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Nora82 got a reaction from Craig Wildi in Humana silver POS
Humana is very good at approving as long as you've met all of their requirements. They don't play games like some insurance companies (Aetna!!!).
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Nora82 got a reaction from MeFirst in BCBS Fed and 2 year weight history requirement
Yes absolutely. They just look for the year, month doesn't matter. You just need one recorded weight from each year.
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Nora82 got a reaction from micnic1027 in Erie,PA-My loss is your gain (no pun intended)
He is amazing! You will love him!! You couldn't be in better hands. We sure do miss him here.
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Nora82 got a reaction from tdc in Insurance exclusions
Talk to your HR. In most cases your employer can give you an administrative override to cover the surgery specifically for you. You will most likely have to present all the benefits to the company for you having this surgery (increased productivity, lower health care costs after surgery, etc.). I am an insurance coordinator and am currently working with one of our patients HRs. They've never had a request for an override but they are seriously considering it.
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Nora82 got a reaction from BLERDgirl in insurance vs. co-morbidity
I would definitely get a note from your doctor who is treating your lymphedema to send in with your preauthorization that states that the recent weight gain was due to this issue. If they mark the date that you started having issues with it and coincides with the time you started gaining weight it will definitely help.
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Nora82 got a reaction from NewLife1985 in BCBS Fed and 2 year weight history requirement
If your having surgery in 2016 you just need one weight from 2014 and one from 2015 that's shows your BMI over 35. Even if you had a BMI under 35 for most of the year if they can find one in the entire year that shows over 35 you're good.
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Nora82 got a reaction from chilepeppr4 in UHC is driving me crazy!
Nope that won't be an issue at all. As long as your doctor puts in his note that you discussed weight loss.
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Nora82 got a reaction from sassyfrass23 in UHC is driving me crazy!
I work as a surgical coordinator and have never seen a 6 month waiting period after approval before you can schedule. I have noticed that it's hard to get any sort of correct answer when calling UHC. If your really worried about it I would call the pre authorization department and ask for a nurse case manager. They will give you the most correct information.
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Nora82 got a reaction from sassyfrass23 in UHC is driving me crazy!
I work as a surgical coordinator and have never seen a 6 month waiting period after approval before you can schedule. I have noticed that it's hard to get any sort of correct answer when calling UHC. If your really worried about it I would call the pre authorization department and ask for a nurse case manager. They will give you the most correct information.
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Nora82 got a reaction from tdc in Insurance exclusions
Talk to your HR. In most cases your employer can give you an administrative override to cover the surgery specifically for you. You will most likely have to present all the benefits to the company for you having this surgery (increased productivity, lower health care costs after surgery, etc.). I am an insurance coordinator and am currently working with one of our patients HRs. They've never had a request for an override but they are seriously considering it.
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Nora82 got a reaction from Shanea in What do you do for PROTEIN?
Unjury has a non flavored Protein Powder that you can put in just about anything. They also have chicken broth flavored Protein powder which can be helpful when additional protein is needed with puréed foods.