Guest guest Posted May 10, 2001 Report Share Posted May 10, 2001 I would think all of us could call our state ins commisioner with questions. I mean they should know the laws re insurance changes. Right? Debra the Zookeeper Damian 11(severe comm defecits,mmr,adhd,cp) na 5-too much like mom, 2-thinks she's 5 Bellevue, WA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2011 Report Share Posted August 25, 2011 The MGB is considered an experimental surgery and most insurances will not cover experimental surgery. Elinor R. Florida Dr. P Post-Op (4/20/07) 5' 1 " 53 min./7' bypass Surgery/Now/Goal 278/168-171/130-145 Reynolds-Family-Elinor.blogspot.com Live, love and LAUGH!!!! From: JoAnn Betzold <joannjkb@...> " " < > Sent: Wednesday, July 27, 2011 5:28 PM Subject: ins  Can anybody tell me why Dr. R don't take ins? Because my ins covers the gastic- bypass  JoAnn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2011 Report Share Posted August 25, 2011 So well said, Joyce.  I agree 100%.  I'm still paying for mine 4 1/2 years later (almost paid off), but would pay twice as much to have the good health and ability to do " normal " things like I do now -- no more seat belt extensions on a plane; no more squeezing past people if I need to get out from the middle of a row; no more having to fold my pants legs almost in two to get on a regular hangar; riding a bicycle without worrying that I might pop a tire; shopping for clothes in regular sizes.  These are all " little " things, but they are " woo-hoo " moments to me, and I continue to count new ones to this day.  But the best " woo-hoo " of all -- improved health. ________________________________ From: Oleburpee <oleburpee@...> Sent: Thursday, August 25, 2011 11:01 AM Subject: Re: ins  This is not the run of the mill Gastric Bypass. This one is revisable and reversible, that makes it better than the rest. But, the not covered by insurance is normally because they still do not consider this MGB to be a permanent surgery. Though people are healthier and by far more informed when they have the MGB the insurance companies still are not covering it. (FOOLS) Think about it this way. Insurance or not... If you had a heart problem you would get it fixed one way or the other, right? Well this surgery is the same as having a heart issue, we have food issues and need it to be corrected so we can live longer happier lives. It is well worth the money spent to have it done. I am over 4 years out and still feel great. Have only gained back the normal 10-20% that is talked about in the manual and I eat whatever I want, no sickness, no problems! No more type II diabetes, HBP, acid reflux, high cholesterol, low potassium, sleep apnea, swelling of feet, legs and ankles, less problems with my asthma. My weight stays where it should be and I only have to watch when I get close to the 20% to keep it under that, the rest of the time my life is normal and healthy. I rollerblade, ride bicycle, climb stairs and do anything normal people do now. That was an almost impossible thing before surgery. Good luck and I hope you will join the rest of us with an MGB, regardless of what your insurance says. Joyce Bay City, MI 5/18/07 > > Can anybody tell me why Dr. R don't take ins? Because my ins covers the gastic- bypass >  > JoAnn > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2011 Report Share Posted August 26, 2011 FWIW: My insurance covered the procedure as an out of network event. I paid up front, submitted it and was reimbursed approx 70% I believe (about 12K of the 17K). The copay/deductible was greater due to being out of network. I *did* submit and get pre-approval prior to the event. Marley 6/24/04 HP, NC 246/142 ish > > The MGB is considered an experimental surgery and most insurances will not cover experimental surgery. > > > Elinor R. > Florida > Dr. P > Post-Op (4/20/07) > 5' 1 " > 53 min./7' bypass > Surgery/Now/Goal > 278/168-171/130-145 > Reynolds-Family-Elinor.blogspot.com > > > Live, love and LAUGH!!!! > > From: JoAnn Betzold <joannjkb@...> > " " < > > Sent: Wednesday, July 27, 2011 5:28 PM > Subject: ins > > >  > Can anybody tell me why Dr. R don't take ins? Because my ins covers the gastic- bypass >  > JoAnn > > Quote Link to comment Share on other sites More sharing options...
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