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  695 People Lost in total 61772 lbs = 29.38 % Give us permission to add your before & after Weight Loss Photos |   |
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01-18-2008, 09:54 AM
| #1 (permalink) |
| Newbie  Join Date: Sep 2007 Location: Tropical South Texas
Posts: 6
Weight Statistics All my life I've been trying! Start Date:
Soon Surgery Date:
5' 7" Height: 289 lb Start Weight:
270 lb Current Weight:
150 lb Goal Weight:
19 lb Weight Loss:
120 lb Lb Left to Lose:
6.57439446367 % % Lost:
Body Mass Index 45.2588549788 BMI Start:
42.2833593228 BMI Current:
23.4907551793 BMI Goal:
|  Screwed again! For the second time I have been denied by my insurance company! The first time the Dr.'s office called the insurance co. they said, "No, not covered under her plan." But according to my paperwork I am, so I called Aetna and the voice on the phone agreed but said, "Give us 10 working days to update your file." So I did...then found out this morning...  Aetna and Entergy (husband retired from Entergy, an electrical utility) have done it again! We had switched to a higher deductable insurance plan that according to the written info, covered weight loss surgery. Upper Entergy management issued a memo some time ago negating that part of the plan, but they neglected to update the written info given out to employees and retirees...so we picked the $500 deductable plan...a mistake based on missing information. The $1000 deductable plan (we think-I have no confidence now) does allow it, but you have to sign up during two weeks in October. Entergy human resources is going to call back and send some info, then we will write a STRONGLY worded protest saying...either allow this surgery or allow us to change to a plan that allows it or else. I would think we even have a law suit except they have a statement saying they can change anything at anytime and you can't do anything about it. Sooo...arrghhhh! Maybe I can do this under Medicare when I'm 65! I am depressed.  SueZ
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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.  |
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01-18-2008, 10:52 AM
| #2 (permalink) |
| Seasoned Veteran Join Date: Jun 2007 Location: Tampa, FL
Posts: 1,792
Blog Entries: 8 Weight Statistics July 10, 2007 Surgery Date:
5' 6" Height: 271 lb Start Weight:
147 lb Current Weight:
145 lb Goal Weight:
124 lb Weight Loss:
2 lb Lb Left to Lose:
45.7564575646 % % Lost:
Body Mass Index 43.7357667585 BMI Start:
23.7238292011 BMI Current:
23.4010560147 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  |  Sometimes life just stinks! I feel your pain and the misinformation is unexcusable. Ins companies have disclaimers for their disclaimers, but the employer thing just stinks. Do you have a copy of your policy? If they sent you a copy of the policy and it lists the surgery that may be a good way to attack. Good luck! Remember, everything happens for a reason - just keep your chin up and keep going!
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01-18-2008, 11:20 AM
| #3 (permalink) |
| Newbie Join Date: Sep 2007 Location: Tropical South Texas
Posts: 6
Weight Statistics All my life I've been trying! Start Date:
Soon Surgery Date:
5' 7" Height: 289 lb Start Weight:
270 lb Current Weight:
150 lb Goal Weight:
19 lb Weight Loss:
120 lb Lb Left to Lose:
6.57439446367 % % Lost:
Body Mass Index 45.2588549788 BMI Start:
42.2833593228 BMI Current:
23.4907551793 BMI Goal:
| I haven't given up! We are going to pursue this...even if we have to get tough! We happen to know personally, the president of the company. May not do any good, but you just never know. Also, the lady from Entergy was very sympathetic. She agreed that they screwed up but had to go to higher management. Maybe they will surprise me (I doubt it, incompetenace seems to be rampant!). Thanks for the support.
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01-18-2008, 03:30 PM
| #4 (permalink) |
| Seasoned Veteran  Join Date: Dec 2007 Location: Hudson Falls, NY
Posts: 2,291
Weight Statistics 12-19-07 Start Date:
1-29-08 Surgery Date:
5' 3" Height: 286 lb Start Weight:
174 lb Current Weight:
150 lb Goal Weight:
112 lb Weight Loss:
24 lb Lb Left to Lose:
39.1608391608 % % Lost:
eventually Goal Date:
Body Mass Index 50.6570924666 BMI Start:
30.8193499622 BMI Current:
26.5684051398 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | I'm sorry that you're having such a rough time of it. It's confusing when people tell you one thing and then it winds up something else. You're doing the right thing by fighting this and I know you will eventually win! Keep your head up!
__________________ Kelly  5'3"    |
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01-18-2008, 05:00 PM
| #5 (permalink) |
| Seasoned Veteran  Join Date: May 2007 Location: minnesota
Posts: 4,232
Weight Statistics july 21, 2007 Start Date:
august 17, 2007 Surgery Date:
5' 6" Height: 339 lb Start Weight:
179 lb Current Weight:
160 lb Goal Weight:
160 lb Weight Loss:
19 lb Lb Left to Lose:
47.197640118 % % Lost:
Body Mass Index 54.7100550964 BMI Start:
28.8882001837 BMI Current:
25.8218549128 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | keep your head up and keep fighting, hope things turn out for you, keep us posted
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01-18-2008, 05:00 PM
| #6 (permalink) |
| Seasoned Veteran  Join Date: Aug 2006 Location: WADING RIVER (Long Island), NY
Posts: 4,860
Weight Statistics 7/16/07 Start Date:
7/16/07 Surgery Date:
4' 11" Height: 230 lb Start Weight:
139 lb Current Weight:
115 lb Goal Weight:
91 lb Weight Loss:
24 lb Lb Left to Lose:
39.5652173913 % % Lost:
12/31/08 Goal Date:
Body Mass Index 46.4492961793 BMI Start:
28.0715311692 BMI Current:
23.2246480896 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  | Ill Pray For Ya
__________________ 3/2008 PREG. START WT 144LBS. GOAL WILL HAVE TO WAIT TILL AFTER BABY  230 lbs 7/2007 & 142 lbs 4/2008     |
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01-19-2008, 06:30 AM
| #7 (permalink) |
| Super Moderator  | ((((HUGS)))) I am sorry to hear of the insurance issues. I sure hope you'll be able to get something done about it, so you can get the surgery.
__________________ "In every job that must be done, there is an element of fun."   Just a li'l bit 'bout myself  |
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02-11-2008, 03:23 PM
| #8 (permalink) |
| WLS Master Guru  Join Date: Aug 2007 Location: PA (Near Philly)
Posts: 688
Blog Entries: 1 Weight Statistics March 12, 2008 Surgery Date:
5' 6" Height: 340 lb Start Weight:
249 lb Current Weight:
150 lb Goal Weight:
91 lb Weight Loss:
99 lb Lb Left to Lose:
26.7647058824 % % Lost:
Body Mass Index 54.8714416896 BMI Start:
40.185261708 BMI Current:
24.2079889807 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  | I think what annoys me about all this ins stuff is that they deny you and by doing that it makes me think that they are just going to let you sit around heavy till you die because it would be cheaper for them in the long run or so they think. I have done everything they have asked of me so far and will soon be adding my name to the applied to my ins list. I am hoping that with the other co-morbidities that I have and that I have done what they asked that they wont give me to hard a time.. Good luck to you...
__________________  Don't count the days, Make the days count. |
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02-12-2008, 10:56 AM
| #9 (permalink) |
| WLS Mentor Join Date: Jan 2008 Location: Troy,ny
Posts: 1,091
Weight Statistics Since birth:) Start Date:
postponed until ? Surgery Date:
5' 6" Height: 319 lb Start Weight:
294 lb Current Weight:
150 lb Goal Weight:
25 lb Weight Loss:
144 lb Lb Left to Lose:
7.83699059561 % % Lost:
sometime in 2009 Goal Date:
Body Mass Index 51.4823232323 BMI Start:
47.4476584022 BMI Current:
24.2079889807 BMI Goal:
Weight Loss Method - | I am so sorry to hear about your insurance issues. Believe me I know, I am having trouble getting insurance. I lost my health insurance which gave me no trouble at all approving me and getting a date because my husband left his job. Now I am battling with medicaid to even get an appointment to apply for insurance. I don't understand why ins. companies do that. It would be less expensive for them in the long run. You wouldn't have medical issues related to obesity that they would have to treat. Keep fighting!!!
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