Jersrose43

Ahnalucille - it's not hard. Get them to forward you a summary of benefits or benefit at a glance. It will state your copays, deductibles etc. Get it for both insurances. One jnsurance cannot help you with the other. Basic assumption - if they both carry copays/deductibles then you will pay the lesser of the two

I posted it on my facebook page when I checked in at the hospital. So far all but one has been supportive. That one should have it as well but believes she can do it with diet. But alas were no on her friends so I can't support her in that belief

I am still getting used to this new body of mine. But I can tell you I don't miss a damn thing. Not one damn thing.

Keep nagging the surgeon. They get pounds of mail everyday I forced mine to call them. Then I got the letter and faxed it over

They don't have to resubmit. They call the jnsurance with the authorization number. The jnsurance changes the name of surgeon and hospital. Most insurances will do that for you. You should call the carrier and find out which surgeons are in network and if it has to be at a center of excellence. Good luck

Actual time is more like 7-10 business days. Call and make sure they have the auth request and then call every few days to check a status You will know before the doc

My yearly deductible $4500 Max out of pocket $9000 per year 2014 was expensive. And I work at the insurance company. Smh

Glad to hear you are better. My prayers for your wife as well

Amen. I always say obamacare didn't go far enough!!!

If you have aetna and have a net gain from start to finish you can guarantee a denial.

Cigna doesn't have a net weight requirement. That's aetna Here's the medical policy https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf

See my pm. This shouldn't be a problem. If it wasn't brought up before am surprised but perhaps your coverage changed on 1/1/15? This is not the type of change that an employer is required to notify you of

Most insurances pay the hospital for the EVENT surgeries are payable in a different way to surgeons. You get the first procedure authorized - sleeve etc The hernia is a secondary procedure. The insurance may pay for it or may deny it as inclusive to primary insurance. Either way the patient is not responsible and it's a loss to the doctor. As long as the procedure you want is clearly stated on auth - the sleeve. You're fine and good to go

Good luck!

When you pay off the Lane Bryant credit card by check and put a big pink kiss on it You start shopping at store you never thought were possible. J crew, uniqlo

I think evry surgeon is different. With the holidays a lot of folks were off. I would follow up with the office tmmw if they have not called you. I knew before they did that I was approved. Because I called my insurance every day. They don't.

Call your insurance monday and get the facts from the horses mouth. Quickly.

You sound like my husband and the last thing I want is sex It's CONSTANT pressure to f CONSTANT Girl can't take a pee without a reference to his Dick Want to see it? No I don't I mean every single possible second. I don't know how old you are but grow the f up.

@@SuperKen isn't Bessler wonderful? Love him. Clocked right away as well. I started with Schrope but seems she's not in my network while he is.

Good luck ohsonique !!

Talk to your doc. Edit the title of your post so folks can see pregnant. I know there are sleevers who became pregnant post op pretty soon. Also go to the search and type in pregnant. Many prior posts exist

Don't like to lie. But if you must I recommend and ulcer. You will be on acid reducers after for a long time. You will have a modified diet same as an ulcer patient. Ulcers come back for retreating in case of complication. Remember that the sleeve was originally effective as ulcer and stomach cancer treatment

Usually at all grocery stores with the peanut butter but LOOK UP! Almost always on top shelf. Out of sight.

I would get it in writing them and Make sure no loophole clauses in the letter about benefits

Ummm they're supposed to be using Cigna policy for medical auth and criteria