Re: Blue Cross -- I would appreciate info as well!!ME TOO

[Guest guest]

Hi Group,

I'm not totally up with all thats been happeniung as I only get to my

computer about once a week, I have about 2000 (no exageration) but I will reed

them eventually when Camp is over. I am very interested in any info on BC/BS in

any state, as I was told by the DR. who was my first choice, he is here in my

state of Maine, that they were approving and are now denying DS. I think almost

all the BC/BS in Maine is Anthem BC/BS as they took ours over, bought them or

something. I have an HMO and they paid for my initial consult but I do not think

they knew I wanted the DS, as this doc does a lot of RNY's. I have not gone back

to him as he has dedieded to not do any DS's for a year. He says it is because

of the insurance companys. ????? I am hoping to go see DR. Ren in the fall when

my summer job is over as I have no time in the summerto go anywhere, evn home.

Good luck to all who have been switched or a being switched I hope to hear all

about it when I get time to catch up on my e-mail.

Darlene from Maine

Darlene

Pre-op

BMI 49

waiting ?????

whats up with

BC/BC?????

Blue Cross -- I would appreciate info as well!!

Like Steve, I second his emotion -- I too would like information on Blue

Cross in California -- specifically I would like to know where the people

are out there who got turned down and what their story was in the last few

months (what specific plan were they on, why were they denied?).

For instance, has anyone been told they were specifically turned down for

DS due to malabsorption., or that it was investigative -- or what?

Also, who HAS been approved in the last couple months (blue cross HMO or

PPO?) And why do you think you got approved -- did you have a pile of

information BEFORE you sent the authorization request, or did you have a

medical group that helped, or what?

I have posted before and not had the greatest luck getting information on

this. I realize people may be scared, and this is very personal, but for

those following the legacy of many successful surgeries, we need

help. Also, many of us have been doing much more research than those

before us and we might be able to shed light even for those going through

their first appeal.....I for one have collected and organized a ton of stuff.

We all may have something to share that will help the other. I certainly

don't want to see them ban this surgery, and as I understand it, this group

can help tremendously in sharing and helping the next person....I'm not

talking class action anything, I'm just talking simple info sharing (names

never have to be mentioned).

Also, has anyone had experience with the 6-month pre-existing, when just

joining as a spouse? I don't know if it's a problem, maybe someone could

shed some light on that too.

Willing to chat offline on any of this, if people feel this is too specific

....

Thanks so much.

At 05:43 PM 8/7/01 +0000, duodenalswitch wrote:

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