Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 Yes, Try for Dr. Rutledges procedure. Make an appeal. Call the insurance company. Call Debbie and ask her if they can help. DO NOT GIVE UP!!!!!!!!! Lara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 I recently got approval from my insurance company for surgery. However, they only provided it from a participating provider, which Dr. Rutledge is not. This is a surgeon from UNC who does a laparoscopic Roux-en-Y. I was counting on my physician to back me up and insist that Dr. Rutledge's procedure was the best way to go since she had recommended Dr. Rutledge in the first place. I was surprised when she recommended I go see the doctor at UNC and see what he has to say. She knows the physician at UNC and says he is a great surgeon and she has referred patient's to him before for other things. I called him (his name is Dr. Ferrell). He talked with me and told me that he was familiar with Dr. Rutledge's procedure and does feel that his (Dr. Ferrell's) procedure is the better procedure. He didn't have time to go into the details on the phone and I have an appointment set up with him on 6/19. My PCP feels that as long as there is a surgeon in network who can perform obesity surgery my insurance will never pay an out of network surgeon especially since Dr. Rutledge use to be on staff at UNC and left. My insurance is Generations, which is cofounded by UNC and WakeMed. Does anyone out there have Generations? Is anyone out there familiar with the laparoscopic Roux-en-Y and know the disadvantages of this procedure as compared to Dr. Rutledge's procedure. I am convinced that Dr. Rutledge's procedure is the way to go but if I can't get approval I don't want to pass up something that may work. Any comments on that?? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 Jackie, I spoke with a doctor today who said that one reason the insurance companies don't like to pay for obesity surgery is because it is not a permanent solution. He said the fault is not in the surgery, but that these patients find a way to consume the calories and usually put back 2/3 of what they lose. He suggested that I get in touch with people who have had Dr. R's surgery from when he first started doing it and see how many have kept the weight off. Now this doctor was the first to say that he was not a general surgeon and that he did not know how the two surgeries were different but that generally Roux-en-Y patients gain their weight back. > I recently got approval from my insurance company for surgery. > However, they only provided it from a participating provider, which > Dr. Rutledge is not. This is a surgeon from UNC who does a > laparoscopic Roux-en-Y. I was counting on my physician to back me up > and insist that Dr. Rutledge's procedure was the best way to go since > she had recommended Dr. Rutledge in the first place. I was surprised > when she recommended I go see the doctor at UNC and see what he has > to say. She knows the physician at UNC and says he is a great > surgeon and she has referred patient's to him before for other > things. I called him (his name is Dr. Ferrell). He talked with me > and told me that he was familiar with Dr. Rutledge's procedure and > does feel that his (Dr. Ferrell's) procedure is the better > procedure. He didn't have time to go into the details on the phone > and I have an appointment set up with him on 6/19. My PCP feels that > as long as there is a surgeon in network who can perform obesity > surgery my insurance will never pay an out of network surgeon > especially since Dr. Rutledge use to be on staff at UNC and left. My > insurance is Generations, which is cofounded by UNC and WakeMed. > Does anyone out there have Generations? Is anyone out there familiar > with the laparoscopic Roux-en-Y and know the disadvantages of this > procedure as compared to Dr. Rutledge's procedure. I am convinced > that Dr. Rutledge's procedure is the way to go but if I can't get > approval I don't want to pass up something that may work. Any > comments on that?? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 Hi I don't know your name, but I am in the same boat, I do have a letter into the insurance company for an appeal, and will get an RNY if all else fails. I would love to have the MGB, but the bottom line is either way I get my life back. Just my opinion, e-mail me if you want more info. rhandr@... Robynn Roux-en-Y > I recently got approval from my insurance company for surgery. > However, they only provided it from a participating provider, which > Dr. Rutledge is not. This is a surgeon from UNC who does a > laparoscopic Roux-en-Y. I was counting on my physician to back me up > and insist that Dr. Rutledge's procedure was the best way to go since > she had recommended Dr. Rutledge in the first place. I was surprised > when she recommended I go see the doctor at UNC and see what he has > to say. She knows the physician at UNC and says he is a great > surgeon and she has referred patient's to him before for other > things. I called him (his name is Dr. Ferrell). He talked with me > and told me that he was familiar with Dr. Rutledge's procedure and > does feel that his (Dr. Ferrell's) procedure is the better > procedure. He didn't have time to go into the details on the phone > and I have an appointment set up with him on 6/19. My PCP feels that > as long as there is a surgeon in network who can perform obesity > surgery my insurance will never pay an out of network surgeon > especially since Dr. Rutledge use to be on staff at UNC and left. My > insurance is Generations, which is cofounded by UNC and WakeMed. > Does anyone out there have Generations? Is anyone out there familiar > with the laparoscopic Roux-en-Y and know the disadvantages of this > procedure as compared to Dr. Rutledge's procedure. I am convinced > that Dr. Rutledge's procedure is the way to go but if I can't get > approval I don't want to pass up something that may work. Any > comments on that?? > > > ------------------------------------------------------------------------ > Porsche Boxter. You and a friend. Nine dream days from > Napa Valley to Beverly Hills. Provided by CarsDirect.com. > Click to enter. > http://click.egroups.com/1/4882/2/_/453517/_/960323237/ > ------------------------------------------------------------------------ > > 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 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 Hi I don't know your name, but I am in the same boat, I do have a letter into the insurance company for an appeal, and will get an RNY if all else fails. I would love to have the MGB, but the bottom line is either way I get my life back. Just my opinion, e-mail me if you want more info. rhandr@... Robynn Roux-en-Y > I recently got approval from my insurance company for surgery. > However, they only provided it from a participating provider, which > Dr. Rutledge is not. This is a surgeon from UNC who does a > laparoscopic Roux-en-Y. I was counting on my physician to back me up > and insist that Dr. Rutledge's procedure was the best way to go since > she had recommended Dr. Rutledge in the first place. I was surprised > when she recommended I go see the doctor at UNC and see what he has > to say. She knows the physician at UNC and says he is a great > surgeon and she has referred patient's to him before for other > things. I called him (his name is Dr. Ferrell). He talked with me > and told me that he was familiar with Dr. Rutledge's procedure and > does feel that his (Dr. Ferrell's) procedure is the better > procedure. He didn't have time to go into the details on the phone > and I have an appointment set up with him on 6/19. My PCP feels that > as long as there is a surgeon in network who can perform obesity > surgery my insurance will never pay an out of network surgeon > especially since Dr. Rutledge use to be on staff at UNC and left. My > insurance is Generations, which is cofounded by UNC and WakeMed. > Does anyone out there have Generations? Is anyone out there familiar > with the laparoscopic Roux-en-Y and know the disadvantages of this > procedure as compared to Dr. Rutledge's procedure. I am convinced > that Dr. Rutledge's procedure is the way to go but if I can't get > approval I don't want to pass up something that may work. Any > comments on that?? > > > ------------------------------------------------------------------------ > Porsche Boxter. You and a friend. Nine dream days from > Napa Valley to Beverly Hills. Provided by CarsDirect.com. > Click to enter. > http://click.egroups.com/1/4882/2/_/453517/_/960323237/ > ------------------------------------------------------------------------ > > 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 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 Lara. I'm going to get the RounX-en-Y surgery in about 4 weeks,you sound dead set against any other surgery, I might add I have researched this procedure for over a year and I really don't think it's the end of the world if this is the only surgery she can get paid for by insurance, the RNY has many years of many happy and healthly people that have kept their weight off!!!!! Thank-you and please remember not all of us have to have Dr.R surgery to be happy with the out come of our sugeries, just my 2 cents!!!! Suzi The RNY procedure has a 3% failure rate I don't think that is a whole lot of people. Re: Roux-en-Y >Yes, Try for Dr. Rutledges procedure. Make an appeal. Call the insurance >company. Call Debbie and ask her if they can help. DO NOT GIVE UP!!!!!!!!! > Lara > >------------------------------------------------------------------------ >Old school buds here: >http://click.egroups.com/1/4057/2/_/453517/_/960329319/ >------------------------------------------------------------------------ > >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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 Lara. I'm going to get the RounX-en-Y surgery in about 4 weeks,you sound dead set against any other surgery, I might add I have researched this procedure for over a year and I really don't think it's the end of the world if this is the only surgery she can get paid for by insurance, the RNY has many years of many happy and healthly people that have kept their weight off!!!!! Thank-you and please remember not all of us have to have Dr.R surgery to be happy with the out come of our sugeries, just my 2 cents!!!! Suzi The RNY procedure has a 3% failure rate I don't think that is a whole lot of people. Re: Roux-en-Y >Yes, Try for Dr. Rutledges procedure. Make an appeal. Call the insurance >company. Call Debbie and ask her if they can help. DO NOT GIVE UP!!!!!!!!! > Lara > >------------------------------------------------------------------------ >Old school buds here: >http://click.egroups.com/1/4057/2/_/453517/_/960329319/ >------------------------------------------------------------------------ > >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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 Robynn,You do what YOU have to do and be thankful we all have other options!!!!!! Thank you,Suzi Re: Roux-en-Y >Hi I don't know your name, but I am in the same boat, I do have a letter >into the insurance company for an appeal, and will get an RNY if all else >fails. I would love to have the MGB, but the bottom line is either way I >get my life back. Just my opinion, e-mail me if you want more info. >rhandr@... >Robynn > Roux-en-Y > > >> I recently got approval from my insurance company for surgery. >> However, they only provided it from a participating provider, which >> Dr. Rutledge is not. This is a surgeon from UNC who does a >> laparoscopic Roux-en-Y. I was counting on my physician to back me up >> and insist that Dr. Rutledge's procedure was the best way to go since >> she had recommended Dr. Rutledge in the first place. I was surprised >> when she recommended I go see the doctor at UNC and see what he has >> to say. She knows the physician at UNC and says he is a great >> surgeon and she has referred patient's to him before for other >> things. I called him (his name is Dr. Ferrell). He talked with me >> and told me that he was familiar with Dr. Rutledge's procedure and >> does feel that his (Dr. Ferrell's) procedure is the better >> procedure. He didn't have time to go into the details on the phone >> and I have an appointment set up with him on 6/19. My PCP feels that >> as long as there is a surgeon in network who can perform obesity >> surgery my insurance will never pay an out of network surgeon >> especially since Dr. Rutledge use to be on staff at UNC and left. My >> insurance is Generations, which is cofounded by UNC and WakeMed. >> Does anyone out there have Generations? Is anyone out there familiar >> with the laparoscopic Roux-en-Y and know the disadvantages of this >> procedure as compared to Dr. Rutledge's procedure. I am convinced >> that Dr. Rutledge's procedure is the way to go but if I can't get >> approval I don't want to pass up something that may work. Any >> comments on that?? >> >> >> ------------------------------------------------------------------------ >> Porsche Boxter. You and a friend. Nine dream days from >> Napa Valley to Beverly Hills. Provided by CarsDirect.com. >> Click to enter. >> http://click.egroups.com/1/4882/2/_/453517/_/960323237/ >> ------------------------------------------------------------------------ >> >> 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 >> >> >> > > >------------------------------------------------------------------------ >Remember Father's Day Is June 18th >Click Here For Great Gifts! >http://click.egroups.com/1/5037/2/_/453517/_/960332885/ >------------------------------------------------------------------------ > >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 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 People, please don't start a flame over this, This is the MGB list, I would love to have this surgery, but that may not be possible, I have benn a member of this list a long time, and have found incredible support here. Some of the nicest and intelligent people on the planet are here. They way I look at it is, Dr. Rutledge has a great service, it is saving peoples lives and giving them back their lives. But if by any chance the insurance company denies me again I will have WLS. And I know that which ever way I go I will be supported by the people I know on the list. We all want the end result, so I sugest that we continue to support each other in that effort. , if you read this would you be willing to re post you research on the comparision that you did. Just one persons opinion Robynn Official troublemaker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 People, please don't start a flame over this, This is the MGB list, I would love to have this surgery, but that may not be possible, I have benn a member of this list a long time, and have found incredible support here. Some of the nicest and intelligent people on the planet are here. They way I look at it is, Dr. Rutledge has a great service, it is saving peoples lives and giving them back their lives. But if by any chance the insurance company denies me again I will have WLS. And I know that which ever way I go I will be supported by the people I know on the list. We all want the end result, so I sugest that we continue to support each other in that effort. , if you read this would you be willing to re post you research on the comparision that you did. Just one persons opinion Robynn Official troublemaker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2000 Report Share Posted June 6, 2000 , It is Dr. Farrell with UNC-Hospitals in Chapel Hill. He is in the GI Med/Surgery Department. His number is 966-2225 -- In MiniGastricBypass (AT) e, " " wrote: > > > Sorry to change the subject, but could you give me Dr. Ferrel's > address and phone number? I need it for my book. Thanks. > > > > > > Robynn,You do what YOU have to do and be thankful we all have other > > options!!!!!! > Thank > > you,Suzi > > Re: Roux-en-Y > > > > > > >Hi I don't know your name, but I am in the same boat, I do have a > letter > > >into the insurance company for an appeal, and will get an RNY if > all else > > >fails. I would love to have the MGB, but the bottom line is > either > way I > > >get my life back. Just my opinion, e-mail me if you want more > info. > > >rhandr@p... > > >Robynn > > > Roux-en-Y > > > > > > > > >> I recently got approval from my insurance company for surgery. > > >> However, they only provided it from a participating provider, > which > > >> Dr. Rutledge is not. This is a surgeon from UNC who does a > > >> laparoscopic Roux-en-Y. I was counting on my physician to back > me up > > >> and insist that Dr. Rutledge's procedure was the best way to go > since > > >> she had recommended Dr. Rutledge in the first place. I was > surprised > > >> when she recommended I go see the doctor at UNC and see what he > has > > >> to say. She knows the physician at UNC and says he is a great > > >> surgeon and she has referred patient's to him before for other > > >> things. I called him (his name is Dr. Ferrell). He talked with > me > > >> and told me that he was familiar with Dr. Rutledge's procedure > and > > >> does feel that his (Dr. Ferrell's) procedure is the better > > >> procedure. He didn't have time to go into the details on the > phone > > >> and I have an appointment set up with him on 6/19. My PCP feels > that > > >> as long as there is a surgeon in network who can perform obesity > > >> surgery my insurance will never pay an out of network surgeon > > >> especially since Dr. Rutledge use to be on staff at UNC and > left. > My > > >> insurance is Generations, which is cofounded by UNC and WakeMed. > > >> Does anyone out there have Generations? Is anyone out there > familiar > > >> with the laparoscopic Roux-en-Y and know the disadvantages of > this > > >> procedure as compared to Dr. Rutledge's procedure. I am > convinced > > >> that Dr. Rutledge's procedure is the way to go but if I can't get > > >> approval I don't want to pass up something that may work. Any > > >> comments on that?? > > >> > > >> > > >> > -------------------------------------------------------------------- -- > -- > > >> Porsche Boxter. You and a friend. Nine dream days from > > >> Napa Valley to Beverly Hills. Provided by CarsDirect.com. > > >> Click to enter. > > >> http://click.egroups.com/1/4882/2/_/453517/_/960323237/ > > >> > -------------------------------------------------------------------- -- > -- > > >> > > >> 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 > > >> > > >> > > >> > > > > > > > > > >------------------------------------------------------------------- -- > --- > > >Remember Father's Day Is June 18th > > >Click Here For Great Gifts! > > >http://click.egroups.com/1/5037/2/_/453517/_/960332885/ > > > >------------------------------------------------------------------- -- > --- > > > > > >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 > > > > > > Quote Link to comment Share on other sites More sharing options...
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