Guest guest Posted May 6, 2001 Report Share Posted May 6, 2001 I certainly hope things work out for you with BCBS. I have the same federal coverage and I am certainly worried because I am preop. Gwen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2001 Report Share Posted May 6, 2001 I certainly hope things work out for you with BCBS. I have the same federal coverage and I am certainly worried because I am preop. Gwen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2001 Report Share Posted May 6, 2001 I certainly hope things work out for you with BCBS. I have the same federal coverage and I am certainly worried because I am preop. Gwen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2001 Report Share Posted May 7, 2001 I am scheduled to have a consult with my surgeon tomorrow, at which time we will discuss the possibility of my having weight loss surgery. I would prefer to have the duodenal switch procedure, but I believe he does not perform that operation (I think he does vertical banded gastroplasty or the rny). I too am a federal employee, and am covered by MVP insurance. According to my benefit guide, weight loss surgery is covered. However, the referral specialist at my primary care physician's office said that MVP will probably give me a hard time about obtaining approval for the surgery. I am prepared to fight if need be. Please keep us posted. I hope everything works out for you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2001 Report Share Posted May 7, 2001 I am scheduled to have a consult with my surgeon tomorrow, at which time we will discuss the possibility of my having weight loss surgery. I would prefer to have the duodenal switch procedure, but I believe he does not perform that operation (I think he does vertical banded gastroplasty or the rny). I too am a federal employee, and am covered by MVP insurance. According to my benefit guide, weight loss surgery is covered. However, the referral specialist at my primary care physician's office said that MVP will probably give me a hard time about obtaining approval for the surgery. I am prepared to fight if need be. Please keep us posted. I hope everything works out for you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2001 Report Share Posted May 7, 2001 I am scheduled to have a consult with my surgeon tomorrow, at which time we will discuss the possibility of my having weight loss surgery. I would prefer to have the duodenal switch procedure, but I believe he does not perform that operation (I think he does vertical banded gastroplasty or the rny). I too am a federal employee, and am covered by MVP insurance. According to my benefit guide, weight loss surgery is covered. However, the referral specialist at my primary care physician's office said that MVP will probably give me a hard time about obtaining approval for the surgery. I am prepared to fight if need be. Please keep us posted. I hope everything works out for you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2001 Report Share Posted May 8, 2001 : You can go to the Duodenal Switch web page and find a list of all the surgeons in the US who do the DS. There are a few others who are either new to the surgery or who will only do an occasional one but that is a pretty comprehensive list. Go to www.duodenalswitch.com, click on the Surgeons tab and you can find that information. Understand that both the probability of long term success and quality of life after surgery is MUCH better with the DS. If the surgeon you are consulting with does the RNY he will call it the "gold standard" of weight loss surgery. This is simply not true. Don't buy into it. There are lots of successful RNYs and not all that many successful vertical banded gastroplastys but the DS has far and away the best success rate. Don't take second best if you can possibly avoid it. Yes, your insurance company will probably give you a hard time. Many (not all) do but it is definitely worth the fight. Good luck. Regards. Joe Frost, old gentleman, not old fartSan , TX, 60 years oldSurgery 11/29/00 by Dr. Welker Lateral Gastrectomy with Duodenal Switch340 starting weight, currently 244http://www.duodenalswitch.com/Patients/Joe/joe.html Re: Re: DENIED AFTER SURGERY > I am scheduled to have a consult with my surgeon tomorrow, at which time we> will discuss the possibility of my having weight loss surgery. I would> prefer to have the duodenal switch procedure, but I believe he does not> perform that operation (I think he does vertical banded gastroplasty or the> rny). > > I too am a federal employee, and am covered by MVP insurance. According to> my benefit guide, weight loss surgery is covered. However, the referral> specialist at my primary care physician's office said that MVP will> probably give me a hard time about obtaining approval for the surgery. I> am prepared to fight if need be.> > Please keep us posted. I hope everything works out for you.> > > > > ----------------------------------------------------------------------> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2001 Report Share Posted May 8, 2001 Joe, Last night I was surfing the net cause the e-group was down. So I went to obesityhelp.com to look around. They had a section where you could ask a Dr. a question. I was suprised how biased the answers were! Oh they were careful not to out and out say " Don't ever have this surgery, but... Not one favorable answer about the DS! And yet all my research makes clear that although the RNY isn't a " bad " surgery and may be right for some, the DS should truly be considered the " gold standard " ! IMHO. So I agree with you (about some Dr's saying the RNY is the gold standard), Don't buy into it! Angel --- Joe Frost joefrost@...> wrote: > : > > You can go to the Duodenal Switch web page and find > a list of all the surgeons in the US who do the DS. > There are a few others who are either new to the > surgery or who will only do an occasional one but > that is a pretty comprehensive list. Go to > www.duodenalswitch.com, click on the Surgeons tab > and you can find that information. Understand that > both the probability of long term success and > quality of life after surgery is MUCH better with > the DS. If the surgeon you are consulting with does > the RNY he will call it the " gold standard " of > weight loss surgery. This is simply not true. > Don't buy into it. There are lots of successful > RNYs and not all that many successful vertical > banded gastroplastys but the DS has far and away the > best success rate. Don't take second best if you > can possibly avoid it. > > Yes, your insurance company will probably give you a > hard time. Many (not all) do but it is definitely > worth the fight. Good luck. > > Regards. > > Joe Frost, old gentleman, not old fart > San , TX, 60 years old > Surgery 11/29/00 by Dr. Welker > Lateral Gastrectomy with Duodenal Switch > 340 starting weight, currently 244 > http://www.duodenalswitch.com/Patients/Joe/joe.html > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2001 Report Share Posted May 8, 2001 Joe, Last night I was surfing the net cause the e-group was down. So I went to obesityhelp.com to look around. They had a section where you could ask a Dr. a question. I was suprised how biased the answers were! Oh they were careful not to out and out say " Don't ever have this surgery, but... Not one favorable answer about the DS! And yet all my research makes clear that although the RNY isn't a " bad " surgery and may be right for some, the DS should truly be considered the " gold standard " ! IMHO. So I agree with you (about some Dr's saying the RNY is the gold standard), Don't buy into it! Angel --- Joe Frost joefrost@...> wrote: > : > > You can go to the Duodenal Switch web page and find > a list of all the surgeons in the US who do the DS. > There are a few others who are either new to the > surgery or who will only do an occasional one but > that is a pretty comprehensive list. Go to > www.duodenalswitch.com, click on the Surgeons tab > and you can find that information. Understand that > both the probability of long term success and > quality of life after surgery is MUCH better with > the DS. If the surgeon you are consulting with does > the RNY he will call it the " gold standard " of > weight loss surgery. This is simply not true. > Don't buy into it. There are lots of successful > RNYs and not all that many successful vertical > banded gastroplastys but the DS has far and away the > best success rate. Don't take second best if you > can possibly avoid it. > > Yes, your insurance company will probably give you a > hard time. Many (not all) do but it is definitely > worth the fight. Good luck. > > Regards. > > Joe Frost, old gentleman, not old fart > San , TX, 60 years old > Surgery 11/29/00 by Dr. Welker > Lateral Gastrectomy with Duodenal Switch > 340 starting weight, currently 244 > http://www.duodenalswitch.com/Patients/Joe/joe.html > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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