. Your surgeons office should know the rules

Aurip- graphic designer

I use a nutri bullett

Maybe you should post this in the powder room? Yes call you gyn

Good luck!!

They close at 8 eastern. Call by 6 is best- nurses and clinical personnel answer the authorization line. I wouldn't call until they medical director has had the information for 5 business days. You won't get much info unless it's been 5 days Good luck. Even if they reject. Your surgeon can doa peer to peer

Is this it? It's online http://www.ssmhealth.com/exclusive-choice/benefits/documents/exclusivechoice_summary-plan-description.pdf

Not familiar with them but I wish you the best of luck on your journey!

If they have a patient portal go log in/register It should allow you an online look up of doctors If you can't do that call back and speak to a different person State regulations usually require you to provide an update to the provider directory once a year. Sounds like you got a bad rep on the line

I work at ci That letter is a copy to you sent to your surgeon It basically means that they have requirements for approval (documenting your surgery type, diets, visits etc) and they failed to receive all the pieces required for the surgery requested Wouldn't worry about it. Just make sure that office insurance coordinator sends in everything they need timely

May god bless you further by healing this for you and bring you home safely.

Omg I am not alone. These are disgustingly sweet!!!