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BonnieGail

Pre Op
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Posts posted by BonnieGail

  4. Posted

    I also have HIP Plus but it's not MHS. It's Anthem BCBS. I've been trying to find someone who has the same insurance that's already been thru the approval process.

    And is keeping my food journal on myfitnesspal ok? Or should I start writing it down?

    Sent from my iPhone using the BariatricPal App

    Yes my fitness pal is what I use and most people I know. The dr can get them all printed out from that app.

    I heard anthem is much easier to get approved with

    Sent from my SAMSUNG-SM-G890A using the BariatricPal App

  5. Posted

    @@BonnieGail Sorry to hear this. I was told I have to have the entire time of food and exercise logs, so that's December 1 through May 31 for me. They told me to keep doing them because they can ask for them at any time to prove you're still compliant. My final nut. visit is May 31 and we are submitting to insurance on 6/1. All of my other tests were great except I'm on a CPAP now, but I'm compliant with that as well..... it's such a process!

    Yes I started last aug, and I've submitted 3 times. It's like pulling teeth with mhs to know exactly what they want. Everytime they've come back with more and more tests. And I submitted the logs 2 months ago, and they're just saying not enough. It's aggravating!!

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  6. Posted

    Update: Found out from the insurance co-ordinator at my surgeon's office that for HIP Plus through MHS they require 6 months of medically supervised weight loss along with a daily food and exercise log for the entire time. You must show at least 80% compliance on the logs (with daily exercise, etc.). Also, once they have the 6 months and submit they make you keep doing the food and exercise diary all the way until day of surgery. In addition they require (aside from the psych visit) a cardiologist appointment, ekg, echo on the heart, pulmonologist (sp?) visit, and sleep study. They said that HIP Plus (through all providers) is the HARDEST insurance they have to get approval on. Much different than what MHS told me when I initially contacted them.

    I was denied today bc they asked after my 1st approval for the food and exercise logs but they wouldn't say how many they wanted. So we turned in 3 months worth. They also denied bc I had a low PFT, bc I was sick. So peer to peer is going to happen now. I'm 10 months in, and still fighting MHS :(

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  7. Posted

    I am in Southern Indiana. I don't have a surgery date yet either. Working through the 6 month supervised diet until I get my date. I have told my husband, cousin, and bosses and that is it. Not sure if I will tell anyone else.

    Hi. Im north of indy. Going to IU North Hosp. Im on month 3 of 6 diet. Looking for some buddies

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    I'm in evansville! !

    Sent from my SAMSUNG-SM-G890A using the BariatricPal App

  8. Posted

    Thanks for answering my question. I'll see what my PCP thinks. I've been off my meds previously, and it's not pretty. I don't have my consult until July 1st with the bariatric surgeon. I went through the beginning of the process in 2014, and I barely remember if my meds were an issue.

    Sent from my iPad using the BariatricPal App

    Yeah I never tried on the meds. I was on all mine for 3 yrs, and I struggle some days now. But for the main part from all I've heard and went thro, the psychiatrist wants to make sure you are in a good place now and understand what ur getting into. That u realize it isn't isn't a quick fix and u have to put in the work

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  12. Posted

    I live in Mitchell, but I'm having mine done at IU health north, in Carmel. It's about a two hour drive for me, but I'm hoping all these trips will be worth it, and I'll get approved.

    Yeah being approved doesn't seem to be an issue. It's just the back and forth with insurance. Them saying do these tests after 6 months, then 2 months later they need more is what's frustrating. They need to decide what they want the 1st time, instead of adding more each submission. I know I will get approved in the end, the wait just sucks.

    Sent from my SAMSUNG-SM-G890A using the BariatricPal App

  14. Posted

    :( what insurance do you have? I's so sorry they are giving you a hard time. Insurance companies suck!

    Would you rather not have any insurance? Imagine paying for every dime of your healthcare without it.

    Absolutely not. I know I am blessed to have the insurance that I have. As I've said I am optomistic, it is just disheartening when you keep expecting something to happen and it doesnt. That's a normal reaction.

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  15. Posted

    Ugh. I wonder if it is the same for all HIP carriers. Did you have any pre-existing conditions that would make them request the extra tests, or a history of heart or pulmonary issues, or do you think its just a standard requirement?

    I do not have any history. I was sick after xmas and they thought it was pneumonia, but wasn't so put me on an inhaler for the time being. But previous to this, I've had no health problems besides high blood pressure.

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  16. Posted

    :( what insurance do you have? I's so sorry they are giving you a hard time. Insurance companies suck!

    I have HIP plus through Indiana. They have the norm 6months requirements with tests, nut, psychologist evaluation, and went through everything needed quickly. So at my 6 month visit submitted and 2 months later still waiting. Just disheartening

    Sent from my SAMSUNG-SM-G890A using the BariatricPal App

    I have HIP plus also. MDWise. What carrier do you have? I've been hoping to find someone that is farther along than me in the process with the same insurance so I can get an idea of what I have to look forward to. It's not looking like I'll have an easy road ahead of me...
    I have MHS. They have several requirements to do for your 6 months. Then after they keep adding more when I submit. Waiting now for the heart hospital to call with an appointment for my clearance and drug test. Then Resubmitted

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  18. Posted

    Hang in there. I'm blessed my insurance company hasn't asked for all that. So far I've had met with a Psychologist, nutritionist, done blood work. Monday I'll be have a chest x-ray, EKG & 2D Echo.

    Thanks. I've done all that as well. I just hate that insurance requires certain things, then when you are done with that and ready, they keep adding more. But I'm staying optomistic :)

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  20. Posted

    @@BonnieGail Wow, 2 tests that took 2 hours??!! Mine was a 5 minute conversation. That's it. Actually, I had to do this twice because the first time was at one hospital and it was with a social worker and it was a 5 minute conversation. This is the one where I was joking around, which I do when I'm nervous or in an exceptionally good mood. She didn't have a sense of humor for sure and she flunked me. Barely even looked at me--eye contact maybe once. Made me very mad which is why I switched to a different surgeon/hospital and had to see the psychiatrist but again,it was just for 5 minutes and was only a face to face conversation. I passed with flying colors though I could have made a lot of jokes at this place. This psychiatrist was in the old wing of this hospital and to get there you have to go up one flloor, through some crazy hallways, then down 2 floors, round and round, and then back up in an old elevator to the 4th floor. All these hallways seemed old, dingy, and deserted. It felt like I was in a very strange dream. And then the waiting room was hilarious. There were a few chairs and a coffee table, some bookshelfs and end tables. Everything was empty. Kleenex boxes were empty, bookshelves were empty, candy bowls empty, and I can't remember the other odd stuff there but it just seemed odd. THen when I got into the psychiatrist office, again, all his bookshelves were empty, his desk had nothing on it, there was nothing anywhere. I started to think I was getting punk'd! And I wanted to comment on it but have learned my lesson. Just really weird. You had to see it to understand how off it was.

    That is a very weird place :/ lol

    Yes 2 hours of testing. Was insane. Then went back for a read on how I answered and my personality chart she got off it. Pretty spot on!!

    Sent from my SAMSUNG-SM-G890A using the BariatricPal App

  24. Posted

    Best of luck to u!

    What was their reason to deny the first time around?

    They wanted more info. food journals and exercise journals, fulmonary function test, a stool test and echo.

    I did all the previous requirements such as 6months w dr nut and personal trainer, did the 5% weight loss, psychologist evaluation, and whatnots. So hopefully this time it goes. I'm not at 8 months into this.

    Sent from my SAMSUNG-SM-G890A using the BariatricPal App

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