Department of Managed Health Care (in Ca)

[Guest guest]

In a message dated 8/31/01 9:14:23 PM Pacific Daylight Time,

donna_lee777@... writes:

> That reminds me... when I spoke with my doctor

> yesterday, I told him how sad it was that a few people

>

> on the Egroups I belong to have had to go to Spain to

> get surgery. He kinda shrugged and said people have

> been going to Brazil for plastic surgery for years.

> Humph!

>

>

The only difference is plastic surgery is not necessary (In most cases anyway

) and this is to save my life now before I can't fix things. I don't

understand why and how they justify saving an alcoholic or bulemic and they

cant do anything for weight loss....talk about things being idiotic

~~* AJ *~~

Age 37 5'8''

Post op 7/24/01 Open BPD/DS

self pay - Dr Baltasar -Alcoy Spain

07/24/01 BMI 64 415.1

08/06/01 BMI 59 390.2 -24.9 lbs! -10.75 inches

08/16/01 BMI 58 387.0 -28.1 lbs! -11.25 inches

08/24/01 BMI 58 386.5 -28.6 lbs! -15.5 inches

08/30/01 BMI 58 378.3 -36.8 lbs! -21.25 inches

My personal website: www.WLS4AJ.homestead.com

Check out the Bellingham Support Group at WWW.WLSBellingham.homestead.com

[Guest guest]

Hi all !!!

I've lost my 3rd appeal from Blue Cross! I don't believe they even

read the info I sent with the last appeal!

Now I'm preparing to use the Department of Managed health Care in

Sacramento , Ca. Hopefully they will intervine. They do have the power

to overturn blue cross decision!

For now what I could use help & direction with is this:

Someone/anyone who was approved by Blue Cross???

Someone/anyone who was denied , but , you fought with appeals and WON!

Someone/anyone who has used the DMHC to fight the insurance company

and overturn their decision.

any help & direction would be appreciated ...

steve g.

[Guest guest]

Steve, I don't have any information for you but I do

want to say how sorry I am for the crap you're going

through. It's absolutely ridiculous. They'll pay for

everything related to being overweight (diabetes,

apnea, etc.) but won't help you get thinner!

GRrrrrrrrrrr

dee

--- sfgclimbhi@... wrote:

> Hi all !!!

>

> I've lost my 3rd appeal from Blue Cross! I don't

> believe they even

> read the info I sent with the last appeal!

>

> Now I'm preparing to use the Department of Managed

> health Care in

> Sacramento , Ca. Hopefully they will intervine. They

> do have the power

> to overturn blue cross decision!

>

> For now what I could use help & direction with is

> this:

>

> Someone/anyone who was approved by Blue Cross???

>

> Someone/anyone who was denied , but , you fought

> with appeals and WON!

> Someone/anyone who has used the DMHC to fight the

> insurance company

> and overturn their decision.

>

> any help & direction would be appreciated ...

>

> steve g.

>

>

>

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

>

[Guest guest]

That reminds me... when I spoke with my doctor

yesterday, I told him how sad it was that a few people

on the Egroups I belong to have had to go to Spain to

get surgery. He kinda shrugged and said people have

been going to Brazil for plastic surgery for years.

Humph!

dee

*****************

--- lookn2bthin@... wrote:

I gave up and went to Spain...I'm not done yet but I'm

waiting till I can go and make news somewhere

else....I

think its horrible.

**********

>

> ~~* AJ *~~

> Age 37 5'8''

> Post op 7/24/01 Open BPD/DS

> self pay - Dr Baltasar -Alcoy Spain

> 07/24/01 BMI 64 415.1

>

> 08/06/01 BMI 59 390.2 -24.9 lbs! -10.75

> inches

> 08/16/01 BMI 58 387.0 -28.1 lbs! -11.25

> inches

> 08/24/01 BMI 58 386.5 -28.6 lbs! -15.5

> inches

> 08/30/01 BMI 58 378.3 -36.8 lbs! -21.25

> inches

>

> My personal website: www.WLS4AJ.homestead.com

>

> Check out the Bellingham Support Group at

> WWW.WLSBellingham.homestead.com

>

>

> [Non-text portions of this message have been

> removed]

>

>

>

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

>

[Guest guest]

At 21:13 -0700 8/31/01, Dee sat down at the keyboard and wrote:

> He kinda shrugged and said people have

>been going to Brazil for plastic surgery for years.

>Humph!

grrrr! I hate that kind of 'so what?' attitude! I'm sorry, but

equating life-saving surgery with make-me-look-like-my-daughter

surgery just gets my goat bigtime.

--stella

[Guest guest]

Gwen , thank you for the info. It may prove useful.

Steve G.

> I have federal blue cross and my surgery was in June and bcbs paid

without

> difficulty. I may have a different policy than you do.

>

>

>