Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 I could change to the Delano Medical Group if I go to live with my Aunt who lives 20 miles from there. That is my only real option. My understanding is that the Delano Medical Group will not even consider talking about a WLS for 6 months after you switch to them. Then.... Health Net told me today that they have decided NOT to pay for the DS at all... period. Whether this is true or not... or just someone jerking me around... ? who knows. I cried myself sick this afternoon. Elle > Subject: Re: health net troubles > Elle I'm curious. Would you be able to change PCP's to a friendly > medical grooup, or is there a problem with that? > > Chris Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 Hi, my name is A. Vickers and I was in a similar situation, I am now with DRMG. I have had some interesting experiences and am still seeking approval. I uprooted and moved my life here, if the surgery is something that you are serious about the PCPs are serious about helping you, you just have to be willing to wait. It took me six months to get a consult approved with the surgeon. Prayer also helps. Good Luck Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 Hi av. vickers again, I just checked into https://my-careentree.com/cgi-bin/replicator/view.cgi/11409/enroll1.htm Dr. K in Delano is listed with them. If you have to self-pay or use with your insurance you might want to try this. I signed up. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 Ohhhhh! Oh Elle. Remember that they tell us these things to wear us down. Since they do it to everyone it must be pretty effective. I've been bingeing like crazy! Is your current IPA the only one in your area that contracts w/DRMC? Where do you live? Can you change insurers? Or surgeons? Could you afford Spain ($11K+travel)? Or Walter ($700)? Did you send that letter you wrote? I'm sure you've been over this in the insurance group so forgive me for asking again! I get people's stories mixed up. :-/ One thing that bothered me was that your insurance gave you only one appeal. Someone mentioned that that didn't sound right, and it seems to me I remember reading somewhere that you get more than one. Of course Hull would know about that. It just seems like if we all put our heads together we could find a solution! Chris > I could change to the Delano Medical Group if I go to live with my Aunt who > lives 20 miles from there. That is my only real option. My understanding > is that the Delano Medical Group will not even consider talking about a WLS > for 6 months after you switch to them. Then.... Health Net told me today > that they have decided NOT to pay for the DS at all... period. Whether this > is true or not... or just someone jerking me around... ? who knows. > > I cried myself sick this afternoon. > > Elle > > >From: <msnoaccess@y...> > Subject: Re: health net troubles > > > > Elle I'm curious. Would you be able to change PCP's to a friendly > > medical grooup, or is there a problem with that? > > > > Chris Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2001 Report Share Posted October 17, 2001 Re: health net troubles > Could you afford Spain ($11K+travel)? ~~~~~~~~~~~~~~~~~~~~~~~~ Dr. Baltasar is charging $11K. There is the doctor in Brazil, Dr. Marchesini, jbm@... , who has a great curriculum vitae, who is performing the DS for $7,000. He only leaves a 2 cm. duodenum, like the NY doctors so malabsorbtion might be a bit excessive. You might be able to discuss that issue with him as well as discuss other fine points about his version of the DS. He speaks English fluently. He should be added to the list of options for the uninsured. Best- Nick in Sage Dr. Keshishian 8/30/00 Quote Link to comment Share on other sites More sharing options...
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