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silvers320

LAP-BAND Patients
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Everything posted by silvers320

  1. I notice a lot of you eat 1/2 a banana or apple at a sitting, which I have also been doing. Anybody have any tips for keeping the uneaten 1/2 from going brown? thanks
  2. I dont know how long ago you were denied, but NYS has a department of insurance that serves to review cases on a 3rd party independent basis. I was turned down by my insurance company on the first go around. I appealed to the NYS department of insurance and was approved within 35 days. There are rules - I think you had to get the state involued within 90 days of being turned down, but should look into it
  3. I saw one of these today. It made me a little crazy. I knew when I made the choice to go this route there were going to be some huge changes - would I love a big piece of wonder bread sure! Do I know it's not on the list and therefore - it aint happening, Yes.
  4. Hey I would read the insurance company's rules on appeals. I appealed to both the insurance company and thru my state's 3rd party appeal process. What I was most shocked by was the number of documents that the state asked me to re- supply. Meaning they didn't make it from the insurance company's files - my guess is if the file is incomplete it makes it easier to say no. But anyway the appeal worked try it before you self pay. You will have to wait 30 days or so but it better then spending 12K
  5. I did the 6 month diet & exercise program. I submitted all the paperwork. They are claiming the I didn't do the 6 month program. My point of the co morbidities was that is medically important on multiple fronts. I have sleep apena so bad that if I fall asleep without my sleep machine I wake up with mouth fulls of blood!
  6. I have Aetna as well. I have a BMI over 40 and two co morbidities. I did the 6 month program with regular doctor and I have been denied. I am meeting with my doctor tomorrow to find out what is going to on. Anyone have experience with the second appeal process? thanks Dennis

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