Re: I'm approved---I think!

[Guest guest]

I think you are free to syrup yourself all up!! Congrats!!

Holly

[Guest guest]

Same thing happened to me, only I was originally approved for the FOBI.

Do the happy dance. The issue is medical necessity, not which procedure

you're getting. The pre-cert means you established you need a gastric

bypass and they cover bypasses.

Woohoo!!!!!

Cher Cokash wrote:

>

> I got a call Friday p.m. from Blue Cross/Blue Shield of AZ that I was

> approved for my gastric bypass, they gave me a certification # and

> everything. I was at the laundromat with my 4 boys and started

> screaming until she said, " So when are you having your Open-RNY? "

> I shuttered. 2 months ago I was going to have an Open RNY until I

> found this website. I notified them over a month ago of the change

> but they could never get it off their computer. All the insurance

> paperwork was submitted about the mini and I was told that this is

> what would go in front of the medical review board. Obviously, that

> didn't happen. BUT she said, " no problem " , you have a certificantion

> #,

> we have all your paperwork, just have the doctor's office call Monday

> to confirm who and where the mini is being done.

> So what do you think guys?? I got the syrup and I'm ready to do the

> happy dance. Should I???

> AZ-Cher Keeping her fingers crossed!

>

>

>

> 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

>

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[Guest guest]

In a message dated 8/19/2000 9:38:08 PM Eastern Daylight Time,

CC2248@... writes:

<< I got a call Friday p.m. from Blue Cross/Blue Shield of AZ that I was

approved for my gastric bypass, they gave me a certification # and

everything >>

Yay for you!!! And that makes me pretty positive, too, as I have

BlueCross/BlueShield of Florida.. let's hope they approve the same, huh?

:::wishful thinking:::

Robin

Wife to Doug

Mommy to Tyler, 4 yrs., and Brennan, 1 yr.

Singer, wife, mom, secretary.. and not in that particular order.

[Guest guest]

Hey everyone!

I have a question about BCBS. I read in my certificate booklet that it won't

cover gastic bypass.

It reads:

Any serfices or supplies for the treatment of obesity, including but not

limited to, weight reduction, surgical care, medical care or Prescription

Drugs, or dietary control related to covered nutritional sustenance products

(food) related to enteral feeding except when it's the sole mean of nutrition.

Food supplements. Services for Inpatient treatment of bulimia, anorexia or

other eating disorders which consist primarily of behavior modification, diet

and weight monitoring and education. Any services or supplies that involve

weight reduction as the main method of treatment, including medical, surgical

or psychiatric care or counseling. Weight loss programs, nutritional

supplements, appetite suppressants, and supplies of a similar nature.

Procedures including but not limited to liposuction, gastric bypasses, gastric

balloons, stomach stapling, jejunal bypasses, and wiring of the jaw.

I have BCBS of Georgia and it's an HMO. It also says:

Benefits

All covered services must be medically necessary

Does anyone else out there have this kind of clause in there benefits. And if

so, has anyone been approved by there insurance company with this clause in it?

Any help would be greatly appreciated!!!!

King

Phenix City, Alabama

Weight = 270 lbs.

Height = 5'3 "

BMI = 47

MomInSWFL@... wrote:

> In a message dated 8/19/2000 9:38:08 PM Eastern Daylight Time,

> CC2248@... writes:

>

> << I got a call Friday p.m. from Blue Cross/Blue Shield of AZ that I was

> approved for my gastric bypass, they gave me a certification # and

> everything >>

>

> Yay for you!!! And that makes me pretty positive, too, as I have

> BlueCross/BlueShield of Florida.. let's hope they approve the same, huh?

> :::wishful thinking:::

>

> Robin

> Wife to Doug

> Mommy to Tyler, 4 yrs., and Brennan, 1 yr.

> Singer, wife, mom, secretary.. and not in that particular order.

>

>

>

> 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

>

> To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com