Jersrose43

I think the Fsa pays you with appropriate receipts and medical records you would do well to check in advance with your FSA for the specific guidelines set by your employer

What I know of Aetna I would sincerely caution you to stick to the strict guidelines I've seen a boatload of posts here where people had a NET gain from the first day weigh in to when they went for approval of like 2 pounds and been denied. Search Aetna in the posts you will see many folks were denied for gaining weight. Be mindful of that.

Please read Cigna medical policy attached. The letter needs to be from a doctor that is NOT your surgeon. Must be a doctor who has treated you like a pcp or ob gyn and must document all failed attempts to lose weight in the past. https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf

Almost a year out and I still go out. At least 3-4 times a week. I have a half a glass of wine or a half glass of vodka. Don't get me wrong I order a drink. I just can't finish it without feeling massively drunk as a skunk. Nobody cares. The supportive friends are my friends the ones who didn't understand or only wanted to socialize a certain way we're left behind. I am now almost 45 and honestly you're 21. You will go trough so many phases in life. Friends will come and go as we change and they also change. Open yourself up to allowing me for this now and don't be hurt by it. It's ok. When I was young the perceived loss of a friendship was devastating but looking back I never lost the friend we just had ebbs and flows of our diff needs and making room for others in our lives. Open yourself to the new experience as part of your journey

I just pack it up for leftovers and enjoy it three more times. Nothing wrong with that. Lat night I ordered enchilada at my fav Mexican. It's 4 enchiladas. I ate 1. Today I will eat 1. My daughter will have 1 for lunch and I will have 1 for dinner. Best $14 I ever spent!

@@mrscherry2010 your bcbs is primary and as long as they approved it in advance should pay it. If it's excluded Medicaid will pay. If you failed to request authorization from bcbs and it's a benefit you will run the risk of no one paying.

I had nothing change. My doc said off nuvaring for 30 days pre and 30 days post. Use condoms in the meantime. No issues. I used to be extremely irregular for years but was regular during those 60 days and on time and same period since.

Having worked in insurance for 20 years this is perfectly legitimate. The doctor actually gets authorization for a hernia repair. He bills a hernia and sleeve to the insurance. He must bill everything Insurance pays the hernia and denies the sleeve. Remember you have authorization for that sleeve Hospital bills both as well. They pay the hernia you pay the sleeve.

Use my fitness pal. Enter the food and measure measure measure

Call the hospital and ask them to quote you an estimate based on your insurance.

@@Sharon1964 welcome to obamacare - you ca be covered as a depends the until age 26. Regardless of marital status.

Yes Casey that is totally dumping.

Suggest you call the insurance and get clarification. Blogs can't answer your question

The only help I needed was getting the kids to school because I was on Tylenol with codeine. Other than that I had all the "food" I needed and Water and I was good. You could/should also check with your doc and hospital about having visiting nurses assoc (VNA) on standby just in case.

So they can both be the same. Each insurance calls it something different That said in order to ensure payment of one of them at minimum, you must follow Both guidelines. If you don't I guarantee you the following will happen They will fight over who is primary Then if you get rejected by the primary for not following the guidelines (ex no authoriZation). Then he second carrier will reject it for you not following he guideline of the primary!! This is not like getting a denial saying primary won't pay for exclusion. Then the 2nd will pay because the 1st won't ever cover it. Follow?? So either follow both guidelines or drop one of them.

The way it is coded will be completely irrelevant to the medical policy. Coding is a very serious business and Mis coding is considered insurance fraud. They won't put something on there you don't have. The code for a sleeve is a code for a sleeve and will be rejected. In some cases things can look at the diagnoses and change the coverage but not for something like this. That would be for items like cosmetic surgery. Medical vs behavioral and such.

So I looked it up and they're correct not covered for the plan- excluded. Look at bariatric. If you do qualify for Medicaid in pa See second link for state by state coverage rules https://www.highmarkblueshield.com/sbc/pdf/sbc/I_1888891696_20140101_SBC.pdf http://www.medicaid.gov/medicaid-chip-program-information/by-topics/data-and-systems/downloads/medicaid-mc-enrollment-report.pdf

Many doctors offices are familiar with the birthday rules around cob. This does NOT apply to you as you are not dealing with two PARENTAL policies but a spouse and a parent. So it's the rule of length of coverage. You really should consider dropping one over the other make your life easier. Pick the better one and then ditch the other

I work in insurance and so here are the rules most insurances will follow. EMPLOYER sponsored plans -both yours are, may have written differences in the policy- get that in writing!! The insurance that carries you as subscriber is primary. The one the carries you as a dependant is secondary. So you have two dependant coverages. And unless either policy has specific exclusionary language - the one that has covered you the longest is the primary. In other words your dads if you've been on that policy longer than your husbands. That said. In order for one to cover what the other does not - you need to follow BOTH their guidelines. The best thing for you to do is call them both and determine a WRITTEN rule of primacy. Otherwise you're going to have issues getting paid at all because they'll point finger at each other. Anthem is usually a6 month. Cigna is a 3 month I've Included the Cigna medical policy https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf The upside here is your out of pocket should be non existent between the two

You're getting in 50 ounces of Fluid at 6 days out? That's a lot I think for so soon. My problem with reflux was over eating. I did omeprazole and then increased that. Then was on sucralose and then was looking for another option until I read an a reflux diet and followed it to the letter. It was 6 months of horrific acid before I felt a lot better and happy to say I now don't have it. But most was due to overeating. And/ or over drinking. I don't think I ever got to 50 ounces of liquids until 2 weeks out or more. Slow that down just a little bit. Sip slowly and plan it out. So lunch, dinner, etc. 8 ounce shakes over. 30 minute period and then stop for a bit. Like at least half hour. Also take your acid medicines 30 minutes before your Breakfast. You want to give it time to absorb.

Dumping involves a Severe diarrhea event with 15 minutes. It's like flushing your internal toilet. Your friend is vomiting because she can't control herself

I felt like this after I had both my kids. I found a good therapist to help me talk through it. I went to 3 before finding her and she was great. The first one blamed me. The second one blamed my parents. The 3rd one actually helped me look inside myself and find the reasons why I want wanting to participate and be engaged in life. The second pregnancy I was so much better prepared for the emotional roller coaster because of her. I saw her for two years after my first then throughout my pregnancy for number 2 and two more years.

Don't set yourself up for immediate disappointment. It could be a full 6 months. Call bcbsmi on Monday and get the full information from them directly based on the employer plan

I was fine. I actually got my prescriptions filled in advance. You should ask your doc. If not get them at the hospital pharmacy if they have it. I was well enough to walk a block or two after a day. All I had to deal with was exhaustion general weariness

What's making you angry? Frustration? Hormones? Mine was loss of perceived control