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Jersrose43

Gastric Sleeve Patients
  • Content Count

    2,583
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About Jersrose43

  • Rank
    Bariatric Hero
  • Birthday 07/19/1970

About Me

  • Gender
    Female
  • City
    Rutherford
  • State
    NJ
  • Zip Code
    07070

Recent Profile Visitors

4,224 profile views
  1. Jersrose43

    Supplement insurance in case of complications?

    Supplement means they cover copays and such. Not services that are rejected by others. Make sure you read the fine print
  2. If you follow the rules of your coverage and get denied for lack of coverage for vsg you should be ok It's when you bypass the insurance completely and go cash pay that complications are also denied Make sense?
  3. I don't think you were ready nor appropriately prepared for a lifestyle change This is a way of life not a diet. Not temporary. I hope the new clinician helps you. Find a nutritionist who is experienced with bariatric patients and maybe they can provide the eating support you need. And finally join an eating addiction group. I never considered myself a candidate but guess what. I sure as heck am. I see it and I want to eat it!!
  4. Jersrose43

    Submit to Cigna Today!

    So not Cigna fault your doc didn't submit the September weigh in.
  5. Jersrose43

    Cigna / Deductible

    Guess you answered the question for yourself. All plans are different Especially if exchange vs employer and differs from employer to employer even if it's the same company
  6. Jersrose43

    Authorization

    If you have not finished the 6 months yet - are you at 5? Otherwise why are they bothering ? Missing a lot of details here
  7. Jersrose43

    Authorization

    They have to give the insurance something and once approved can change it easily
  8. Jersrose43

    From Cigna to United. Need Advice!

    Your united policy is specific to the employer so because you don't work there United won't be able to tell you anything at all. United does cover it if the employer chooses the rider. 85% of united business is self insured therefore each employer can choose what they pay for and what they do not There are legislative requirement but weight Loss surgery is not federally required. There are 13 states that mandate you must cover it. You might want to google it.
  9. Jersrose43

    Insurance reimburse me?

    And even if they do reimburse you. It would only be their normal reasonable payment. Which tends to be 30% of what a doctor and hospital actually charge. Wait. My charges were $42k for hospital. Insurance paid $4800 The surgeon was $20k and insurance paid $4200. Anesthesia was $3800 and they paid 100%
  10. Jersrose43

    Elevated Liver Enzymes

    Remember that the liver is the body filter. He is removing the medication because it may be too much for your smaller body.
  11. Jersrose43

    Elevated Liver Enzymes

    The elevations can have multiple causes. My dad has very high levels but he is alcoholic and his liver si finally showing signs of failure. Mine were high before being sleeved and combines with two other tests doc said I was becoming prediabetic. You also said you've been working out with a. Trainer. It could be you have damaged some muscles and you enzymes are high due to that. Here are some ideas http://www.medicinenet.com/script/main/mobileart.asp?articlekey=6274&page=3
  12. So call insurance and find a new one. Have a first consult you lose nothing. Then before you make the final change-- call her and discuss how you feel. May be a one off thing. Maybe she had staff quit. Or someone higher up doesn't support the practice. If this is always the way it was run then perhaps you should go.
  13. Be really specific what is included. Anesthesia, hospital, radiology, pathology, etc. Also what aftercare and for how long
  14. Jersrose43

    Losing my support system

    Reading between the lines but if your friends all had some form of WLS and they're running a support group and all had same surgeon as you. It seems like they've taken the perspective that you are blaming their doctor for your negative experience. They're probably thinking you knew there were potential for a challenge to this surgery. There are many who don't have as wonderful experience as others. It is unfortunate that you are having a rough road but perhaps you need to stop talking to them about the surgeon. It really isn't the surgeons fault this happened unless he did something negligent which you didn't say he did. But they feel you are saying it to them. Just stop discussing the surgeon and laying blame there. It is what it is and you're getting better. You don't need them to listen to you assign blame. You need them to support you. Which to me is more about getting you the right nutrition, the right sources to help you through this.
  15. The point of medical tourism is to go and pay cash I think. So you may be challenged to find something that provides insurance

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