Any out of state patients... a question?

[Guest guest]

I am from Virginia and had no problem getting my insurance to cover

Dr. Rutledge. He is THE ONLY DR I would ever let operate on me for a

BYPASS!!!! HE has the knowledge and experience!!!!!

FIGHT THIS@!!!!!! YOU DESERVE THE BEST!!!!!!!!!!!!!!!!!!

Patti....Transplant from Wappingers Falls, New York to

Roanoke,Virginia

LAP & Hernia Repair

2/1/99 287lbs

4/1/99 -40.5 lbs

Dr. Rutledge ...Wonderful Dr!!!!!!

Live life to the fullest!!!!!!!!!!

_______________________________________________________________

Get Free Email and Do More On The Web. Visit http://www.msn.com

[Guest guest]

I am from Virginia and had no problem getting my insurance to cover

Dr. Rutledge. He is THE ONLY DR I would ever let operate on me for a

BYPASS!!!! HE has the knowledge and experience!!!!!

FIGHT THIS@!!!!!! YOU DESERVE THE BEST!!!!!!!!!!!!!!!!!!

Patti....Transplant from Wappingers Falls, New York to

Roanoke,Virginia

LAP & Hernia Repair

2/1/99 287lbs

4/1/99 -40.5 lbs

Dr. Rutledge ...Wonderful Dr!!!!!!

Live life to the fullest!!!!!!!!!!

_______________________________________________________________

Get Free Email and Do More On The Web. Visit http://www.msn.com

[Guest guest]

I am from Virginia and had no problem getting my insurance to cover

Dr. Rutledge. He is THE ONLY DR I would ever let operate on me for a

BYPASS!!!! HE has the knowledge and experience!!!!!

FIGHT THIS@!!!!!! YOU DESERVE THE BEST!!!!!!!!!!!!!!!!!!

Patti....Transplant from Wappingers Falls, New York to

Roanoke,Virginia

LAP & Hernia Repair

2/1/99 287lbs

4/1/99 -40.5 lbs

Dr. Rutledge ...Wonderful Dr!!!!!!

Live life to the fullest!!!!!!!!!!

_______________________________________________________________

Get Free Email and Do More On The Web. Visit http://www.msn.com

[Guest guest]

Those of you who have been approved by out of state

insurance - did any of you run into the statement

" Gastric Bypass Surgery can be performed locally " ? My

insurance co. said this is why I was denied. WHen I

first called and questioned this, they told me that I

met the criterior for approval, but I would have to

have a local surgeon deem the lap procedure medically

necessary over the open procedure. So I put in a call

to a local surgeon, who emailed me with some

not-so-nice oppinions about the Lap procedure.

Needless to say - he is not going to reccommend me. I

called my ins. company to ask more questions about

trying for the straight appeal, and this time they

told me that I had to establish care with a local

surgeon so they can first determine if I am even

eligible for coverage of WLS. HUNH? They spent almost

a month " requesting more info " .... " contacting

doctors " ... " requesting records " ...yada,yada,yada -

and all of a sudden they don't know if I qualify for

coverage? WHat's up with that? The customer Rep. was

nice enough to tell me that they usually don't cover

out-of-network providers because there is no set price

limit and the surgeon can charge whatever they want

and the ins. would have to pay it. So I asked, what if

Dr. R agrees to their allowable charge? Easy question

right? Then they went back to the " MUST ESTABLICH CARE

WITH LOCAL SURGEON TO DETERMINE ELIGIBILITY " - I want

to scream - I am so confused - and on top of

everything - I have been unable to get in touch with

Dr. Rutledge. From what I have heard from other

patients, I trust that he will be able to point me in

the right direction. Am I dreaming? Am I ever going to

get this second chance at a normal life, free of

everyday joint pain and social embarrassment? Any

advice would be appreciated! Thanks,

Tara Lynn

26yo, BMI41

Norfolk, Va

Optima Ins, Getting ready to appeal

Professional Boobie trickster

Mommy to Sam,Professional Actress

Artistic director for Children's Theatre COmpany

--- Tim O'Toole wrote:

>

>

> stats are an excellent idea if i can remember to put

> them in. does anyone

> have an invitation or key code whatever to get in

> the ecircles thing?

> carrie otoole 34

> candy@...

> pre-op married 2 boys

> bmi51

>

> Pam Greer wrote:

>

> >

> >

> > I know what you mean about forgetting.....even

> with the roll call.

> > That's why I suggested brief update and stats as

> part of the signature

> > line.......Haven't heard from anyone else on

> whether they think this

> > would be a good addition or not.

> > the sistah thing

> >

> > >

> > >

> > >Hey all,

> > >

> > >I can relate about the sister thing...

> > >

> > >My sister and I went to Dr R's clinic together ..

> she with her

> > husband

> > >and me with my Prince .. so .. sisters do share

> things don't they...

> > she

> > >hasn't posted here and she hasn't indicated that

> she even has the

> > list

> > >.. guess I should just ask her .. I mean .. her

> office is right next

> > >door to mine so, what's my excuse for not

> knowing.. *LOL* I think

> > I'm

> > >the talker in the family .. she's so shy at times

> I'm not sure she

> > would

> > >post here..

> > >

> > >OH, another thing .. DESPITE the roll call.. I

> still can't keep all

> > the

> > >names straight, dagburn it .. AM I the ONLY one

> who has this

> > >problem???? I hate it cause I really love people

> and am usually

> > GREAT

> > >with names but .. geez, I've met so many and many

> of you have

> > personally

> > >emailed me ... anyway... if I goof or ask your

> stats or whatever ...

> > >PUHLEEEEEZE forgive me ...

> > >

> > >Cheryl

> > >

> > >

> >

>

>---------------------------------------------------------------------

> > ---

> > >

[Guest guest]

Dear Tara,

Don't give up on Dr. R. We've just sung his praises so much he must

be staying covered up. You might want to touch base with Walter

Lindstrom. I think his web site is Walter@... He may have

some info on his site about the " local surgeon " thing. Why did your

other surgeon object to the " lap thing " ? Kathy might also

have some insight. I think her web address is thestewarts@...

the sistah thing

>> >

>> > >

>> > >

>> > >Hey all,

>> > >

>> > >I can relate about the sister thing...

>> > >

>> > >My sister and I went to Dr R's clinic together ..

>> she with her

>> > husband

>> > >and me with my Prince .. so .. sisters do share

>> things don't they...

>> > she

>> > >hasn't posted here and she hasn't indicated that

>> she even has the

>> > list

>> > >.. guess I should just ask her .. I mean .. her

>> office is right next

>> > >door to mine so, what's my excuse for not

>> knowing.. *LOL* I think

>> > I'm

>> > >the talker in the family .. she's so shy at times

>> I'm not sure she

>> > would

>> > >post here..

>> > >

>> > >OH, another thing .. DESPITE the roll call.. I

>> still can't keep all

>> > the

>> > >names straight, dagburn it .. AM I the ONLY one

>> who has this

>> > >problem???? I hate it cause I really love people

>> and am usually

>> > GREAT

>> > >with names but .. geez, I've met so many and many

>> of you have

>> > personally

>> > >emailed me ... anyway... if I goof or ask your

>> stats or whatever ...

>> > >PUHLEEEEEZE forgive me ...

>> > >

>> > >Cheryl

>> > >

>> > >

>> >

>>

>>--------------------------------------------------------------------

-

>> > ---

>> > >

[Guest guest]

Dear Tara,

Don't give up on Dr. R. We've just sung his praises so much he must

be staying covered up. You might want to touch base with Walter

Lindstrom. I think his web site is Walter@... He may have

some info on his site about the " local surgeon " thing. Why did your

other surgeon object to the " lap thing " ? Kathy might also

have some insight. I think her web address is thestewarts@...

the sistah thing

>> >

>> > >

>> > >

>> > >Hey all,

>> > >

>> > >I can relate about the sister thing...

>> > >

>> > >My sister and I went to Dr R's clinic together ..

>> she with her

>> > husband

>> > >and me with my Prince .. so .. sisters do share

>> things don't they...

>> > she

>> > >hasn't posted here and she hasn't indicated that

>> she even has the

>> > list

>> > >.. guess I should just ask her .. I mean .. her

>> office is right next

>> > >door to mine so, what's my excuse for not

>> knowing.. *LOL* I think

>> > I'm

>> > >the talker in the family .. she's so shy at times

>> I'm not sure she

>> > would

>> > >post here..

>> > >

>> > >OH, another thing .. DESPITE the roll call.. I

>> still can't keep all

>> > the

>> > >names straight, dagburn it .. AM I the ONLY one

>> who has this

>> > >problem???? I hate it cause I really love people

>> and am usually

>> > GREAT

>> > >with names but .. geez, I've met so many and many

>> of you have

>> > personally

>> > >emailed me ... anyway... if I goof or ask your

>> stats or whatever ...

>> > >PUHLEEEEEZE forgive me ...

>> > >

>> > >Cheryl

>> > >

>> > >

>> >

>>

>>--------------------------------------------------------------------

-

>> > ---

>> > >

[Guest guest]

Dear Tara,

Don't give up on Dr. R. We've just sung his praises so much he must

be staying covered up. You might want to touch base with Walter

Lindstrom. I think his web site is Walter@... He may have

some info on his site about the " local surgeon " thing. Why did your

other surgeon object to the " lap thing " ? Kathy might also

have some insight. I think her web address is thestewarts@...

the sistah thing

>> >

>> > >

>> > >

>> > >Hey all,

>> > >

>> > >I can relate about the sister thing...

>> > >

>> > >My sister and I went to Dr R's clinic together ..

>> she with her

>> > husband

>> > >and me with my Prince .. so .. sisters do share

>> things don't they...

>> > she

>> > >hasn't posted here and she hasn't indicated that

>> she even has the

>> > list

>> > >.. guess I should just ask her .. I mean .. her

>> office is right next

>> > >door to mine so, what's my excuse for not

>> knowing.. *LOL* I think

>> > I'm

>> > >the talker in the family .. she's so shy at times

>> I'm not sure she

>> > would

>> > >post here..

>> > >

>> > >OH, another thing .. DESPITE the roll call.. I

>> still can't keep all

>> > the

>> > >names straight, dagburn it .. AM I the ONLY one

>> who has this

>> > >problem???? I hate it cause I really love people

>> and am usually

>> > GREAT

>> > >with names but .. geez, I've met so many and many

>> of you have

>> > personally

>> > >emailed me ... anyway... if I goof or ask your

>> stats or whatever ...

>> > >PUHLEEEEEZE forgive me ...

>> > >

>> > >Cheryl

>> > >

>> > >

>> >

>>

>>--------------------------------------------------------------------

-

>> > ---

>> > >

[Guest guest]

from my understandin the lap is the new cool way to operate everyone will be

doing it someday.What bad things did he have to say about the lap way? is he

a bariatric surgeon? find a surgeon that has jumped on the lap bandwagon

techniques are like religion to some dr. they believe in no other way that

their way is the best so find one that

agrees with you on that point. the ins is just hoping that if they make this

to complicated you will give up, pay for your own surgery,or cancel your

coverage.they are just trying to dazzle you with their fast and fancy

footwork making you jump through hoops. power trip maybe?

Tara Lynn Dimirsky wrote:

>

>

> Those of you who have been approved by out of state

> insurance - did any of you run into the statement

> " Gastric Bypass Surgery can be performed locally " ? My

> insurance co. said this is why I was denied. WHen I

> first called and questioned this, they told me that I

> met the criterior for approval, but I would have to

> have a local surgeon deem the lap procedure medically

> necessary over the open procedure. So I put in a call

> to a local surgeon, who emailed me with some

> not-so-nice oppinions about the Lap procedure.

> Needless to say - he is not going to reccommend me. I

> called my ins. company to ask more questions about

> trying for the straight appeal, and this time they

> told me that I had to establish care with a local

> surgeon so they can first determine if I am even

> eligible for coverage of WLS. HUNH? They spent almost

> a month " requesting more info " .... " contacting

> doctors " ... " requesting records " ...yada,yada,yada -

> and all of a sudden they don't know if I qualify for

> coverage? WHat's up with that? The customer Rep. was

> nice enough to tell me that they usually don't cover

> out-of-network providers because there is no set price

> limit and the surgeon can charge whatever they want

> and the ins. would have to pay it. So I asked, what if

> Dr. R agrees to their allowable charge? Easy question

> right? Then they went back to the " MUST ESTABLICH CARE

> WITH LOCAL SURGEON TO DETERMINE ELIGIBILITY " - I want

> to scream - I am so confused - and on top of

> everything - I have been unable to get in touch with

> Dr. Rutledge. From what I have heard from other

> patients, I trust that he will be able to point me in

> the right direction. Am I dreaming? Am I ever going to

> get this second chance at a normal life, free of

> everyday joint pain and social embarrassment? Any

> advice would be appreciated! Thanks,

> Tara Lynn

> 26yo, BMI41

> Norfolk, Va

> Optima Ins, Getting ready to appeal

> Professional Boobie trickster

> Mommy to Sam,Professional Actress

> Artistic director for Children's Theatre COmpany

>

> --- Tim O'Toole wrote:

> >

> >

> > stats are an excellent idea if i can remember to put

> > them in. does anyone

> > have an invitation or key code whatever to get in

> > the ecircles thing?

> > carrie otoole 34

> > candy@...

> > pre-op married 2 boys

> > bmi51

> >

> > Pam Greer wrote:

> >

> > >

> > >

> > > I know what you mean about forgetting.....even

> > with the roll call.

> > > That's why I suggested brief update and stats as

> > part of the signature

> > > line.......Haven't heard from anyone else on

> > whether they think this

> > > would be a good addition or not.

> > > the sistah thing

> > >

> > > >

> > > >

> > > >Hey all,

> > > >

> > > >I can relate about the sister thing...

> > > >

> > > >My sister and I went to Dr R's clinic together ..

> > she with her

> > > husband

> > > >and me with my Prince .. so .. sisters do share

> > things don't they...

> > > she

> > > >hasn't posted here and she hasn't indicated that

> > she even has the

> > > list

> > > >.. guess I should just ask her .. I mean .. her

> > office is right next

> > > >door to mine so, what's my excuse for not

> > knowing.. *LOL* I think

> > > I'm

> > > >the talker in the family .. she's so shy at times

> > I'm not sure she

> > > would

> > > >post here..

> > > >

> > > >OH, another thing .. DESPITE the roll call.. I

> > still can't keep all

> > > the

> > > >names straight, dagburn it .. AM I the ONLY one

> > who has this

> > > >problem???? I hate it cause I really love people

> > and am usually

> > > GREAT

> > > >with names but .. geez, I've met so many and many

> > of you have

> > > personally

> > > >emailed me ... anyway... if I goof or ask your

> > stats or whatever ...

> > > >PUHLEEEEEZE forgive me ...

> > > >

> > > >Cheryl

> > > >

> > > >

> > >

> >

> >---------------------------------------------------------------------

> > > ---

> > > >

[Guest guest]

from my understandin the lap is the new cool way to operate everyone will be

doing it someday.What bad things did he have to say about the lap way? is he

a bariatric surgeon? find a surgeon that has jumped on the lap bandwagon

techniques are like religion to some dr. they believe in no other way that

their way is the best so find one that

agrees with you on that point. the ins is just hoping that if they make this

to complicated you will give up, pay for your own surgery,or cancel your

coverage.they are just trying to dazzle you with their fast and fancy

footwork making you jump through hoops. power trip maybe?

Tara Lynn Dimirsky wrote:

>

>

> Those of you who have been approved by out of state

> insurance - did any of you run into the statement

> " Gastric Bypass Surgery can be performed locally " ? My

> insurance co. said this is why I was denied. WHen I

> first called and questioned this, they told me that I

> met the criterior for approval, but I would have to

> have a local surgeon deem the lap procedure medically

> necessary over the open procedure. So I put in a call

> to a local surgeon, who emailed me with some

> not-so-nice oppinions about the Lap procedure.

> Needless to say - he is not going to reccommend me. I

> called my ins. company to ask more questions about

> trying for the straight appeal, and this time they

> told me that I had to establish care with a local

> surgeon so they can first determine if I am even

> eligible for coverage of WLS. HUNH? They spent almost

> a month " requesting more info " .... " contacting

> doctors " ... " requesting records " ...yada,yada,yada -

> and all of a sudden they don't know if I qualify for

> coverage? WHat's up with that? The customer Rep. was

> nice enough to tell me that they usually don't cover

> out-of-network providers because there is no set price

> limit and the surgeon can charge whatever they want

> and the ins. would have to pay it. So I asked, what if

> Dr. R agrees to their allowable charge? Easy question

> right? Then they went back to the " MUST ESTABLICH CARE

> WITH LOCAL SURGEON TO DETERMINE ELIGIBILITY " - I want

> to scream - I am so confused - and on top of

> everything - I have been unable to get in touch with

> Dr. Rutledge. From what I have heard from other

> patients, I trust that he will be able to point me in

> the right direction. Am I dreaming? Am I ever going to

> get this second chance at a normal life, free of

> everyday joint pain and social embarrassment? Any

> advice would be appreciated! Thanks,

> Tara Lynn

> 26yo, BMI41

> Norfolk, Va

> Optima Ins, Getting ready to appeal

> Professional Boobie trickster

> Mommy to Sam,Professional Actress

> Artistic director for Children's Theatre COmpany

>

> --- Tim O'Toole wrote:

> >

> >

> > stats are an excellent idea if i can remember to put

> > them in. does anyone

> > have an invitation or key code whatever to get in

> > the ecircles thing?

> > carrie otoole 34

> > candy@...

> > pre-op married 2 boys

> > bmi51

> >

> > Pam Greer wrote:

> >

> > >

> > >

> > > I know what you mean about forgetting.....even

> > with the roll call.

> > > That's why I suggested brief update and stats as

> > part of the signature

> > > line.......Haven't heard from anyone else on

> > whether they think this

> > > would be a good addition or not.

> > > the sistah thing

> > >

> > > >

> > > >

> > > >Hey all,

> > > >

> > > >I can relate about the sister thing...

> > > >

> > > >My sister and I went to Dr R's clinic together ..

> > she with her

> > > husband

> > > >and me with my Prince .. so .. sisters do share

> > things don't they...

> > > she

> > > >hasn't posted here and she hasn't indicated that

> > she even has the

> > > list

> > > >.. guess I should just ask her .. I mean .. her

> > office is right next

> > > >door to mine so, what's my excuse for not

> > knowing.. *LOL* I think

> > > I'm

> > > >the talker in the family .. she's so shy at times

> > I'm not sure she

> > > would

> > > >post here..

> > > >

> > > >OH, another thing .. DESPITE the roll call.. I

> > still can't keep all

> > > the

> > > >names straight, dagburn it .. AM I the ONLY one

> > who has this

> > > >problem???? I hate it cause I really love people

> > and am usually

> > > GREAT

> > > >with names but .. geez, I've met so many and many

> > of you have

> > > personally

> > > >emailed me ... anyway... if I goof or ask your

> > stats or whatever ...

> > > >PUHLEEEEEZE forgive me ...

> > > >

> > > >Cheryl

> > > >

> > > >

> > >

> >

> >---------------------------------------------------------------------

> > > ---

> > > >

[Guest guest]

from my understandin the lap is the new cool way to operate everyone will be

doing it someday.What bad things did he have to say about the lap way? is he

a bariatric surgeon? find a surgeon that has jumped on the lap bandwagon

techniques are like religion to some dr. they believe in no other way that

their way is the best so find one that

agrees with you on that point. the ins is just hoping that if they make this

to complicated you will give up, pay for your own surgery,or cancel your

coverage.they are just trying to dazzle you with their fast and fancy

footwork making you jump through hoops. power trip maybe?

Tara Lynn Dimirsky wrote:

>

>

> Those of you who have been approved by out of state

> insurance - did any of you run into the statement

> " Gastric Bypass Surgery can be performed locally " ? My

> insurance co. said this is why I was denied. WHen I

> first called and questioned this, they told me that I

> met the criterior for approval, but I would have to

> have a local surgeon deem the lap procedure medically

> necessary over the open procedure. So I put in a call

> to a local surgeon, who emailed me with some

> not-so-nice oppinions about the Lap procedure.

> Needless to say - he is not going to reccommend me. I

> called my ins. company to ask more questions about

> trying for the straight appeal, and this time they

> told me that I had to establish care with a local

> surgeon so they can first determine if I am even

> eligible for coverage of WLS. HUNH? They spent almost

> a month " requesting more info " .... " contacting

> doctors " ... " requesting records " ...yada,yada,yada -

> and all of a sudden they don't know if I qualify for

> coverage? WHat's up with that? The customer Rep. was

> nice enough to tell me that they usually don't cover

> out-of-network providers because there is no set price

> limit and the surgeon can charge whatever they want

> and the ins. would have to pay it. So I asked, what if

> Dr. R agrees to their allowable charge? Easy question

> right? Then they went back to the " MUST ESTABLICH CARE

> WITH LOCAL SURGEON TO DETERMINE ELIGIBILITY " - I want

> to scream - I am so confused - and on top of

> everything - I have been unable to get in touch with

> Dr. Rutledge. From what I have heard from other

> patients, I trust that he will be able to point me in

> the right direction. Am I dreaming? Am I ever going to

> get this second chance at a normal life, free of

> everyday joint pain and social embarrassment? Any

> advice would be appreciated! Thanks,

> Tara Lynn

> 26yo, BMI41

> Norfolk, Va

> Optima Ins, Getting ready to appeal

> Professional Boobie trickster

> Mommy to Sam,Professional Actress

> Artistic director for Children's Theatre COmpany

>

> --- Tim O'Toole wrote:

> >

> >

> > stats are an excellent idea if i can remember to put

> > them in. does anyone

> > have an invitation or key code whatever to get in

> > the ecircles thing?

> > carrie otoole 34

> > candy@...

> > pre-op married 2 boys

> > bmi51

> >

> > Pam Greer wrote:

> >

> > >

> > >

> > > I know what you mean about forgetting.....even

> > with the roll call.

> > > That's why I suggested brief update and stats as

> > part of the signature

> > > line.......Haven't heard from anyone else on

> > whether they think this

> > > would be a good addition or not.

> > > the sistah thing

> > >

> > > >

> > > >

> > > >Hey all,

> > > >

> > > >I can relate about the sister thing...

> > > >

> > > >My sister and I went to Dr R's clinic together ..

> > she with her

> > > husband

> > > >and me with my Prince .. so .. sisters do share

> > things don't they...

> > > she

> > > >hasn't posted here and she hasn't indicated that

> > she even has the

> > > list

> > > >.. guess I should just ask her .. I mean .. her

> > office is right next

> > > >door to mine so, what's my excuse for not

> > knowing.. *LOL* I think

> > > I'm

> > > >the talker in the family .. she's so shy at times

> > I'm not sure she

> > > would

> > > >post here..

> > > >

> > > >OH, another thing .. DESPITE the roll call.. I

> > still can't keep all

> > > the

> > > >names straight, dagburn it .. AM I the ONLY one

> > who has this

> > > >problem???? I hate it cause I really love people

> > and am usually

> > > GREAT

> > > >with names but .. geez, I've met so many and many

> > of you have

> > > personally

> > > >emailed me ... anyway... if I goof or ask your

> > stats or whatever ...

> > > >PUHLEEEEEZE forgive me ...

> > > >

> > > >Cheryl

> > > >

> > > >

> > >

> >

> >---------------------------------------------------------------------

> > > ---

> > > >