Tobeornottobe
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Posts posted by Tobeornottobe
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Maybe this is some thing you should discuss with your PCP or surgeon.
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Welcome and best of luck on your journey.
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I totally understand where you're coming from. Have you spoken to your surgeon, nutritionist or PCP about your concern?
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Your hubby is awesome! Not exactly a Dr. Who fan but I have watched some :-)
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Congrats on your date! Good luck on your journey.
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I believe most sites allow you to search by zip code so hopefully that will help.
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Blue Cross Blue Shield - http://www.bcbs.com/
Anthem Blue Cross Blue Shield - https://www.anthem.com/health-insurance/home/overview
Aetna - https://www.aetna.com/individuals-families/buy-health-insurance-from-aetna.html
Cigna - http://www.cigna.com/
United Healthcare - http://www.uhc.com/
Kaiser - https://healthy.kaiserpermanente.org/html/kaiser/index.shtml
I don't know what state you are in but Kaiser is only in specific areas.
Good luck.
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I'm confused. Do you have coverage through an employer or through the healthcare exchange? If its through the employer, the employer has probably chosen to opt out. If this via the state exchange, you may live in a state that excludes bariatric surgery as a necessity. If your employer has opted out, suggest talking to your benefits manager. If your state excludes contact the department of insurance in your particular state and appeal your case.
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Congrats and Happy Birthday!!!!!!!!!!!!
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As a mom of 4, my heart breaks for you. You and your family are in my prayers. Positive vibes all around.
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Congrats!!
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Is your insurance through a state health insurance exchange? I know there are several states that deem this type of surgery as not being a medical necessity. I'm also aware that Humana does offer the surgery.
You do have the right to file a grievance or appeal. You can do this straight to the particular state's department of insurance.
I don't know if this information will help or not but it's worth a shot.
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That sucks this is happening. Does your state have it's own exchange?
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It may not be an insurance company issue but an employer issue. Bariatric surgery is not considered a necessity and employers can opt out.
Who is your current insurance company?
My Insurance Company does not cover Bariatric Surgery. My PCP sent them a letter of Medical Necessity, as well as my Suergeon's Bariatric Coordinator reaching out to them. I need some tips on getting them to listen, or any other Insurance Companies, that cover Bariatric Surgery.
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Most insurance plans cover it. Bariatric surgery is optional so employers can opt out. You can contact an insurance broker or check the health insurance exchange (healthcare.gov) for what you need. Pricing will vary depending on insurance company and options. Deductibles also vary.
So to that end, what information are you looking for exactly?
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It stinks that this happened to you. I have had some issues with the surgeons office as well. I kept on them constantly. I also made sure I had copies of all the information they had.
Good luck and let us know how things turn out.
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Approved!!!! Waiting on date!!!!
Congrats!!
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Good luck on your journey!!
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Congrats and good luck!
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My health is my business, not my co-workers or my neighbors. I am not required to share my health information with anyone. The only people who know are my BFF and my family and that's it. I don't run around sharing all my health information.
Dr's Office messed up my approval
in PRE-Operation Weight Loss Surgery Q&A
Posted
That sucks. Cigna require 90 days. The way Cigna describes it is actually greater than 89. Hopefully all goes well and you'll be approved.