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Harmonia

Gastric Sleeve Patients
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Everything posted by Harmonia

  1. Hello everyone. I am new to the forums. I'm happy to meet you all! I have a question. I asked my insurance rep what it meant- but he said my actual insurance company was very "vague" in the term and he encouraged me to basically grab whatever info I could from my PCP regarding past weight-related visits, just to basically have the theme of "weight" documented past visits. The term I am referring to is, while my insurance does not require me to go on a 6 month diet or anything like that, it does say it requires "Documented failed medical weight loss history" I asked my insurance rep if that entails failed diets "created" by my doctor, or if it included weight-related visits-- going to the doctor to discuss losing weight, going home and doing it, failing, etc. Basically, the specifics of the term. The rep told me what will likely happen is, with the info I can gather from weight related visits from my PCP, is that my insurance will either approve me (yay!) and it'll stop there, or if they deny me, whoever does the denials and responsible for giving the reason- will then be more specific about what it entails. Its a bit of a headache as I don't feel my insurance should be so vague in the first place so I know for sure : ( So I guess what I'm asking is, to possible people who had a similar criteria, or the exact same one preferably, what did it entail? I have Independence Blue Cross, based in PA.
  2. Harmonia

    Your dream outfit

    At the last part, SOOO true. I hate spending $60+ on a pair of jeans. If I wanted to buy expensive jeans, fine- but I don't really care about the style of the jeans so much as I just care about having jeans. I buy jeans for the practicality. I want them to be flattering, yes, but I don't want them to throw a skull on it or something (I'm looking at you, Torrid) and say its worth 60 bucks.
  3. Harmonia

    Your dream outfit

    My favorite outfit will be dress/cardigan/boots.
  4. Harmonia

    Insurance change in wait period - Optima Health

    So awesome!!! Congrats!
  5. Harmonia

    Insurance change in wait period - Optima Health

    I'm rooting for you!! : ) Here's to hoping she atleast gets back to you Monday. Lord knows insurance companies are busy. I just had a charge for an X-ray, (nothing to do with my WLS), just a simple X-ray- something I've *never* been charged for before. But it happened. Now I'm anxious to get it fixed, lol. Things like this is why they're so busy. So much room for mistakes in that type of setup.
  6. Harmonia

    Insurance change in wait period - Optima Health

    Honestly, your safest best is to call and ask your insurance for sure. From how I see it, I see no reason why it wouldn't apply to you. Can never be too careful though- so its always best to get a confirmation : ) I hope it works out for you! Regardless of if the wait time changes or not, one year is nothing compared to the reap of reward! : )
  7. Thank you so much! I appreciate the response. Right, it is quite weird to provide infallible proof of all the diets you've ever been on- for me, its not something I ever wanted to remember LOL, so there's no way outside of my doctor visits that I ever kept proof of my diets. I wonder why Weight Watchers in particular that they asked for? To me, a diet is a diet, regardless of the way you mentally look at it which is essentially what Weight Watchers does- gives you a "refreshed" way to look at dieting. Thanks so much for your response!

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