Just beginning

Ellisa · September 20, 2007

Hi,

Just wanted to introduce myself. Had my consult this week. Have to have a psych eval, (ins requirement) and gather medical records. Everything will then be submitted to ins. and then it's the waiting game. The only thing I'm nervous about is the possiblity of being denied. Went through that once a few years ago (different ins.).

I've been lurking around here for a few weeks, and noticed that you are all very supportive of one another. I look forward to joining in as I progress through the process.

Ellisa

Dave01 · September 20, 2007

Ellisa, welcome to the site. As you have seen, there is a bunch of good information on here. Hope your time with the ins company goes good. I dealed with Aetna ( very strict) but got thru it. Good luck...Dave

Ellisa · September 20, 2007

Thanks for the encouragement. I'm hearing the the insurance I have currently is not as difficult as the one I had a few years ago. And that they usually have an answer within a week of receiving the information. My previous insurance took nearly 2 months and then I had to pull teeth. Perhaps that's why I was denied? They didn't like wearing dentures? :heh:

mamato3 · September 20, 2007

Elissa,

I'm right there with you worrying about being denied. I dont think I am going to have any problem because the insurance we have is good and I already called the insurance company and they definately cover the lapband. But I figure about the time I get my hopes up, I will be denied. Just my luck. HAHAHA. Anyways, I'm also stressing about this taking months and months to get done. I have made up my mind and want it NOW. I know I have to be patient, but it is hard. I guess I have been fat my whole life, what's another 6 months, right? Anyways, good luck to you. I'd be happy to try to keep in touch on our journey for support!

Thor · September 20, 2007

what is you Insurance, mine is BCBS,

Ellisa · September 21, 2007

Currently I have Anthem, Ohio PPO. The "procedure" (I hate the "s" word) is covered, but Med Mutual also covered it a few years back and the clinic I went to then seemed to think it would be approved, but it was denied. I didn't appeal at the time because there was too much going on in my life right then to take of the fight (parent was diagnosed with a terminal illness in the same week as my denial).

I'm going to a different facility this time which is 2 1/2 hours from me (the first was 45 minutes) because this one is in network and will save me considerable bucks. In addition, the out of network facility requires that the entire bill be paid in full and then the patient gets reimbursed by insurance. Ouch!