Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Okay, so, I have my consultation appointment on the 26th of August for removal of the pannus and some accessory breast tissue (believe it or not, I hate that stupid breast tissue more than my stomach/loose skin)

My insurance will cover both of these procedures (BC/BS Horizon NJ) at 100% with a letter of pre determination. I know I'm in for another fight, but hey, I got them to approve my lapband, right?

Does anyone have any words of wisdom as far as paperwork submittal to the insurance company that I can use? I'd really appreciate the help!

-A

:thumbup:

Share this post


Link to post
Share on other sites

Angelica - I am in the same place you are at. I am fighting my insurance. They say they will pay (80%) with pre-cretification. That is the same thing they told me when I started the process for the band. Then when I started the process they wanted alot of stuff to determine if I was eligible. I did win in the end. So I guess with my history with them I am gearing up for another fight.

I have went to my doctor and she documented my rash and prescribed me medication. She has faxed a precertification to my insurance recommending that I have a Abdominoplasty/Panniculectomy. I have also went to my chiropractor and had them document my lower back problems and how it effects my movement. I am waiting to hear before I make an appointment with the PS.

Like you I am just starting. GOOD LUCK

Laura

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×