Jersrose43

One thing that's critical to know about aetna is that once you start you cannot gain any weight. I mean zero! If you gain weight during the process you will be denied and will have to start over

As an insurance professional.... Her telling you that is a major HIPAA violation. She should be fired. And the company appropriately fined. She's also lying to you. There are many reasons costs go up as I previously stated and the decision to change insurance providers complex and disruptive

I love them. I went with dr Bessler of that group. Gio is amazing!! The office staff are all fantastic You will have a great experience

NALC follows the Cigna medical policy. They cover a paniculectomy at 18 months post wls there are conditions of course Google cigna and paniculectomy All other plastics will be cosmetic

@sweetnell. Am assuming your plan is thru an employer. You should ask if there are other plans that he can switch to. If not do you have your own insurance ? If it is covered can he get on that? If those are not options i suggest you start looking at your states exchange and picking up an individual plan to pay for it then drop later. You'll need to weight the costs carefully as some carry high deductibles

Am 6 months out. Can pretty much eat anything I want and have since the beginning pretty much. Bacon is still an issue. It just feels like it sits in my stomach like a dead weight. Just remember to always eat the Protein first and all else if you still have room. I don't deprive myself of anything. I just follow that rule. I eat bread, in moderation I eat biscotti from the local bakery, in moderation And so on. I even had desert on thanksgiving and xmas. For me if I do have carbs I notice a failure to lose weight. Salt is also a killer for me. But follow the plan and those few days aren't the worst thing in the world. The pounds come back down shortly after the allowances am down 72 pounds in 6 months

As an insurance professional the reason that clause appears in your approval is because they can't guarantee that you will have coverage You have approval but your employer may cancel and switch coverage. If it's a personal plan you may not pay the premium. If it's cobra you may not pay the premium. If it's employer plan you may quit or get fired between approval and surgery. Basically they put that clause in so that if something happens to your benefit they're not responsible to pay it because an auth exists. You're concerned for no reason.

Here is the medical policy for cigna They cover the paniculectomy 18 months post sleeve at a stable weight but read the requirements carefully. I am 6 months out and my doctors are all hearing loud and clear about itchiness and such. You read me? Hint hint https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0027_coveragepositioncriteria_abdominoplasty_and_panniculectomy.pdf

This is what drives your healthcare cost increases. Get educated. Look at those EOBs. Why do you think deductible plans are so popular? They want you to get a reality check.

Are you aware that a SMALL CARDIAC CATH is considered surgical event and it will increase the plan costs by $100,000 minimum? A double knee replacement is elective and inreases the plan cost by $100,000? A c- section depending on where you live sets the plan back between $10k and $75k ? A vaginal delivery is not much savings actually Dialysis - $10,000 -20,000. A MONTH! Cancer oncology at cancer treatment center of America can set you back up to $10,000 A DAY!!! Wls is a drop in the proverbial bucket of the reasons why an employers costs go up and forces an jnsurance change.

Every employer has the right to change insurance and many do every year. Because they self insure and the n the following year the rates zoom up. And it isn't wls that is zooming up rates. It's cancer treatment, hip surgery, csections, vaginal deliveries, A multitude of surgeries that make up the expenses. It's an employers right to change their plan. They do this because the new jnsurance will likely get different set of doctors who agree to price services cheaper. I work in jnsurance and do contracting trust me this is why You are presumptuous that they switched because of wls.

My sister in law is having a tummy tuck in New Jersey next week She's getting it for $7500 Will likely be using her same doc if my insurance won't pay. Why would I ever risk Mexico

Are you on my fitness pal? Many folks are and you can friend them and see what they eat everyday.

It sounds like you're overeating Take a bite of food and stop eating for 5 minutes. Take another. This may seem annoying but will give you a chance to know when you're actually full

I had mine done at valley in ridgewood by dr marc Bessler He operates out of NYU and is chief surgeon there 3 days a week and 1-2 days at valley. Fantastic experience. Valley is a coe for bariatric surgery as well

Oh how I miss pooping every day

Justjaime5 glad to hear you caught it early and are on the mend!

That's right cupcake. Friendships evolve with us. That she didn't evolve with you is quite telling of who was a friend and who was not

I am going out on an assumption limb here .... Bare with me allllll So op it's not needed. It's easy for them. It wasn't easy for you was it? It was jumping thru a lot of hoops It was a lot of proving that you deserved it. And these people just seem to get it. No tough experiences that you noticed Maybe they never yo-yo dieted that you noticed. They had a little to lose. Not much in your estimation. And that just burns your ass doesn't it? That you had to work so frigging hard to get approved and succeed when these folks just seem to show up and wow they're skinny. I am going out on an assumption limb. You're jealous and envious and you need to get over it

Since when do you need a birth certificate to cross back if you have a passport? That's ridiculous

Liver not lover Ugh spell check

I had to have an abdominal ultrasound to check on my gallbladder and size of liver. You don't have to swallow anything that is usually reserved for ct scans. Hematology consult is a liver specialist. Your surgeon is being extra cautious or does he suspect lover disease? Do you have high lover ezymes in your blood tests? I also had an EGD to check for h pylori. A colonoscopy at request of GI specialist based on family history A psych clearance too

Maybe you were on a diet during that period and failed. Clearly they can see that it failed. Your pcp when he writes recommendation letter should clearly refer to that period of let down and reason you need surgery

Smells like a approval. Call them Tmmw to get more details. The insurance company not the doc

6 months out I have coffee all the time Not decaf