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Old 07-11-2010, 09:25 AM   #1 (permalink)
WLS Guru
 
wishing's Avatar
 
Join Date: Oct 2009
Location: Philly
Posts: 427

Weight Statistics

uhhh...
Start Date:
November 23, 2010
Surgery Date:
5' 9"
Height:
277 lb
Start Weight:
192 lb
Current Weight:
165 lb
Goal Weight:
85 lb
Weight Loss:
27 lb
Lb Left to Lose:
30.6859205776 %
% Lost:
November 2011
Goal Date:

Body Mass Index
40.9012812434
BMI Start:
28.3503465658
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via AIM to wishing
Talking Keystone Health Plan East?? Any experiences?

Hello everyone,

I would like to hear from people who have Keystone Health Plan East. I have a psy eval this coming week. I am just wondering what I should expect?

Thanks!
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Alt 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.

   
Old 07-11-2010, 02:24 PM   #2 (permalink)
Seasoned Veteran
 
GinaGurl's Avatar
 
Join Date: Aug 2008
Location: DEPTFORD NJ
Posts: 1,773

Weight Statistics

Pre-Operation.
Start Date:
oct 21st 2008
Surgery Date:
5' 4"
Height:
278 lb
Start Weight:
149 lb
Current Weight:
150 lb
Goal Weight:
129 lb
Weight Loss:
-1 lb
Lb Left to Lose:
46.4028776978 %
% Lost:
2010
Goal Date:

Body Mass Index
47.7133789062
BMI Start:
25.5729980469
BMI Current:
25.7446289062
BMI Goal:

Weight Loss Method
Aitkens
Default

my psy was not covered by khp so i had to pay out of pocket and it took all of 10 minutes he just asked me questions about myself and why i wanted to have surgery
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Old 07-11-2010, 02:29 PM   #3 (permalink)
WLS Guru
 
wishing's Avatar
 
Join Date: Oct 2009
Location: Philly
Posts: 427

Weight Statistics

uhhh...
Start Date:
November 23, 2010
Surgery Date:
5' 9"
Height:
277 lb
Start Weight:
192 lb
Current Weight:
165 lb
Goal Weight:
85 lb
Weight Loss:
27 lb
Lb Left to Lose:
30.6859205776 %
% Lost:
November 2011
Goal Date:

Body Mass Index
40.9012812434
BMI Start:
28.3503465658
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via AIM to wishing
Default

Were you approved for WLS by Keystone Health Plan East and if so....how long did the approval take?
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Old 07-11-2010, 03:18 PM   #4 (permalink)
Seasoned Veteran
 
GinaGurl's Avatar
 
Join Date: Aug 2008
Location: DEPTFORD NJ
Posts: 1,773

Weight Statistics

Pre-Operation.
Start Date:
oct 21st 2008
Surgery Date:
5' 4"
Height:
278 lb
Start Weight:
149 lb
Current Weight:
150 lb
Goal Weight:
129 lb
Weight Loss:
-1 lb
Lb Left to Lose:
46.4028776978 %
% Lost:
2010
Goal Date:

Body Mass Index
47.7133789062
BMI Start:
25.5729980469
BMI Current:
25.7446289062
BMI Goal:

Weight Loss Method
Aitkens
Default

yes i was approved and it took about 1 month after i had all the test done i had to do but getting all the test done took about 6 months but the ins like i said approved me in a month and i am almost 2yrs out in oct and have lost 129lbs and verty happy with myself and the way i feel did khp pay for your psy eval!
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Old 07-12-2010, 11:26 AM   #5 (permalink)
WLS Guru
 
wishing's Avatar
 
Join Date: Oct 2009
Location: Philly
Posts: 427

Weight Statistics

uhhh...
Start Date:
November 23, 2010
Surgery Date:
5' 9"
Height:
277 lb
Start Weight:
192 lb
Current Weight:
165 lb
Goal Weight:
85 lb
Weight Loss:
27 lb
Lb Left to Lose:
30.6859205776 %
% Lost:
November 2011
Goal Date:

Body Mass Index
40.9012812434
BMI Start:
28.3503465658
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via AIM to wishing
Default

Thanks Gina...do you remember what the requirements were? I know I need a psy eval? Do I have to do a sleep study? a supervised diet?
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Old 07-12-2010, 03:31 PM   #6 (permalink)
Seasoned Veteran
 
GinaGurl's Avatar
 
Join Date: Aug 2008
Location: DEPTFORD NJ
Posts: 1,773

Weight Statistics

Pre-Operation.
Start Date:
oct 21st 2008
Surgery Date:
5' 4"
Height:
278 lb
Start Weight:
149 lb
Current Weight:
150 lb
Goal Weight:
129 lb
Weight Loss:
-1 lb
Lb Left to Lose:
46.4028776978 %
% Lost:
2010
Goal Date:

Body Mass Index
47.7133789062
BMI Start:
25.5729980469
BMI Current:
25.7446289062
BMI Goal:

Weight Loss Method
Aitkens
Default

i already had sleep apena i had to have a cardiology appt pulmonary appt i had xrays a doppler on my legs and chest x ray i had an endoscopy i did not have sleep study cause i already had apena as far as diet i had two week diet 2 protein shakes a day and a small meal for two weeks and the day before surgery i had a liquid diet i did not have a supervised diet because i had tried to lose weight thriugh weight watchers and through dr plan and failed so i proved that i could not lose on my own so good luck and keep me posted
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Old 07-12-2010, 03:41 PM   #7 (permalink)
WLS Guru
 
wishing's Avatar
 
Join Date: Oct 2009
Location: Philly
Posts: 427

Weight Statistics

uhhh...
Start Date:
November 23, 2010
Surgery Date:
5' 9"
Height:
277 lb
Start Weight:
192 lb
Current Weight:
165 lb
Goal Weight:
85 lb
Weight Loss:
27 lb
Lb Left to Lose:
30.6859205776 %
% Lost:
November 2011
Goal Date:

Body Mass Index
40.9012812434
BMI Start:
28.3503465658
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via AIM to wishing
Default

I thought Keystone Health Plan East only required that your BMI be over 40, some complications due to weight, and apsy eval. I was not informed of any proof of diet by the clinic I am working with. They stated they were going to submit my info to insurance as soon as i get my psy eval.
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Old 07-12-2010, 08:54 PM   #8 (permalink)
Seasoned Veteran
 
GinaGurl's Avatar
 
Join Date: Aug 2008
Location: DEPTFORD NJ
Posts: 1,773

Weight Statistics

Pre-Operation.
Start Date:
oct 21st 2008
Surgery Date:
5' 4"
Height:
278 lb
Start Weight:
149 lb
Current Weight:
150 lb
Goal Weight:
129 lb
Weight Loss:
-1 lb
Lb Left to Lose:
46.4028776978 %
% Lost:
2010
Goal Date:

Body Mass Index
47.7133789062
BMI Start:
25.5729980469
BMI Current:
25.7446289062
BMI Goal:

Weight Loss Method
Aitkens
Default

maybe you have a ppo but i have an hmo maybr there is a differance
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Old 07-13-2010, 12:11 PM   #9 (permalink)
WLS Guru
 
wishing's Avatar
 
Join Date: Oct 2009
Location: Philly
Posts: 427

Weight Statistics

uhhh...
Start Date:
November 23, 2010
Surgery Date:
5' 9"
Height:
277 lb
Start Weight:
192 lb
Current Weight:
165 lb
Goal Weight:
85 lb
Weight Loss:
27 lb
Lb Left to Lose:
30.6859205776 %
% Lost:
November 2011
Goal Date:

Body Mass Index
40.9012812434
BMI Start:
28.3503465658
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via AIM to wishing
Default

Thanks Gina.


Anyone else have any experience with Keystone Health Plan East HMO?
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Old 07-14-2010, 09:44 AM   #10 (permalink)
WLS Guru
 
wishing's Avatar
 
Join Date: Oct 2009
Location: Philly
Posts: 427

Weight Statistics

uhhh...
Start Date:
November 23, 2010
Surgery Date:
5' 9"
Height:
277 lb
Start Weight:
192 lb
Current Weight:
165 lb
Goal Weight:
85 lb
Weight Loss:
27 lb
Lb Left to Lose:
30.6859205776 %
% Lost:
November 2011
Goal Date:

Body Mass Index
40.9012812434
BMI Start:
28.3503465658
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via AIM to wishing
Default

I went for my Psy Eval last night and I "passed". She is giving me the go ahead.

What should I expect now>
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