I also need revision surgery

[Guest guest]

Hi Everyone,

I have been lurking for a couple of weeks and have learned alot from

you. Thank you -- thank you. I had a VBG in 1986 and now it is 17

years later. I have managed to keep off 100 lbs of the original 155 I

lost initially, but I need a revision. I started at 360 lbs, got down

to 205 and then because of depression and other events that were

unfortunate at the time, started to gain weight. (I currently weigh

275) It has been a yo-yo battle since then...

My insurance is BC/BS Federal and I am not sure whether they will do

this for me...does ANYONE out there have a clue as to how to manage

them?

Lynn Palmer

[Guest guest]

BCBS Fed is one of the ones who won't pre-approve the original surgery; you

have it done, submit the bills and hope they pay. They do if you meet the

criteria, etc., but a lot of stress and worry while waiting to see if they

pay and then HOW MUCH they pay. I'd suspect they wouldn't tell you up front

if they'll pay or not. I'm getting close to plastics consults and haven't

found anyone yet who says BCBS paid for that (no one on the lists and AMOS

seems to say ANYTHING; yes or no). No way will I have reconstructive

surgery if the insurance won't approve ahead of time. I can't afford to get

stuck with massive bills.

Might be worth your while to start talking to the other federal insurances

to see if they'll pre-approve and then switch during open season if you find

one. It'd be worth it for a year to do so and you can always go back to

BCBS in 2005. It's something I'm contemplating for my plastics when I'm

ready.

S.

Lap RNY 7/5/02

-132 lbs.

I also need revision surgery

> Hi Everyone,

>

> I have been lurking for a couple of weeks and have learned alot from

> you. Thank you -- thank you. I had a VBG in 1986 and now it is 17

> years later. I have managed to keep off 100 lbs of the original 155 I

> lost initially, but I need a revision. I started at 360 lbs, got down

> to 205 and then because of depression and other events that were

> unfortunate at the time, started to gain weight. (I currently weigh

> 275) It has been a yo-yo battle since then...

>

> My insurance is BC/BS Federal and I am not sure whether they will do

> this for me...does ANYONE out there have a clue as to how to manage

> them?

> Lynn Palmer

>

>

>

> Homepage: http://groups.yahoo.com/group/Graduate-OSSG

>

> Unsubscribe: mailto:Graduate-OSSG-unsubscribe

>

>

>

>

>

[Guest guest]

I've heard so often about insurance cos. not pre-approving surgeries,

but for the life of me, I can't understand how this could be legal.

My only suggestion would be to call your State Dept. of Insurance,

and ask them if you have any recourse. I'd be very curious to hear

what they say about it.

in NJ

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

> BCBS Fed is one of the ones who won't pre-approve the original

surgery; you have it done, submit the bills and hope they pay. They

do if you meet the criteria, etc., but a lot of stress and worry

while waiting to see if they pay and then HOW MUCH they pay. I'd

suspect they wouldn't tell you up front if they'll pay or not. I'm

getting close to plastics consults and haven't found anyone yet who

says BCBS paid for that (no one on the lists and AMOS seems to say

ANYTHING; yes or no). No way will I have reconstructive surgery if

the insurance won't approve ahead of time. I can't afford to get

> stuck with massive bills.

>

> Might be worth your while to start talking to the other federal

insurances to see if they'll pre-approve and then switch during open

season if you find one. It'd be worth it for a year to do so and you

can always go back to BCBS in 2005. It's something I'm contemplating

for my plastics when I'm ready.

>

> S.

> Lap RNY 7/5/02

> -132 lbs.

>

>

[Guest guest]

Only observation, but we have lots of Fed in this area. BSBS has paid for

revisions and for TT that is requested correctly.

Thanks,

Vitalady, Inc. T

www.vitalady.com

If you are interested in PayPal, please click here:

https://www.paypal.com/affil/pal=orders%40vitalady.com

I also need revision surgery

>

>

> > Hi Everyone,

> >

> > I have been lurking for a couple of weeks and have learned alot from

> > you. Thank you -- thank you. I had a VBG in 1986 and now it is 17

> > years later. I have managed to keep off 100 lbs of the original 155 I

> > lost initially, but I need a revision. I started at 360 lbs, got down

> > to 205 and then because of depression and other events that were

> > unfortunate at the time, started to gain weight. (I currently weigh

> > 275) It has been a yo-yo battle since then...

> >

> > My insurance is BC/BS Federal and I am not sure whether they will do

> > this for me...does ANYONE out there have a clue as to how to manage

> > them?

> > Lynn Palmer

> >

> >

> >

> > Homepage: http://groups.yahoo.com/group/Graduate-OSSG

> >

> > Unsubscribe: mailto:Graduate-OSSG-unsubscribe

> >

> >

> >

> >

> >