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Glorita

LAP-BAND Patients
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Everything posted by Glorita

  1. Glorita

    Tufts

    Hi Jenn, Thank you for your time and all the information that you have provided me with. I really appreciate it as this has served as wake up call in many respects. The first thing that I found out is that although Tufts is the administrator of my insurance with Cigna, my coverage benefits are the ones laid out by Cigna - not Tuft. This makes it even worse for me as Cigna imposes a formal 6-month weight loss program by a doctor or dietitian previous to the surgery approval. There are many other conditions imposed by the insurance company that I hopefully will be able to comply with. The other thing that I found out today at my doctors office is that the average cost of the surgery at MGH is $25K, as compared to Beth Israel and Lahey average cost of $12K. Does this sound right to you? I found this cost on the Cigna's website. I have started to look into Lahey based on your recommendation (thank you so much for the information). They are a little bit far from me but definitively have great reviews. My sister knows a couple who went to Lahey and they were very happy with the clinic and their results, together they lost about 400 pounds in a little over a year. Lahey is not that close to me as I work in downtown Boston, but definitively will consider them seriously for the surgery despite having to make the effort to get there. I am not sure how much I will have to pay out of my pocket either, but if it is a % of the cost, that would then be another plus if I choose Lahey over MGH. The other thing is that my lab work from last week shows very low Iron levels and severe anemia. I had been feeling very weak and with no energy over the last couple of months but thought this was related to my weight and some laziness - never imagined that I could have anemia. In addition, my levels of Vitamin C and D are very low too which don't help with the iron absorption. My thyroid levels are low too. So I walked out from my doc's office today with a bunch of prescriptions as he strongly suggested that I try to fix all these issues before my surgery, which is going to be more like in November. He also thinks that if I can control the anemia, I will feel stronger and more willing to do a little bit of exercise and start loosing a bit of weight before then. I am starting my 6-month program today and will stay with MGH for now just due to the convenient location. Tell me how your 10% weight loss is going. Have you had any success since we last posted? You must be very excited about your surgery in August. Please keep me updated! Best wishes,
  2. Glorita

    Tufts

    Hi Jenn31ma, I was just wondering how your TUFT insurance approval process is going. I just had my doctors official first appointment at MGH today and was told that TUFT insurance requires me to do a 6-month program called "I Can Change" in order to be eligible for VS coverage. It seems that you were required to this program as well? Have you been able to make any progress in that program? Do you know how "I Can Change" works? Are you aware of any exceptions that can apply in order to bypass this 6-month program? Any information that you can share with me would be greatly appreciated. I am devastated as I was hoping to have my VS done in mid June at the latest. Thank you!

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