Guest guest Posted June 23, 2001 Report Share Posted June 23, 2001 Hi guys, it's me again. Just wanted to update a little and ask a few questions. I checked out the Providence web site, and Dr. Emma is on the site... she's who I think I want to do my wls (D/S). SO that means, she's in the " network. " THEN, I came across this on the exclutions page... what do you think? " All services and supplies related to the treatment of obesity, unless there are complications by an organic disease such as diabetes or hypertension. A member may be referred for two (2) visits for nutritional counseling. Dietary therapy including medically supervised formula weight-loss programs or unsupervised self-managed programs utilizing over-the-counter weight loss formulas are not covered. " I have sleep apnea, Polycystic Ovarian Syndrom, insulin resistance (which will eventually lead to diabetes),infertility, and back and knee joint pain. I do not have hypertension and do not currently have diabetes. I have, however, been to *2* nutritional counseling sessions in the past 5 years... one in Missouri, and one in Mayo. I can not get any information regarding the surgery from Providence because I've only lived in Oregon since April and I haven't been sick enough to pick out a PCP. Without a PCP, I am not " offically " in the computer and I can't call and ask questions about what they offer or exclude. So, I'm winging it until I pick a PCP. Thanks for your help in advance, e ===== There are two worlds: the world that we can measure with line and rule.. and, the world that we feel with our hearts and imagination. " Be kind, for everyone you meet is fighting a harder battle. " -Plato __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2001 Report Share Posted June 23, 2001 > Hi guys, it's me again. > > Just wanted to update a little and ask a few questions. I > checked out the Providence web site, and Dr. Emma > is on the site... > e > > Hi e; I don't know if you are already a member of Dr. 's group or not. In case you didn't know about it, you can find her yahoo group at < > You might find others who've had experience with Providence over there. Amber (Dr. 's manager) can probably offer you some advice. If Dr. is in Providence's network, they obviously are aware of what they're dealing with. Good luck and see you on the OSSGDRPATTERSON group! hugs, gobo DS/Pre-op Surgery 7/9/01 Dr. BMI 55 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2001 Report Share Posted June 23, 2001 e, I am a Providence employee, and familiar with many of the physicians in the area. What is your insurance? Maybe I can steer you toward a WLS friendly PCP. dina Info needed Hi guys, it's me again. Just wanted to update a little and ask a few questions. I checked out the Providence web site, and Dr. Emma is on the site... she's who I think I want to do my wls (D/S). SO that means, she's in the " network. " THEN, I came across this on the exclutions page... what do you think? " All services and supplies related to the treatment of obesity, unless there are complications by an organic disease such as diabetes or hypertension. A member may be referred for two (2) visits for nutritional counseling. Dietary therapy including medically supervised formula weight-loss programs or unsupervised self-managed programs utilizing over-the-counter weight loss formulas are not covered. " I have sleep apnea, Polycystic Ovarian Syndrom, insulin resistance (which will eventually lead to diabetes),infertility, and back and knee joint pain. I do not have hypertension and do not currently have diabetes. I have, however, been to *2* nutritional counseling sessions in the past 5 years... one in Missouri, and one in Mayo. I can not get any information regarding the surgery from Providence because I've only lived in Oregon since April and I haven't been sick enough to pick out a PCP. Without a PCP, I am not " offically " in the computer and I can't call and ask questions about what they offer or exclude. So, I'm winging it until I pick a PCP. Thanks for your help in advance, e ===== There are two worlds: the world that we can measure with line and rule.. and, the world that we feel with our hearts and imagination. " Be kind, for everyone you meet is fighting a harder battle. " -Plato __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2001 Report Share Posted June 23, 2001 I had the exact same exclusion.. but since I'm morbidly obese instead of merely obese, I was not excluded. What's your BMI? Liane > Hi guys, it's me again. > > Just wanted to update a little and ask a few questions. I checked > out the Providence web site, and Dr. Emma is on the > site... she's who I think I want to do my wls (D/S). SO that means, > she's in the " network. " THEN, I came across this on the exclutions > page... what do you think? > > " All services and supplies related to the treatment of obesity, > unless there are complications by an organic disease such as > diabetes or hypertension. A member may be referred for two (2) visits > for nutritional counseling. Dietary therapy including medically > supervised formula weight-loss programs or unsupervised self-managed > programs utilizing over-the-counter weight loss formulas are not > covered. " > > I have sleep apnea, Polycystic Ovarian Syndrom, insulin resistance > (which will eventually lead to diabetes),infertility, and back and > knee joint pain. I do not have hypertension and do not currently > have diabetes. I have, however, been to *2* nutritional counseling > sessions in the past 5 years... one in Missouri, and one in Mayo. > > I can not get any information regarding the surgery from Providence > because I've only lived in Oregon since April and I haven't been sick > enough to pick out a PCP. Without a PCP, I am not " offically " in the > computer and I can't call and ask questions about what they offer or > exclude. So, I'm winging it until I pick a PCP. > > Thanks for your help in advance, > e > > > ===== > > There are two worlds: > the world that we can measure with line and rule.. and, > the world that we feel with our hearts and imagination. > > " Be kind, for everyone you meet is fighting a harder battle. " -Plato > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.