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Newbie here I need help!

Hi!

Im so happy to find this website, and greatful information about lapband surgery. I have 38 years, yo-yo dieter since 18 yrs old. I m searching information about the lap band surgery, I have a low BMI 34. Anyone can help me, or advise me...I have Masshealth (Medicaid) with BMC Plan, and I dont know what is a good surgeon in this area (I live in Western Massachusetts)....I'm tired of loss and gain again pounds, and I have diabetes too.

Really appreciate any information or help!!

God bless!

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  • RebecaSparkles
    RebecaSparkles

    I know I'll get flamed for this but... Ankle weights and baggy pants. Instant bmi increase if you get the adjustable ankle weights you can take out a pound at a time to make it look like you are lo

  • I live in eastern Mass. I thing there is a bariatic program at UMass Medical in Worcester. Play their game. They hold all the cards. If you need a recomdation from your PCP. Then get one from yo

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My surgeons office did all the paper work for me. They never said anything was not covered. I have medicaid and had to change plans to have the band and it was one phone call and the next day everything was perfect. Good luck. Every state is also different with their own rules. I have Romney care in MA. He was good for insurance at least.

Ha! "Romneycare!!" Love that! Yup, good for just about that and only that!

I have a question...I hope anyone can help me' date=' my insurance pay for my first appointment? Labs, etc....before approve the surgery? Thanks[/quote']

Mine did.

I have a question...I hope anyone can help me' date=' my insurance pay for my first appointment? Labs, etc....before approve the surgery? Thanks[/quote']

Mine paid for initial meetings with nurse, nutritionist, shrink. Stress test, 4 sessions of behavior modification. And I expect next weeks x rays and nurse.

  • Author

Great thanks for the info!!!

Good luck to both! I found Pioneer Valley Surgical Group in Springfield MA' date=' they told me that they accept BMC/Masshealth. I have my first seminar in April, because I cant in March...I'm a concern about the insurance approval, and my BMI....oh thats not easy...[/quote']

I think I can help you out here a bit. I used to work for Masshealth. Bmc is very vague about their requirements on their sites and the info packet they send you. You MIGHT have to go through a six month program (hopefully that requirement changed). Your best bet is to speak with someone at Pioneer that knows how BMC works. They can give you more insite as to what that specific insurance requirements are. The reps at BMC pretty much read from a script. They don't really know all of the requirements, only the vague steps of getting a referral from your PCP and letter of medical necessity. Hope that helps.

  • Author

I think I can help you out here a bit. I used to work for Masshealth. Bmc is very vague about their requirements on their sites and the info packet they send you. You MIGHT have to go through a six month program (hopefully that requirement changed). Your best bet is to speak with someone at Pioneer that knows how BMC works. They can give you more insite as to what that specific insurance requirements are. The reps at BMC pretty much read from a script. They don't really know all of the requirements' date=' only the vague steps of getting a referral from your PCP and letter of medical necessity. Hope that helps.[/quote']

Of course help! Thanks, tomorrow I will call to Pioneer and ask about that, because I would change to another plan if is more easy the process. ..do you know about Neighborhood Health Plan , or Network Health? Thank you!

  • 2 weeks later...
  • Author
Good for you! Good luck :)

Heyyy!!!!@ How is your process? ?,! I want t o know! I wish all your process running good!

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