Insurance Help

Erb_76 · 02-04-2006, 01:53 PM

Hello my name is Ellis. I weight is 370 pounds. I am 29 years old and have tried all diets, and can not loose any weight. I have BSBC of South Carolina. My family doctor has sent me to a free seminar to check out this surgery, and now I find out that my insurance will not pay at all. Can any one please help?

CraigT · 02-04-2006, 02:12 PM

Hey Ellis, if you can wait for about a week, I am just finishing an e-book that should really help you out.

Craig

manicmarty · 02-22-2006, 09:47 PM

hi, everyone, i'm a newbie. i have medicare. we have borrowed the $6000 to cover the 20% not covered by the medicare. do you know if the clinic has to send my info into medicare before aproval or does the clinic just know by looking at all of my info and tests and bla bla bla

Pillows · 02-23-2006, 11:01 AM

Hey marty, I don't have any answers for ya sorry, but I would talk to someone at your clinic and they should be able to tell you. Keep posting, it is nice to have more newbies here.
Janae

LEEJA · 02-23-2006, 11:54 AM

Do you have HMO?
If so ..You have start with your Primary Care Physician...(PCP)
You have see your PCP he/she submits the paper work to your insurance
Key word for the insurance is:
Is it medical necessary?
HIgh blood pressure,diabetes and etc...

CraigT · 02-27-2006, 08:44 PM

The Book is DONE... COME and GET IT

GloriaC · 04-24-2006, 12:26 AM

Hi my name is Gloria and im new to all this but im 22 yrs old and have been told by a doctor that recently performed back surgery on me that i need to get gastric bypass asap but i have a huge problem...because of back surgery ive lost my job and no longer have any insurance to cover a surgery like this. Can anyone make any suggestions? any input would help alot thanks

Pillows · 04-24-2006, 08:34 AM

Ohh that is a tough one. Is there maybe another job that you are in good enough condition to get that has insurance? To pay for this surgery out of pocket is really pricey. In the meantime I would try to make sure that you are going on a Dr. supervised diet since many insurance companies are requiring 3-6 months of medically supervised dieting attempts and it is rumored by my surgeons office that later this year many will try to increase it to 12 months. Good luck and I hope that something will work out for you.
Janae

DocSanae · 04-24-2006, 11:04 PM

GloriaC, do you quailfy for Medicaid or disability? If your dr has told you you need this, don't give up, explore every avenue possible!
Good luck!!

GloriaC · 05-01-2006, 01:47 AM

I've applied for disability but like usual that takes sooo long to finally get approved for. I live in a really small town so jobs that i CAN do are very hard to find. i've been tod that i dont qualify for medicaid so im in a really bad spot. I really want to have this surgery done im only 22 and have alot to look forward to in life the surgery would be a great new and healthy start

02-04-2006, 01:53 PM	#1 (permalink)
Erb_76 Newbie Join Date: Feb 2006 Location: Myrtle Beach Posts: 1 Please Enter Height:	Insurance Help Hello my name is Ellis. I weight is 370 pounds. I am 29 years old and have tried all diets, and can not loose any weight. I have BSBC of South Carolina. My family doctor has sent me to a free seminar to check out this surgery, and now I find out that my insurance will not pay at all. Can any one please help?

02-04-2006, 02:12 PM	#2 (permalink)
CraigT Administrator Join Date: Oct 2005 Posts: 417 Please Enter Height:	Hey Ellis, if you can wait for about a week, I am just finishing an e-book that should really help you out. Craig __________________ Craig T 11 years PostOp Open RNY - 2 TT's

02-22-2006, 09:47 PM	#3 (permalink)
manicmarty Newbie Join Date: Feb 2006 Posts: 2 Please Enter Height:	hi, everyone, i'm a newbie. i have medicare. we have borrowed the $6000 to cover the 20% not covered by the medicare. do you know if the clinic has to send my info into medicare before aproval or does the clinic just know by looking at all of my info and tests and bla bla bla __________________ Marty Hoth

02-23-2006, 11:01 AM	#4 (permalink)
Pillows Seasoned Veteran Join Date: Feb 2006 Location: McGuire Air Force Base, New Jersey, USA Posts: 2,495 Please Enter Height:	Hey marty, I don't have any answers for ya sorry, but I would talk to someone at your clinic and they should be able to tell you. Keep posting, it is nice to have more newbies here. Janae __________________ "Being happy doesn't mean that everything is perfect...it means that you have learned to see past the imperfections. " Surgery date April 4th 2006

02-23-2006, 11:54 AM	#5 (permalink)
LEEJA Cub Reporter Join Date: Feb 2006 Location: Beverly Hills,Ca Posts: 57 Please Enter Height:	Do you have HMO? If so ..You have start with your Primary Care Physician...(PCP) You have see your PCP he/she submits the paper work to your insurance Key word for the insurance is: Is it medical necessary? HIgh blood pressure,diabetes and etc... __________________ LEEJA!!! GOD IS GOOD!!! ALL THE TIME.... ALL THE TIME ....GOD IS GOOD!!



Home Forums Chat Member Blogs News Information eStore® Recipes Reflections

	Weight Loss Surgery Insurance
	Yes, you can often get insurance cover for your Weight Loss Surgery. Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.

02-27-2006, 08:44 PM	#6 (permalink)
CraigT Administrator Join Date: Oct 2005 Posts: 417 Please Enter Height:	The Book is DONE... COME and GET IT __________________ Craig T 11 years PostOp Open RNY - 2 TT's

04-24-2006, 12:26 AM	#7 (permalink)
GloriaC Newbie Join Date: Apr 2006 Location: Colorado Posts: 4 Please Enter Height:	Hi my name is Gloria and im new to all this but im 22 yrs old and have been told by a doctor that recently performed back surgery on me that i need to get gastric bypass asap but i have a huge problem...because of back surgery ive lost my job and no longer have any insurance to cover a surgery like this. Can anyone make any suggestions? any input would help alot thanks

04-24-2006, 08:34 AM	#8 (permalink)
Pillows Seasoned Veteran Join Date: Feb 2006 Location: McGuire Air Force Base, New Jersey, USA Posts: 2,495 Please Enter Height:	Ohh that is a tough one. Is there maybe another job that you are in good enough condition to get that has insurance? To pay for this surgery out of pocket is really pricey. In the meantime I would try to make sure that you are going on a Dr. supervised diet since many insurance companies are requiring 3-6 months of medically supervised dieting attempts and it is rumored by my surgeons office that later this year many will try to increase it to 12 months. Good luck and I hope that something will work out for you. Janae __________________ "Being happy doesn't mean that everything is perfect...it means that you have learned to see past the imperfections. " Surgery date April 4th 2006

04-24-2006, 11:04 PM	#9 (permalink)
DocSanae Super Moderator Join Date: Nov 2005 Location: Tokyo, Japan Posts: 8,678 Blog Entries: 2 5' 5" Height:	GloriaC, do you quailfy for Medicaid or disability? If your dr has told you you need this, don't give up, explore every avenue possible! Good luck!! __________________ "In every job that must be done, there is an element of fun." Just a li'le bit 'bout myself

05-01-2006, 01:47 AM	#10 (permalink)
GloriaC Newbie Join Date: Apr 2006 Location: Colorado Posts: 4 Please Enter Height:	I've applied for disability but like usual that takes sooo long to finally get approved for. I live in a really small town so jobs that i CAN do are very hard to find. i've been tod that i dont qualify for medicaid so im in a really bad spot. I really want to have this surgery done im only 22 and have alot to look forward to in life the surgery would be a great new and healthy start

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