Everything posted by Jersrose43
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Lying about what type of surgery..
Don't like to lie. But if you must I recommend and ulcer. You will be on acid reducers after for a long time. You will have a modified diet same as an ulcer patient. Ulcers come back for retreating in case of complication. Remember that the sleeve was originally effective as ulcer and stomach cancer treatment
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Peanut Butter
Usually at all grocery stores with the peanut butter but LOOK UP! Almost always on top shelf. Out of sight.
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Insurance Approval
I would get it in writing them and Make sure no loophole clauses in the letter about benefits
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Federal Insurance and Skin removal/Plastic Surgery coverage questions ?
Ummm they're supposed to be using Cigna policy for medical auth and criteria
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Denial after Precertification Approval (Aetna)?
One thing that's critical to know about aetna is that once you start you cannot gain any weight. I mean zero! If you gain weight during the process you will be denied and will have to start over
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Abuse of wls..when it's not needed
As an insurance professional.... Her telling you that is a major HIPAA violation. She should be fired. And the company appropriately fined. She's also lying to you. There are many reasons costs go up as I previously stated and the decision to change insurance providers complex and disruptive
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Dr. Melissa Bagloo (doc I chose)
I love them. I went with dr Bessler of that group. Gio is amazing!! The office staff are all fantastic You will have a great experience
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Federal Insurance and Skin removal/Plastic Surgery coverage questions ?
NALC follows the Cigna medical policy. They cover a paniculectomy at 18 months post wls there are conditions of course Google cigna and paniculectomy All other plastics will be cosmetic
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Untied health care ?
@sweetnell. Am assuming your plan is thru an employer. You should ask if there are other plans that he can switch to. If not do you have your own insurance ? If it is covered can he get on that? If those are not options i suggest you start looking at your states exchange and picking up an individual plan to pay for it then drop later. You'll need to weight the costs carefully as some carry high deductibles
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Can you ever eat "Normal" food again?
Am 6 months out. Can pretty much eat anything I want and have since the beginning pretty much. Bacon is still an issue. It just feels like it sits in my stomach like a dead weight. Just remember to always eat the Protein first and all else if you still have room. I don't deprive myself of anything. I just follow that rule. I eat bread, in moderation I eat biscotti from the local bakery, in moderation And so on. I even had desert on thanksgiving and xmas. For me if I do have carbs I notice a failure to lose weight. Salt is also a killer for me. But follow the plan and those few days aren't the worst thing in the world. The pounds come back down shortly after the allowances am down 72 pounds in 6 months
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Denial after Precertification Approval (Aetna)?
As an insurance professional the reason that clause appears in your approval is because they can't guarantee that you will have coverage You have approval but your employer may cancel and switch coverage. If it's a personal plan you may not pay the premium. If it's cobra you may not pay the premium. If it's employer plan you may quit or get fired between approval and surgery. Basically they put that clause in so that if something happens to your benefit they're not responsible to pay it because an auth exists. You're concerned for no reason.
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Skin Removal Approvals
Here is the medical policy for cigna They cover the paniculectomy 18 months post sleeve at a stable weight but read the requirements carefully. I am 6 months out and my doctors are all hearing loud and clear about itchiness and such. You read me? Hint hint https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0027_coveragepositioncriteria_abdominoplasty_and_panniculectomy.pdf
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Abuse of wls..when it's not needed
This is what drives your healthcare cost increases. Get educated. Look at those EOBs. Why do you think deductible plans are so popular? They want you to get a reality check.
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Abuse of wls..when it's not needed
Are you aware that a SMALL CARDIAC CATH is considered surgical event and it will increase the plan costs by $100,000 minimum? A double knee replacement is elective and inreases the plan cost by $100,000? A c- section depending on where you live sets the plan back between $10k and $75k ? A vaginal delivery is not much savings actually Dialysis - $10,000 -20,000. A MONTH! Cancer oncology at cancer treatment center of America can set you back up to $10,000 A DAY!!! Wls is a drop in the proverbial bucket of the reasons why an employers costs go up and forces an jnsurance change.
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Abuse of wls..when it's not needed
Every employer has the right to change insurance and many do every year. Because they self insure and the n the following year the rates zoom up. And it isn't wls that is zooming up rates. It's cancer treatment, hip surgery, csections, vaginal deliveries, A multitude of surgeries that make up the expenses. It's an employers right to change their plan. They do this because the new jnsurance will likely get different set of doctors who agree to price services cheaper. I work in jnsurance and do contracting trust me this is why You are presumptuous that they switched because of wls.
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Plastic Surgery in Tijuana after the sleeve?
My sister in law is having a tummy tuck in New Jersey next week She's getting it for $7500 Will likely be using her same doc if my insurance won't pay. Why would I ever risk Mexico
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Help with Food Choices
Are you on my fitness pal? Many folks are and you can friend them and see what they eat everyday.
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Food stuck in throat feeling & needing to vomit - new user story
It sounds like you're overeating Take a bite of food and stop eating for 5 minutes. Take another. This may seem annoying but will give you a chance to know when you're actually full
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Anyone : Best surgeon in NJ? I have Dr. Abkin of JFK.
I had mine done at valley in ridgewood by dr marc Bessler He operates out of NYU and is chief surgeon there 3 days a week and 1-2 days at valley. Fantastic experience. Valley is a coe for bariatric surgery as well
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Constipation
Oh how I miss pooping every day
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Any sleevers in Northern NJ?
Justjaime5 glad to hear you caught it early and are on the mend!
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Has anyone true colors have come out since your weight lost?
That's right cupcake. Friendships evolve with us. That she didn't evolve with you is quite telling of who was a friend and who was not
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Abuse of wls..when it's not needed
I am going out on an assumption limb here .... Bare with me allllll So op it's not needed. It's easy for them. It wasn't easy for you was it? It was jumping thru a lot of hoops It was a lot of proving that you deserved it. And these people just seem to get it. No tough experiences that you noticed Maybe they never yo-yo dieted that you noticed. They had a little to lose. Not much in your estimation. And that just burns your ass doesn't it? That you had to work so frigging hard to get approved and succeed when these folks just seem to show up and wow they're skinny. I am going out on an assumption limb. You're jealous and envious and you need to get over it
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Passport questions. Anyone use one of the RUSH passport services or just go to Mexico with birth certificate?
Since when do you need a birth certificate to cross back if you have a passport? That's ridiculous
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Pre-surgery tests
Liver not lover Ugh spell check