Guest guest Posted April 16, 2001 Report Share Posted April 16, 2001 Hi All, My name is and am pre-op. I'm 44 and weigh 475lbs(?), with a BMI of 59(?). I recently made my decision to have WLS and specifically DS/BPD. I've just started the process, but I've seen my PCP, and have an appointment with the endocrinologist on 4/25. My insurance is Mayo Health Plan Arizona, and was wondering if anyone has had any experience with them and WLS? I appreciate the experiences that you all share, and am looking forward to being on the other side with the rest of you post-ops. Thanks, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2001 Report Share Posted April 16, 2001 > My insurance is Mayo Health Plan Arizona, and was wondering if anyone has had any experience with them and WLS? > , The OSSG insurance site listed the following information on Mayo Health (looks like they're pretty cooperative, at least for the RNY): Mayo Comprehensive Approved after first letter (12/01/00) Open RNY Weeks to approval : 2 Pre-Op BMI : 50.1 Comorbidities : hypertension, family history - heart disease, strokes Policy : Must be medically necessary Comments : It took some time in getting it approved. But after the information was put together, it only took 2 weeks for approval. There was no stalling involved. Source: bgozney@... --------------------------------------------------------------------- Mayo Comprehensive Health Plan Approved after first letter (01/13/01) Open RNY Weeks to approval : 3 Pre-Op BMI : 39.7 Comorbidities : hypertension, osteoarthritis, sleep apnea, asthama, fibromyalgia Policy : Must be medically necessary Comments : I work at Mayo Clinic and feel very fortunately to have their medical coverage. Because I met the criteria and have the comprehensive plan, I was approved quickly. Source: mosqueda@... --------------------------------------------------------------------- Mayo Health Plan Arizona (MHPA) Denied after first letter (10/31/00) Open RNY Weeks to approval : Pre-Op BMI : 42.5 Comorbidities : Policy : Written exclusion policy Comments : My denial letter stated that, they are complying with My companies exclusion, however there is an exception to the exclusion...failure to body organ which results in life threading health risk Source: dldutton@... ---------------------------------------------------------------------- Mayo Health Plan AZ (HMO) Approved after appeal letter (01/14/00) Open RNY Weeks to approval : 1 Pre-Op BMI : 51.3 Comorbidities : Sleep Apnea Policy : Must be medically necessary Comments : Source: jmfrederick02@... --------------------------------------------------------------------- Mayo Health Plan AZ (PPO) Approved after appeal letter (First letter '99, 2nd 6-8-00) Open RNY Weeks to approval : 52 Pre-Op BMI : 61.6 Comorbidities : Sleep apnea, hypertension, chronic back, ankle pain, diabeties, PCOD Policy : Written exclusion policy Comments : MHPA is a great insurance although of course I had to go through the normal jumping of hops to get the surgery approved they finally did say yes. Source: Tochatty@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2001 Report Share Posted April 16, 2001 > My insurance is Mayo Health Plan Arizona, and was wondering if anyone has had any experience with them and WLS? > , The OSSG insurance site listed the following information on Mayo Health (looks like they're pretty cooperative, at least for the RNY): Mayo Comprehensive Approved after first letter (12/01/00) Open RNY Weeks to approval : 2 Pre-Op BMI : 50.1 Comorbidities : hypertension, family history - heart disease, strokes Policy : Must be medically necessary Comments : It took some time in getting it approved. But after the information was put together, it only took 2 weeks for approval. There was no stalling involved. Source: bgozney@... --------------------------------------------------------------------- Mayo Comprehensive Health Plan Approved after first letter (01/13/01) Open RNY Weeks to approval : 3 Pre-Op BMI : 39.7 Comorbidities : hypertension, osteoarthritis, sleep apnea, asthama, fibromyalgia Policy : Must be medically necessary Comments : I work at Mayo Clinic and feel very fortunately to have their medical coverage. Because I met the criteria and have the comprehensive plan, I was approved quickly. Source: mosqueda@... --------------------------------------------------------------------- Mayo Health Plan Arizona (MHPA) Denied after first letter (10/31/00) Open RNY Weeks to approval : Pre-Op BMI : 42.5 Comorbidities : Policy : Written exclusion policy Comments : My denial letter stated that, they are complying with My companies exclusion, however there is an exception to the exclusion...failure to body organ which results in life threading health risk Source: dldutton@... ---------------------------------------------------------------------- Mayo Health Plan AZ (HMO) Approved after appeal letter (01/14/00) Open RNY Weeks to approval : 1 Pre-Op BMI : 51.3 Comorbidities : Sleep Apnea Policy : Must be medically necessary Comments : Source: jmfrederick02@... --------------------------------------------------------------------- Mayo Health Plan AZ (PPO) Approved after appeal letter (First letter '99, 2nd 6-8-00) Open RNY Weeks to approval : 52 Pre-Op BMI : 61.6 Comorbidities : Sleep apnea, hypertension, chronic back, ankle pain, diabeties, PCOD Policy : Written exclusion policy Comments : MHPA is a great insurance although of course I had to go through the normal jumping of hops to get the surgery approved they finally did say yes. Source: Tochatty@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2001 Report Share Posted April 16, 2001 > My insurance is Mayo Health Plan Arizona, and was wondering if anyone has had any experience with them and WLS? > , The OSSG insurance site listed the following information on Mayo Health (looks like they're pretty cooperative, at least for the RNY): Mayo Comprehensive Approved after first letter (12/01/00) Open RNY Weeks to approval : 2 Pre-Op BMI : 50.1 Comorbidities : hypertension, family history - heart disease, strokes Policy : Must be medically necessary Comments : It took some time in getting it approved. But after the information was put together, it only took 2 weeks for approval. There was no stalling involved. Source: bgozney@... --------------------------------------------------------------------- Mayo Comprehensive Health Plan Approved after first letter (01/13/01) Open RNY Weeks to approval : 3 Pre-Op BMI : 39.7 Comorbidities : hypertension, osteoarthritis, sleep apnea, asthama, fibromyalgia Policy : Must be medically necessary Comments : I work at Mayo Clinic and feel very fortunately to have their medical coverage. Because I met the criteria and have the comprehensive plan, I was approved quickly. Source: mosqueda@... --------------------------------------------------------------------- Mayo Health Plan Arizona (MHPA) Denied after first letter (10/31/00) Open RNY Weeks to approval : Pre-Op BMI : 42.5 Comorbidities : Policy : Written exclusion policy Comments : My denial letter stated that, they are complying with My companies exclusion, however there is an exception to the exclusion...failure to body organ which results in life threading health risk Source: dldutton@... ---------------------------------------------------------------------- Mayo Health Plan AZ (HMO) Approved after appeal letter (01/14/00) Open RNY Weeks to approval : 1 Pre-Op BMI : 51.3 Comorbidities : Sleep Apnea Policy : Must be medically necessary Comments : Source: jmfrederick02@... --------------------------------------------------------------------- Mayo Health Plan AZ (PPO) Approved after appeal letter (First letter '99, 2nd 6-8-00) Open RNY Weeks to approval : 52 Pre-Op BMI : 61.6 Comorbidities : Sleep apnea, hypertension, chronic back, ankle pain, diabeties, PCOD Policy : Written exclusion policy Comments : MHPA is a great insurance although of course I had to go through the normal jumping of hops to get the surgery approved they finally did say yes. Source: Tochatty@... Quote Link to comment Share on other sites More sharing options...
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