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Does anyone know how Kaiser Insurance is, and how hard to get approved

with them? It's not for me, I'm post-op, but a friend has asked me to

ask.......Anyone?

Cindy

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Kaiser is fantastic for me! Once you get the referral

to the surgeon, you are already approved!!! My

doctor's actually approached me about it - I thought

Kaiser would never pay for the surgery! I was floored

and thrilled. My doctor told me that a couple of

years ago she had to really fight for the surgery, but

now Kaiser pays for it. Best of luck to your friend.

Betsy

--- Cindy tcr3384@...> wrote:

> Does anyone know how Kaiser Insurance is, and how

> hard to get approved

> with them? It's not for me, I'm post-op, but a

> friend has asked me to

> ask.......Anyone?

> Cindy

>

>

>

----------------------------------------------------------------------

>

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> Does anyone know how Kaiser Insurance is, and how hard to get

approved

> with them? It's not for me, I'm post-op, but a friend has asked me

to

> ask.......Anyone?

> Cindy

Hi!

I just found this great list and would like to introduce myself and

answer this question about Kaiser Permanete.

I had BPD done in Sept of 1997, paid for by insurance other than

Kaiser. My pre-op weight was 307 lbs with a body mass index of

52.7. I now weigh 157 lbs, BMI = 26.9, and wear size 10/12 clothes.

It was a long hard recovery, but I would do it again in a heartbeat.

I also have Kaiser and have used it for most of my follow-up care.

No one I know in Northern California, where I live, has gotten

approval from Kaiser for BPD. Kaiser has a contract with a surgeon

who does RnY in Redwood City for members who qualify for obesity

surgery. It appears that qualification means a serious co-morbid

condition, such as crippling back problems, complications of diabetes

(but not just diabetic, go figure!) etc.

The main glitch in follow-up usually is the relationship with your

regular Kaiser physician. My doc and I had been together for 20

years. I trusted her and she trusted me. Whatever my surgeon

recommended she did. When she left practice in January of this year,

I was transferred to a new doc who just doesn't get that I know more

about my needs than she does. I am now having to make the 600 mile

commute to my surgeon for appropriate follow-up care.

Deborah

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Betsy,

Did you get approved for the BPD/DS or the RNY surgery ?

Anita

Pre-pre-op in Denver

> > Does anyone know how Kaiser Insurance is, and how

> > hard to get approved

> > with them? It's not for me, I'm post-op, but a

> > friend has asked me to

> > ask.......Anyone?

> > Cindy

> >

> >

> >

> --------------------------------------------------------------------

--

> >

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Hi Deborah,

And welcome! You mean you had this surgery that many years ago and did

not have this great support network? I am sorry to hear that! These

people on this list are great, I don't know what I would have done

without them when I was going through my surgery. What a great support

system! I have met some really great friends here too! So what ever you

can contribute with your experience or receive as support from us is all

good!

By the way I absolutely can empathize about the doc not realizing we know

what we need for our bodies now they have been modified better than they.

It is taboo for a mere lay person to know better than the almighty Doc

you know!

Take care>

Vera- Lansdale,Pa

Starting Bmi-61-11/00

Dr. Herron / Dr. Pomp assisting @ Mt. Sinai, New York

Open BPD/DS done 01/26/01

PCP scale ? weeks out -91 lbs gone forever as of 05/24/01

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Cindy,

I have a friend that has been going through the approval process with Kaiser

since about February. She had to see a psychiatrist, and attend a nutrition

class, then get the referral from her pcp. It is now caught up in limbo

somewhere. I am not sure, but I think the only WLS Kaiser is doing right now

is the RnY, either open or lap. Like I said, I'm not sure about it, but it's

definitely worth checking into.

Kim B.

Dr. Anthone USC

DGB/DS-4/18/01

-52lbs

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My doctor used to the the RNY, but is now doing the

BPD/DS and has had other Kaiser patients as well.

--- Anita rowanceleste@...> wrote:

> Betsy,

>

> Did you get approved for the BPD/DS or the RNY

> surgery ?

>

> Anita

> Pre-pre-op in Denver

>

>

> > > Does anyone know how Kaiser Insurance is, and

> how

> > > hard to get approved

> > > with them? It's not for me, I'm post-op, but a

> > > friend has asked me to

> > > ask.......Anyone?

> > > Cindy

> > >

> > >

> > >

> >

>

--------------------------------------------------------------------

> --

> > >

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Betsy,

That's great, at least in Colorado they won't even hear of a distal

RNY let alone a BPD/DS. Where are you located ? Many people,

including myself, end up switching from Kaiser due to them being

inflexible about what type of surgery they offer.

Anita

> > > > Does anyone know how Kaiser Insurance is, and

> > how

> > > > hard to get approved

> > > > with them? It's not for me, I'm post-op, but a

> > > > friend has asked me to

> > > > ask.......Anyone?

> > > > Cindy

> > > >

> > > >

> > > >

> > >

> >

> --------------------------------------------------------------------

> > --

> > > >

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