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freshstart2010

LAP-BAND Patients
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Posts posted by freshstart2010


  1. Today the insurance company finally responded. I was denied. I have been at this since April and had completed the 6 month supervised nutrition and exercise plan. I have H/C, sleep apnea, gout, bladder incontience, and chronic back pains. My BMI is 37.8 and still I am denied by PA BC/BS. I still don't understand why, but I have decided to dig into my savings, deep into my savings.....I am now being banded by Dr. Ortiz on September 3rd and I am so relieved. I was tired of the stress of waiting, wondering, and dealing with rude people.

    I am being banded!!!!!!!

    I have also started replacing breakfast with a protien shake. I will officially start my pre-op diet on the 19th.

    Best of luck to everyone.


  2. I got the call Monday 6/14 from surgeon that I was approved and would be schedule later that day. Didn't receive a call, so I called Tuesday 6/15 and was told I had to wait to be scheduled because I am PENDING. What? So I call Anthem Blue Cross of CA and find out that while I was approved Monday my surgeons office resubmitted authorizion making the following changes:

    Hospital instead of the original clinic

    In-patient instead of original out-

    patient

    and different surgeon (my surgeon no

    longer works there) other surgeon in

    the office is taking over

    While I am okay with the changes I am upset that I didn't ask for them and that the insurance com. informed me of them instead of my surgeons office. They stated it was to help with my out of pocket cost because their clinic is out of network and the hospiatl is in-network.:smilielol5:

    Anthem states they will have an answer by Monday 6/21 and since it was approved the first time they see no reason why it won't be approved.

    Monday is not coming fast enough for me.:thumbup:

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