RE: Insurance letter just came!!! question??

[Guest guest]

Spunky: If they also sent a letter to Barbara she will know exactly what they

pay for. It sounds to me as though you are covered as long as it is the

mini-gastric bypass and you do not end up with an admission, That would have

to be pre-certified which the hospital takes care of and you do not have to

worry, WHEN they get the call that you are not going home in 24 hours then

they call and pre-cert. I would consider that it is paid for unless Barbara

tells you differently. Phyllis in fla

hsmotherof4 wrote:

> OHHHH my insurance letter just came in the mail!!! I am doing the happy

> dance all over the house!! ( my kids think I am crazy.. but what else is

> new!)

>

> I am trying to figure out what part of it means however.. anybody out there

> able to help I would be grateful!

>

> Here is what it says:

> " After reviewing the information provided to us, benefits would be

> considered for the functional portion of the sugery ( that means I am

> APPROVED>> RIGHT!!??) However, no cosmetic services will be eligible for

> benefits ( that means a tummy tuck..right??) The actual determination of

> benefits will be based upon the operative reports ( does that mean how much

> they will pay??)

>

> This letter applies to the proposed surgical procedure only. The patient's

> plan requires other pre-authorizations, such as Hospital Pre-authorization

> I knew about that already) and Pre-surgery review ( what the heck is

> THAT?), they will need to be done separately. "

>

> So what do you guys think?

> Spunky

> aka Cindy

>

> ____________NetZero Free Internet Access and Email_________

> Download Now http://www.netzero.net/download/index.html

> Request a CDROM 1-

> ___________________________________________________________

>

>

[Guest guest]

Hey Spunky I am so glad to hear that.....now if we could just get a date

together....

Robin

At 12:52 PM 11/6/00 -0800, you wrote:

>Spunky: If they also sent a letter to Barbara she will know exactly what

they

>pay for. It sounds to me as though you are covered as long as it is the

>mini-gastric bypass and you do not end up with an admission, That would

have

>to be pre-certified which the hospital takes care of and you do not have to

>worry, WHEN they get the call that you are not going home in 24 hours then

>they call and pre-cert. I would consider that it is paid for unless Barbara

>tells you differently. Phyllis in fla

>

>hsmotherof4 wrote:

>

>> OHHHH my insurance letter just came in the mail!!! I am doing the happy

>> dance all over the house!! ( my kids think I am crazy.. but what else is

>> new!)

>>

>> I am trying to figure out what part of it means however.. anybody out

there

>> able to help I would be grateful!

>>

>> Here is what it says:

>> " After reviewing the information provided to us, benefits would be

>> considered for the functional portion of the sugery ( that means I am

>> APPROVED>> RIGHT!!??) However, no cosmetic services will be eligible for

>> benefits ( that means a tummy tuck..right??) The actual determination of

>> benefits will be based upon the operative reports ( does that mean how much

>> they will pay??)

>>

>> This letter applies to the proposed surgical procedure only. The patient's

>> plan requires other pre-authorizations, such as Hospital Pre-authorization

>> I knew about that already) and Pre-surgery review ( what the heck is

>> THAT?), they will need to be done separately. "

>>

>> So what do you guys think?

>> Spunky

>> aka Cindy

>>

>> ____________NetZero Free Internet Access and Email_________

>> Download Now http://www.netzero.net/download/index.html

>> Request a CDROM 1-

>> ___________________________________________________________

>>

>>

[Guest guest]

I'm working on it!! Have you gotten approval from Dr. R yet?? Are you

looking at a certain time in Dec. to have the MGB? I know Nov. is full and

it won't take long for Dec. to fill up either.. I may just have to be one of

the Jan. dancers after all. But that's OK.. as long as I get to dance!!!

Spunky

aka cindy

Re: Insurance letter just came!!!

question??

Hey Spunky I am so glad to hear that.....now if we could just get a date

together....

Robin

At 12:52 PM 11/6/00 -0800, you wrote:

>Spunky: If they also sent a letter to Barbara she will know exactly what

they

>pay for. It sounds to me as though you are covered as long as it is the

>mini-gastric bypass and you do not end up with an admission, That would

have

>to be pre-certified which the hospital takes care of and you do not have to

>worry, WHEN they get the call that you are not going home in 24 hours

then

>they call and pre-cert. I would consider that it is paid for unless

Barbara

>tells you differently. Phyllis in fla

>

>hsmotherof4 wrote:

>

>> OHHHH my insurance letter just came in the mail!!! I am doing the happy

>> dance all over the house!! ( my kids think I am crazy.. but what else is

>> new!)

>>

>> I am trying to figure out what part of it means however.. anybody out

there

>> able to help I would be grateful!

>>

>> Here is what it says:

>> " After reviewing the information provided to us, benefits would be

>> considered for the functional portion of the sugery ( that means I am

>> APPROVED>> RIGHT!!??) However, no cosmetic services will be eligible for

>> benefits ( that means a tummy tuck..right??) The actual determination of

>> benefits will be based upon the operative reports ( does that mean how

much

>> they will pay??)

>>

>> This letter applies to the proposed surgical procedure only. The

patient's

>> plan requires other pre-authorizations, such as Hospital

Pre-authorization

>> I knew about that already) and Pre-surgery review ( what the heck is

>> THAT?), they will need to be done separately. "

>>

>> So what do you guys think?

>> Spunky

>> aka Cindy

>>

>> ____________NetZero Free Internet Access and Email_________

>> Download Now http://www.netzero.net/download/index.html

>> Request a CDROM 1-

>> ___________________________________________________________

>>

>>

[Guest guest]

I have not heard a thing yet. No email and cant get through to a person in

Durham. I know they got my packet on the 2nd because I sent it priority

certified and they had to sign for it. I asked for Dec 29 as first choice.

I wanted to wait until after christmas. The 29th is a friday and I am off

the following weekend. I dont have any vacation yet so I hope not to miss

alot of time from work. Im getting very impatient here....very hard not

to....would really love for us to get a day at the same time. When were

you looking at? I know you said something at lunch about working around

your husbands schedule.

Robin

At 05:18 PM 11/6/00 -0500, you wrote:

>I'm working on it!! Have you gotten approval from Dr. R yet?? Are you

>looking at a certain time in Dec. to have the MGB? I know Nov. is full and

>it won't take long for Dec. to fill up either.. I may just have to be one of

>the Jan. dancers after all. But that's OK.. as long as I get to dance!!!

>Spunky

>aka cindy

>

> Re: Insurance letter just came!!!

>question??

>

>

>Hey Spunky I am so glad to hear that.....now if we could just get a date

>together....

>Robin

>

>

>At 12:52 PM 11/6/00 -0800, you wrote:

>>Spunky: If they also sent a letter to Barbara she will know exactly what

>they

>>pay for. It sounds to me as though you are covered as long as it is the

>>mini-gastric bypass and you do not end up with an admission, That would

>have

>>to be pre-certified which the hospital takes care of and you do not have to

>>worry, WHEN they get the call that you are not going home in 24 hours

>then

>>they call and pre-cert. I would consider that it is paid for unless

>Barbara

>>tells you differently. Phyllis in fla

>>

>>hsmotherof4 wrote:

>>

>>> OHHHH my insurance letter just came in the mail!!! I am doing the happy

>>> dance all over the house!! ( my kids think I am crazy.. but what else is

>>> new!)

>>>

>>> I am trying to figure out what part of it means however.. anybody out

>there

>>> able to help I would be grateful!

>>>

>>> Here is what it says:

>>> " After reviewing the information provided to us, benefits would be

>>> considered for the functional portion of the sugery ( that means I am

>>> APPROVED>> RIGHT!!??) However, no cosmetic services will be eligible for

>>> benefits ( that means a tummy tuck..right??) The actual determination of

>>> benefits will be based upon the operative reports ( does that mean how

>much

>>> they will pay??)

>>>

>>> This letter applies to the proposed surgical procedure only. The

>patient's

>>> plan requires other pre-authorizations, such as Hospital

>Pre-authorization

>>> I knew about that already) and Pre-surgery review ( what the heck is

>>> THAT?), they will need to be done separately. "

>>>

>>> So what do you guys think?

>>> Spunky

>>> aka Cindy

>>>

>>> ____________NetZero Free Internet Access and Email_________

>>> Download Now http://www.netzero.net/download/index.html

>>> Request a CDROM 1-

>>> ___________________________________________________________

>>>

>>>

[Guest guest]

I would like to shoot for the end of Dec. as well.. or the first of Jan. I

figure if I do a Friday then my dh can take off that Friday and Mon and we

should be pretty set. Since I am only 1 hour away I will be able to come

home.. but since i live in the middle of no where land and my dh works 45

min from here, I want him around for a few days after the surgery.. just in

case I need to go to the ER or something.

Spunky

Re: Insurance letter just came!!!

>question??

>

>

>Hey Spunky I am so glad to hear that.....now if we could just get a date

>together....

>Robin

>

>

>At 12:52 PM 11/6/00 -0800, you wrote:

>>Spunky: If they also sent a letter to Barbara she will know exactly what

>they

>>pay for. It sounds to me as though you are covered as long as it is the

>>mini-gastric bypass and you do not end up with an admission, That would

>have

>>to be pre-certified which the hospital takes care of and you do not have

to

>>worry, WHEN they get the call that you are not going home in 24 hours

>then

>>they call and pre-cert. I would consider that it is paid for unless

>Barbara

>>tells you differently. Phyllis in fla

>>

>>hsmotherof4 wrote:

>>

>>> OHHHH my insurance letter just came in the mail!!! I am doing the happy

>>> dance all over the house!! ( my kids think I am crazy.. but what else is

>>> new!)

>>>

>>> I am trying to figure out what part of it means however.. anybody out

>there

>>> able to help I would be grateful!

>>>

>>> Here is what it says:

>>> " After reviewing the information provided to us, benefits would be

>>> considered for the functional portion of the sugery ( that means I am

>>> APPROVED>> RIGHT!!??) However, no cosmetic services will be eligible for

>>> benefits ( that means a tummy tuck..right??) The actual determination of

>>> benefits will be based upon the operative reports ( does that mean how

>much

>>> they will pay??)

>>>

>>> This letter applies to the proposed surgical procedure only. The

>patient's

>>> plan requires other pre-authorizations, such as Hospital

>Pre-authorization

>>> I knew about that already) and Pre-surgery review ( what the heck is

>>> THAT?), they will need to be done separately. "

>>>

>>> So what do you guys think?

>>> Spunky

>>> aka Cindy

>>>

>>> ____________NetZero Free Internet Access and Email_________

>>> Download Now http://www.netzero.net/download/index.html

>>> Request a CDROM 1-

>>> ___________________________________________________________

>>>

>>>