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Starting the process

ssflbelle

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I started this WLS process as soon as I became eligible for Medicare in May of 2008. I got a list of Lapband Doctors in South East Florida and the first Dr I contacted was on my plan but the hospital was not a Center of Excellence. Medicare demands that this surgery been done in such a hospital. Ok, so I kept looking, found a hospital they would approve but the Dr is not on the plan. There doesn't seem to be any Dr and hospital in my County that meets Medicares approval. Thank goodness for that Lapband list, as I used it to search for Doctors listed and where these Doctors performed the surgery.

 

Over Memorial weekend I finally found Dr. Bass and The Regional Memorial Hospital in Hollywood, which is a Center of Excellence. I was able to not only register on line but I filled out a 9 page profile. Two days later Tiffany (Co-ordinator) called me. She got the profile and told me about a information seminar on Thursday I needed to attend. Great the ball is rolling. So come Thursday I get in the van and head down to Hollywood but never made it there. About 30 minutes into the trip I developed van trouble Being handicapped and traveling alone I couldn't take the chance that something would happen even further away from home so I turned around and headed back home. The next day I called Tiffany and told her of my van troubles. No problem she would get Cindy to send me 5 on line videos I needed to watch and when I did let her know. Well I did watch those and have finally been given my first consultation visit with the Dr. for July 22nd. In the mean time Tiffany sent me a sample of the medically necessary letter to give to my Doctors.

 

Dr. Alshon was not willing to write me a letter of medically necessary even though he had a sample letter with all the things he didn't know about me filled in. I find it extremely odd that he would not do this.:thumbup: During my first visit with him for pain management of my back, hip and shoulder he commented "NO Dr. would touch you for surgery on your hip, have you thought about WLS". during the second visit when I asked him to write this letter, He said " I don't have the time, you are here for pain management so let's deal with that." However he did send down a prescription for WLS. Never heard of that being done and I guess Dr. Bass will submit that to insurance.

 

Dr. Rogovin my PCP is more than willing to write a letter of medically necessary. :biggrin2: I suppose that is because he has seen how I have struggled over the last 14 years with all my problems and he had mentioned WLS many times but my insurance would not allow it at the time.

 

So now I sit and wait until July 22nd. I suppose that will be he next post I write. Till than Have a Happy Journey Everyone!



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I started this WLS process as soon as I became eligible for Medicare in May of 2008. I got a list of Lapband Doctors in South East Florida and the first Dr I contacted was on my plan but the hospital was not a Center of Excellence. Medicare demands that this surgery been done in such a hospital. Ok, so I kept looking, found a hospital they would approve but the Dr is not on the plan. There doesn't seem to be any Dr and hospital in my County that meets Medicares approval. Thank goodness for that Lapband list, as I used it to search for Doctors listed and where these Doctors performed the surgery.

Over Memorial weekend I finally found Dr. Bass and The Regional Memorial Hospital in Hollywood, which is a Center of Excellence. I was able to not only register on line but I filled out a 9 page profile. Two days later Tiffany (Co-ordinator) called me. She got the profile and told me about a information seminar on Thursday I needed to attend. Great the ball is rolling. So come Thursday I get in the van and head down to Hollywood but never made it there. About 30 minutes into the trip I developed van trouble Being handicapped and traveling alone I couldn't take the chance that something would happen even further away from home so I turned around and headed back home. The next day I called Tiffany and told her of my van troubles. No problem she would get Cindy to send me 5 on line videos I needed to watch and when I did let her know. Well I did watch those and have finally been given my first consultation visit with the Dr. for July 22nd. In the mean time Tiffany sent me a sample of the medically necessary letter to give to my Doctors.

Dr. Alshon was not willing to write me a letter of medically necessary even though he had a sample letter with all the things he didn't know about me filled in. I find it extremely odd that he would not do this.:cool: During my first visit with him for pain management of my back, hip and shoulder he commented "NO Dr. would touch you for surgery on your hip, have you thought about WLS". during the second visit when I asked him to write this letter, He said " I don't have the time, you are here for pain management so let's deal with that." However he did send down a prescription for WLS. Never heard of that being done and I guess Dr. Bass will submit that to insurance.

Dr. Rogovin my PCP is more than willing to write a letter of medically necessary. :biggrin2: I suppose that is because he has seen how I have struggled over the last 14 years with all my problems and he had mentioned WLS many times but my insurance would not allow it at the time.

So now I sit and wait until July 22nd. I suppose that will be he next post I write. Till than Have a Happy Journey Everyone!

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Wow!

Much good luck to you on your journey, too. I understand about physicaldisabilities. I am totally blind, and right now am having trouble with insurance. They want receipts for stuff I don't

have because it is twenty years ago that I tried first losing weight. I will definitely be thinking of you, and following your journey.

Debbie

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