Guest guest Posted September 5, 2000 Report Share Posted September 5, 2000 , One more...I was approved for open RNY 1st. Then denied for Dr. R! No exclusions... no reasons...maybe I'll finally find out at my appeals meeting next week. Sometimes it crosses my mind that the co. has been bought out by another co. effective Jan. 1, 01. Just putting me off till then?? Who knows...Tami Re: insurance approval... > TKirrie@... wrote: > > > > Hi everyone, > > > > I am just curious ... were any of you approved by your insurance for an open > > RNY before you got approved for a MGB? I would think that any insurance > > company that would approve an open RNY would approve a MGB. I am nervous that > > things have went so smooth so far and now because I changed my mind on which > > procedure to have ... my insurance won't approve me. > > > There are two primary reasons insurance companies turn you down: > > (1) You have an exclusion in your policy; > > (2) You haven't proved that surgery is medically necessary to treat your > obesity. > > > Obviously, #1 does not apply to you or you could not be approved at all. > > You *have* to have proved surgery was medically necessary, or you would > have been denied based on #2. > > With one memorable exception, generally insurance companies are not > concerned with which variation of a gastric bypass you get, what they > are concerned about is whether or not you need *any* gastric bypass -- > an you've already established that. That is why you were approved for > the open RNY. > > You should be fine. The MGB costs about 1/4 of what the open RNY costs, > so they should be doing a tap dance when they find out you are having > the MGB instead of the open RNY. > > > > Kind regards, > > > > > > > I am going to call them > > tomorrow just to see what they say. I know I am probably jumping the gun but > > I waited for a whole year for approval for the Open RNY. I don't want > > anything to stand in the way of this surgery. I am trying so hard to stay > > positive. > > > > Terri > > > > 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 > > > > and for more on the MGB,Don't miss : > > http://www.fourlane.com/mgb > > > > To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > 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 > > and for more on the MGB,Don't miss : > http://www.fourlane.com/mgb > > To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > > Quote Link to comment Share on other sites More sharing options...
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