Guest guest Posted June 22, 2000 Report Share Posted June 22, 2000 Hi Judi, That IS a coinkidink with your son! My dad lived in River Forest for a while. My mom and stepdad live in your state. They retired 3 years ago to Lady Lake and just love it! So do we, and we already know we are retiring there. It's paradise! We live in Naperville. Moved here from CT 3 years ago. Four years before that Louisville, KY, 2 years before that England, 2 years before that Louisville, KY, 2 years before that Elmhurst, IL, 2 years before that Milwaukee, WI, 3 years before that Elmhurst, IL, 3 years before that West Lafayette, IN, (met my husband at Purdue) AND 4 years before that CT (where I was raised) LOL! I tell Tom it's like we stay one step ahead of the law! Regards, Debbie in IL Cigna approved on 3rd appeal for daughter (BMI 45) Counting on Cigna for Debbie (BMI 40)--online form submitted 6/22 In a message dated 6/22/00 4:01:22 PM Pacific Daylight Time, carljudi@... writes: << Debbie, where in Ill do you live? I had a home in Crystal Lake, also lived in River Forrest, Rolling meadows. Moved to Fla in 75 when my 1child was 5mos old. Who does he meet and marry a girl from Crystal Lake and was married in the same church he was baptised in..............talk about BEYOND CHANCE....because we never went back after he was born. Love Judi in Fla >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2000 Report Share Posted June 22, 2000 Debbie, where in Ill do you live? I had a home in Crystal Lake, also lived in River Forrest, Rolling meadows. Moved to Fla in 75 when my 1child was 5mos old. Who does he meet and marry a girl from Crystal Lake and was married in the same church he was baptised in..............talk about BEYOND CHANCE....because we never went back after he was born. Love Judi in Fla Quoting DebLaMan@...: > Wow, Deb! > What a bunch of baloney! It sounds to me like they are very prejudiced > against Dr R to begin with, but I guess you have no choice but to do what > they ask. I wish you all the best. I will send you a copy of my letters > of > appeal if it will help. Let me know, (if I have already sent them to you, > forgive me.....) Best of luck and keep fighting! You might consider a > letter from an attorney. I know this is another expense, but current > practice does allow the MGB to people with BMI's above 40. > > Regards, > Debbie in IL > Cigna approved on 3rd appeal for daughter (BMI 45) > Counting on Cigna for Debbie (BMI 40)--online form submitted 6/22 > > In a message dated 6/22/00 3:23:37 PM Pacific Daylight Time, Hadjab@... > > writes: > > << > Congratulations! That is great news... your perserverence paid off. I am > > in > the middle of a problem getting approved. I have BCBS, and last Friday, > they > told me on the phone that I needed to send in a psych evaluation and a > nutritional counseling note... Well, I had the psych evaluation Monday, > and > luckily, I am not psychotic... Whew, that was a relief to hear...LOL.. > And, > my PCP wrote a letter saying that I had had nutritional counseling in the > past. Then yesterday, I got a copy of a letter from my ins. co, and it > says > the nutritional counseling has to be done by a dietician, so I'll have to > have it redone, and they will not even consider approving me until I have > had > an appointment with Dr. R... I am in IL, so I hope if I go to the expense > of > an extra trip to NC, they will approve me... Between the pysch appt > ($200), > Dietician (probably at least $100), airfare, (I called Joanne, a real > sweetheart, I can get round trip Chicago to Raleigh for $163), and hotel > (Fairfield Inn for $39) since I can't get an early morning flight the day > I > have a clinic appt, on top of a rental car or cab fees, I will be running > into a good deal of money, especially if I'm going to end up being a self > pay. Does anyone have any ideas of what, if anything I should put in with > > the additional info? I pointed out to the nurse at medical review that > the > MGB is much cheaper, has a higher success rate, and a much lower > complication > rate. She seemed very pessimistic. She said they had had another request > > from Dr. R in the past, and they didn't like the idea that he doesn't see > the > patient until just before surgery. I explained that he was just trying to > > save his patients money, since most of us come from all over the US to > have > this procedure. She also mentioned that they didn't like the MGB because > it > is still " investigational " . So, I am less optimistic than I was, but I > scheduled a clinic appt. for July 11, and hopefully, after I give them > what > they wasnt, they will approve me. Either way, I am hoping to keep my > surgery > date of August 2. Any advice on how to sway my review board in the right > direction will be appreciated! > > Thanks!! > Deb in IL > > -------------------------------------------------------- ---------------- > Air >> > > > > -------------------------------------------------------- ---------------- > Win $5,000 just for going to see your doctor. Register NOW! > http://click.egroups.com/1/5599/3/_/453517/_/961714015/ > -------------------------------------------------------- ---------------- > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm > > > ----------------------------------------------------- This mail sent through Hitter Communications Webmail http://webmail.hitter.net Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2000 Report Share Posted June 22, 2000 Debbie, where in Ill do you live? I had a home in Crystal Lake, also lived in River Forrest, Rolling meadows. Moved to Fla in 75 when my 1child was 5mos old. Who does he meet and marry a girl from Crystal Lake and was married in the same church he was baptised in..............talk about BEYOND CHANCE....because we never went back after he was born. Love Judi in Fla Quoting DebLaMan@...: > Wow, Deb! > What a bunch of baloney! It sounds to me like they are very prejudiced > against Dr R to begin with, but I guess you have no choice but to do what > they ask. I wish you all the best. I will send you a copy of my letters > of > appeal if it will help. Let me know, (if I have already sent them to you, > forgive me.....) Best of luck and keep fighting! You might consider a > letter from an attorney. I know this is another expense, but current > practice does allow the MGB to people with BMI's above 40. > > Regards, > Debbie in IL > Cigna approved on 3rd appeal for daughter (BMI 45) > Counting on Cigna for Debbie (BMI 40)--online form submitted 6/22 > > In a message dated 6/22/00 3:23:37 PM Pacific Daylight Time, Hadjab@... > > writes: > > << > Congratulations! That is great news... your perserverence paid off. I am > > in > the middle of a problem getting approved. I have BCBS, and last Friday, > they > told me on the phone that I needed to send in a psych evaluation and a > nutritional counseling note... Well, I had the psych evaluation Monday, > and > luckily, I am not psychotic... Whew, that was a relief to hear...LOL.. > And, > my PCP wrote a letter saying that I had had nutritional counseling in the > past. Then yesterday, I got a copy of a letter from my ins. co, and it > says > the nutritional counseling has to be done by a dietician, so I'll have to > have it redone, and they will not even consider approving me until I have > had > an appointment with Dr. R... I am in IL, so I hope if I go to the expense > of > an extra trip to NC, they will approve me... Between the pysch appt > ($200), > Dietician (probably at least $100), airfare, (I called Joanne, a real > sweetheart, I can get round trip Chicago to Raleigh for $163), and hotel > (Fairfield Inn for $39) since I can't get an early morning flight the day > I > have a clinic appt, on top of a rental car or cab fees, I will be running > into a good deal of money, especially if I'm going to end up being a self > pay. Does anyone have any ideas of what, if anything I should put in with > > the additional info? I pointed out to the nurse at medical review that > the > MGB is much cheaper, has a higher success rate, and a much lower > complication > rate. She seemed very pessimistic. She said they had had another request > > from Dr. R in the past, and they didn't like the idea that he doesn't see > the > patient until just before surgery. I explained that he was just trying to > > save his patients money, since most of us come from all over the US to > have > this procedure. She also mentioned that they didn't like the MGB because > it > is still " investigational " . So, I am less optimistic than I was, but I > scheduled a clinic appt. for July 11, and hopefully, after I give them > what > they wasnt, they will approve me. Either way, I am hoping to keep my > surgery > date of August 2. Any advice on how to sway my review board in the right > direction will be appreciated! > > Thanks!! > Deb in IL > > -------------------------------------------------------- ---------------- > Air >> > > > > -------------------------------------------------------- ---------------- > Win $5,000 just for going to see your doctor. Register NOW! > http://click.egroups.com/1/5599/3/_/453517/_/961714015/ > -------------------------------------------------------- ---------------- > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm > > > ----------------------------------------------------- This mail sent through Hitter Communications Webmail http://webmail.hitter.net Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2000 Report Share Posted June 22, 2000 Debbie, where in Ill do you live? I had a home in Crystal Lake, also lived in River Forrest, Rolling meadows. Moved to Fla in 75 when my 1child was 5mos old. Who does he meet and marry a girl from Crystal Lake and was married in the same church he was baptised in..............talk about BEYOND CHANCE....because we never went back after he was born. Love Judi in Fla Quoting DebLaMan@...: > Wow, Deb! > What a bunch of baloney! It sounds to me like they are very prejudiced > against Dr R to begin with, but I guess you have no choice but to do what > they ask. I wish you all the best. I will send you a copy of my letters > of > appeal if it will help. Let me know, (if I have already sent them to you, > forgive me.....) Best of luck and keep fighting! You might consider a > letter from an attorney. I know this is another expense, but current > practice does allow the MGB to people with BMI's above 40. > > Regards, > Debbie in IL > Cigna approved on 3rd appeal for daughter (BMI 45) > Counting on Cigna for Debbie (BMI 40)--online form submitted 6/22 > > In a message dated 6/22/00 3:23:37 PM Pacific Daylight Time, Hadjab@... > > writes: > > << > Congratulations! That is great news... your perserverence paid off. I am > > in > the middle of a problem getting approved. I have BCBS, and last Friday, > they > told me on the phone that I needed to send in a psych evaluation and a > nutritional counseling note... Well, I had the psych evaluation Monday, > and > luckily, I am not psychotic... Whew, that was a relief to hear...LOL.. > And, > my PCP wrote a letter saying that I had had nutritional counseling in the > past. Then yesterday, I got a copy of a letter from my ins. co, and it > says > the nutritional counseling has to be done by a dietician, so I'll have to > have it redone, and they will not even consider approving me until I have > had > an appointment with Dr. R... I am in IL, so I hope if I go to the expense > of > an extra trip to NC, they will approve me... Between the pysch appt > ($200), > Dietician (probably at least $100), airfare, (I called Joanne, a real > sweetheart, I can get round trip Chicago to Raleigh for $163), and hotel > (Fairfield Inn for $39) since I can't get an early morning flight the day > I > have a clinic appt, on top of a rental car or cab fees, I will be running > into a good deal of money, especially if I'm going to end up being a self > pay. Does anyone have any ideas of what, if anything I should put in with > > the additional info? I pointed out to the nurse at medical review that > the > MGB is much cheaper, has a higher success rate, and a much lower > complication > rate. She seemed very pessimistic. She said they had had another request > > from Dr. R in the past, and they didn't like the idea that he doesn't see > the > patient until just before surgery. I explained that he was just trying to > > save his patients money, since most of us come from all over the US to > have > this procedure. She also mentioned that they didn't like the MGB because > it > is still " investigational " . So, I am less optimistic than I was, but I > scheduled a clinic appt. for July 11, and hopefully, after I give them > what > they wasnt, they will approve me. Either way, I am hoping to keep my > surgery > date of August 2. Any advice on how to sway my review board in the right > direction will be appreciated! > > Thanks!! > Deb in IL > > -------------------------------------------------------- ---------------- > Air >> > > > > -------------------------------------------------------- ---------------- > Win $5,000 just for going to see your doctor. Register NOW! > http://click.egroups.com/1/5599/3/_/453517/_/961714015/ > -------------------------------------------------------- ---------------- > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm > > > ----------------------------------------------------- This mail sent through Hitter Communications Webmail http://webmail.hitter.net Quote Link to comment Share on other sites More sharing options...
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