ab123. 90 Posted February 9, 2015 So I went to my consult on the 5th and the office says my Coventry Advantra medicare Louisiana excludes WLS when they call customer service. I push so they call back and it's BMI >35 with 2 comorbids. But what if I had left? Then she wanted me to get the records from my PCP. Now she says she'll try once but then it's on me. She has 200 patients and she also isn't going to photo copy 2 inches of paper work. (they want last 2 years). So i'm redoing my sleep study tomorrow. That's 1. But all my labs over the last 2 years are normal. So is my blood pressure. I'm pre diabetic and my blood pressure is controlled with HCTZ. I am on atorvastatin for my cholesterol and that has kept it between 195 - 209. My LDL is great and always has been. So last chance - arthritis. I was treated 10 years ago at a pain clinic. MRIS whole bit. They no longer have my records. New law, you can destroy them after 6 years. So my PCP probably has me complaining about my back but I weaned myself off the duragesic patch and narcotics years ago. He doesn't treat my arthritis. Am I doomed? Share this post Link to post Share on other sites
ab123. 90 Posted February 9, 2015 I'm sorry this is on here multiple times. I'm seems my iPhone app had a brain fart. Share this post Link to post Share on other sites
ab123. 90 Posted February 9, 2015 They also don't count GERD which I Have so bad it has caused blood blisters on my vocal cords that are not responding to treatment. Share this post Link to post Share on other sites
JerseyCityGal 231 Posted February 9, 2015 Are you doomed? Hardly. Try this list: http://www.dsfacts.com/qualifying-for-weight-loss-surgery.php Share this post Link to post Share on other sites
Okie54 6 Posted February 9, 2015 You have two diagnosis already. Hypertension, even if is controlled with medication you have that diagnosis to get medication for it. Same wth your Hyperlipidemia, your cholesterol is controlled with medication so you have the diagnosis. Share this post Link to post Share on other sites
ab123. 90 Posted February 9, 2015 @@JerseyCityGal Thanks, I read your link. What I am worried about is that my insurance list the surgery as a specific exclusion on my policy. The only comorbids they accept are DM, HTN, sleep Apnea and Hypercholesteremia I have come to find out and I must have documentation from the ladt 2 years. My Dr. has documented my blood pressure as within normal parameters and my cholesterol lab values are normal although I do take medication. If my surgeon's office was more motivated I guess I would feel more positive. Share this post Link to post Share on other sites
Stephanie Salsera Perrott 85 Posted February 9, 2015 Anybody have experience with UHC "motivated attempt" I've gain like a few pounds I'm scared that's a deciding factor... Share this post Link to post Share on other sites
wannaBthinsoon 1,634 Posted February 9, 2015 UHC doesn't care if you had a loss or gain just that you went every month. Share this post Link to post Share on other sites
Stephanie Salsera Perrott 85 Posted February 10, 2015 UHC doesn't care if you had a loss or gain just that you went every month. Thanks! Share this post Link to post Share on other sites