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pephlin

LAP-BAND Patients
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Everything posted by pephlin

  1. How long did it take for you to get an answer??? My paperwork was submitted today and was wondering how long I need to stress out!!!!!:rolleyes2:
  2. waiting on isurance approval (hopefully). I went to a seminar on March 31st. Met with a patient advocate on April 2nd, blood test on April 5, went back and forth with advocate and insurance to see what my requirements were. After several days and many phone calls, the "insurance guru" at true results said that I didn't need the weight history and she would go ahead and send in my paperwork on Wednesday. I asked what they thought my chances were and of course they wouldn't say good or bad. So, now I am waiting. They did schedule me for a psych, nutrition, and EKG. Is that a good sign?? I think I am reading way to much into this, I just need to be patient!!!!!:thumbdown:
  3. I am also going through true results. They are sending in my information to the insurance company on Wednesday and then I have to wait.... I got to meet him at the informational seminar, but have not seen very much information good or bad about him. I have my psych, sleep study, nutrition and EKG scheduled for April 21st. They said it would take about 3 weeks to hear back from the insurance company.
  4. I have United Healthcare EPO choice
  5. Ok, I went to an information seminar, met with the patient advocate and she told me that I was covered and proceeded to tell what the requirements were, BMI of 40, 5 year weight history at a BMI of 40 or a BMI of 35-39 with 2 comorbid conditions. I ciouldn't believe this is what my insurance would ask for so, I called them. I spoke to a representative and they told me that I only needed a BMI of 40+ or 35-39 with one or more co morbid conditions. The advocate said that "the insurance" people that work for true results know a lot about insurance and they know what the requirements are. She told me to get the info, in writing and she would look over it. So, I called my HR dept. and retrieved a copy of the "Booklet of Certificate" which explains all of the coverage that my insurance company covers. In a nutshell it states that charges are covered if a person is severe or morbidly obese, and then it give the definitions of what those are. There is no mention of additional requirements. Is this correct??? If there are requirements where would I find them??? HELP!!!
  6. I recently went to True Results and was told that my insurance would cover me 90% if my BMI was 40+. But, my insurance had the following conditions. A weight history for 5 years. Do they mean a BMI of 40+ for 5 years? The person from True Results told me that it had to be 40+ for 5 years. or 35-39 with two co morbid conditions for the past 5 years. Does this sound right? I have a BMI of 40 but only for the last 2 years and I was in the 35-39 range for the last 5 but I have no co morbid conditions.

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