Guest guest Posted November 29, 2000 Report Share Posted November 29, 2000 Hi I'm a also! Which doctor are you trying to use? I am a federal employee who is now in the process of switching insurances. I had heard bad things about BC/BS so I was worried about selecting them and was going to select GEHA. Do you know for sure there were people who had the ds with fed BC/BS. The verbage in the booklet says they will pay for gastric bypass and gastric stapling for the treatment of morbid obesity. They won't say they will do duodenal switch. When I called them today they said they will only precertify the hospital admission and that they review the operative notes afterwards to see if it is covered. Dang this whole thing is making me crazy. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 2000 Report Share Posted November 29, 2000 Dr Welker says they have paid for the DS WHich Doctor? > Hi > > I'm a also! Which doctor are you trying to use? I am a federal > employee who is now in the process of switching insurances. I had heard bad > things about BC/BS so I was worried about selecting them and was going to > select GEHA. Do you know for sure there were people who had the ds with fed > BC/BS. The verbage in the booklet says they will pay for gastric bypass and > gastric stapling for the treatment of morbid obesity. They won't say they > will do duodenal switch. When I called them today they said they will only > precertify the hospital admission and that they review the operative notes > afterwards to see if it is covered. Dang this whole thing is making me crazy. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 2000 Report Share Posted November 29, 2000 Dr Welker says they have paid for the DS WHich Doctor? > Hi > > I'm a also! Which doctor are you trying to use? I am a federal > employee who is now in the process of switching insurances. I had heard bad > things about BC/BS so I was worried about selecting them and was going to > select GEHA. Do you know for sure there were people who had the ds with fed > BC/BS. The verbage in the booklet says they will pay for gastric bypass and > gastric stapling for the treatment of morbid obesity. They won't say they > will do duodenal switch. When I called them today they said they will only > precertify the hospital admission and that they review the operative notes > afterwards to see if it is covered. Dang this whole thing is making me crazy. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 2000 Report Share Posted November 29, 2000 Dr Welker says they have paid for the DS WHich Doctor? > Hi > > I'm a also! Which doctor are you trying to use? I am a federal > employee who is now in the process of switching insurances. I had heard bad > things about BC/BS so I was worried about selecting them and was going to > select GEHA. Do you know for sure there were people who had the ds with fed > BC/BS. The verbage in the booklet says they will pay for gastric bypass and > gastric stapling for the treatment of morbid obesity. They won't say they > will do duodenal switch. When I called them today they said they will only > precertify the hospital admission and that they review the operative notes > afterwards to see if it is covered. Dang this whole thing is making me crazy. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2003 Report Share Posted February 10, 2003 Jim: If Baltimore is more convenient for you, why not try Dr. s's office? I had a good UHC plan, so I don't know what contact or luck s has had, if any, with your insurance company, but it might be worth checking out. Here's his contact info: Dr. s Chief of Orthopedic Surgery - TeamOrthopedist - Baltimore Orioles (I think this might be formerly) Assistant Professor of Orthopedic Surgery- s Hopkins University Good Samaritan Hospital (Rehab Center is jointly run with s Hopkins) Bldg. - Room 405 5601 Loch Raven Blvd. Baltimore, MD 21239 Contact: Sharon O'Shaughnessy; or Shirley Panopoulos, x4767 Good luck, Maureen R Hip, 10.31.02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2003 Report Share Posted February 10, 2003 Jim: If Baltimore is more convenient for you, why not try Dr. s's office? I had a good UHC plan, so I don't know what contact or luck s has had, if any, with your insurance company, but it might be worth checking out. Here's his contact info: Dr. s Chief of Orthopedic Surgery - TeamOrthopedist - Baltimore Orioles (I think this might be formerly) Assistant Professor of Orthopedic Surgery- s Hopkins University Good Samaritan Hospital (Rehab Center is jointly run with s Hopkins) Bldg. - Room 405 5601 Loch Raven Blvd. Baltimore, MD 21239 Contact: Sharon O'Shaughnessy; or Shirley Panopoulos, x4767 Good luck, Maureen R Hip, 10.31.02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2003 Report Share Posted February 10, 2003 Jim: If Baltimore is more convenient for you, why not try Dr. s's office? I had a good UHC plan, so I don't know what contact or luck s has had, if any, with your insurance company, but it might be worth checking out. Here's his contact info: Dr. s Chief of Orthopedic Surgery - TeamOrthopedist - Baltimore Orioles (I think this might be formerly) Assistant Professor of Orthopedic Surgery- s Hopkins University Good Samaritan Hospital (Rehab Center is jointly run with s Hopkins) Bldg. - Room 405 5601 Loch Raven Blvd. Baltimore, MD 21239 Contact: Sharon O'Shaughnessy; or Shirley Panopoulos, x4767 Good luck, Maureen R Hip, 10.31.02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2003 Report Share Posted February 10, 2003 Jim: I have had not trouble with Dr. Mont's office. Both the doctor and his staff have been fine. They got my insurance approval and the Dr. has been in contact with me personally. I think it is possible that a person may have a bad experience, it happens some- times. Most people do not. My surgery is set for March 27th and the staff has been quite nice. Lois Which Doctor? I'm new to this site but not to resurfacing. Because of a motorcycle accident I need a new hip. I've been in touch with Chuck at JRI. My plan was to go there but because I have Blue Cross of California there seems to be a reluctance on their part to help. So I've searched these archives the last few days to see where else to go. Dr Mont seems to be the best choice as a surgeon but I question his support staff. Others have complained about being ignored or waiting for long periods for a response from his office. Then I read about the poor guy in san francisco who had his appeal cancelled because of no response from Dr Mont's office. It seems like the fellow this happened to thinks that Mont never received the message. What if he did and just doesn't want to deal with Blue Cross or out of state patients. If you're reading this, did Mont call you to explain? It seems to me that such a horrendous oversight should have been followed by a personal call and apology from the Dr. Unless of course my assumptions are right and he's just ignoring you. Then again maybe he just has no idea what's going on in the office because he's so busy. He seems an incredibly talented surgeon according to this site but if he has such communication problems perhaps he's not the one to go to. I guess the next best would be to head up north to Dr Boyd in Oregon. There seems to be more positive feedback coming from his office. And when I called there they seemed very helpful and forthright. Any thoughts on this subject would be appreciated. Jim ........... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2003 Report Share Posted February 10, 2003 Jim: I have had not trouble with Dr. Mont's office. Both the doctor and his staff have been fine. They got my insurance approval and the Dr. has been in contact with me personally. I think it is possible that a person may have a bad experience, it happens some- times. Most people do not. My surgery is set for March 27th and the staff has been quite nice. Lois Which Doctor? I'm new to this site but not to resurfacing. Because of a motorcycle accident I need a new hip. I've been in touch with Chuck at JRI. My plan was to go there but because I have Blue Cross of California there seems to be a reluctance on their part to help. So I've searched these archives the last few days to see where else to go. Dr Mont seems to be the best choice as a surgeon but I question his support staff. Others have complained about being ignored or waiting for long periods for a response from his office. Then I read about the poor guy in san francisco who had his appeal cancelled because of no response from Dr Mont's office. It seems like the fellow this happened to thinks that Mont never received the message. What if he did and just doesn't want to deal with Blue Cross or out of state patients. If you're reading this, did Mont call you to explain? It seems to me that such a horrendous oversight should have been followed by a personal call and apology from the Dr. Unless of course my assumptions are right and he's just ignoring you. Then again maybe he just has no idea what's going on in the office because he's so busy. He seems an incredibly talented surgeon according to this site but if he has such communication problems perhaps he's not the one to go to. I guess the next best would be to head up north to Dr Boyd in Oregon. There seems to be more positive feedback coming from his office. And when I called there they seemed very helpful and forthright. Any thoughts on this subject would be appreciated. Jim ........... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 2003 Report Share Posted February 10, 2003 Jim: I have had not trouble with Dr. Mont's office. Both the doctor and his staff have been fine. They got my insurance approval and the Dr. has been in contact with me personally. I think it is possible that a person may have a bad experience, it happens some- times. Most people do not. My surgery is set for March 27th and the staff has been quite nice. Lois Which Doctor? I'm new to this site but not to resurfacing. Because of a motorcycle accident I need a new hip. I've been in touch with Chuck at JRI. My plan was to go there but because I have Blue Cross of California there seems to be a reluctance on their part to help. So I've searched these archives the last few days to see where else to go. Dr Mont seems to be the best choice as a surgeon but I question his support staff. Others have complained about being ignored or waiting for long periods for a response from his office. Then I read about the poor guy in san francisco who had his appeal cancelled because of no response from Dr Mont's office. It seems like the fellow this happened to thinks that Mont never received the message. What if he did and just doesn't want to deal with Blue Cross or out of state patients. If you're reading this, did Mont call you to explain? It seems to me that such a horrendous oversight should have been followed by a personal call and apology from the Dr. Unless of course my assumptions are right and he's just ignoring you. Then again maybe he just has no idea what's going on in the office because he's so busy. He seems an incredibly talented surgeon according to this site but if he has such communication problems perhaps he's not the one to go to. I guess the next best would be to head up north to Dr Boyd in Oregon. There seems to be more positive feedback coming from his office. And when I called there they seemed very helpful and forthright. Any thoughts on this subject would be appreciated. Jim ........... Quote Link to comment Share on other sites More sharing options...
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