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medicare approval

This is a discussion on medicare approval within the Insurance & Financing forums.

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Old 04-17-2008, 05:03 PM   #46
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Hi Jason,
Well, found out that my doctor's office withdrew my referral from doctor to insurance co. I was waiting a month to hear something. I have the medicare advantage plan if you recall and they follow medicare guidelines and now the doctor's office said I need to diet for 6 months, I am really upset because of the way it was done. I didn't sleep last night, really stressed. Six months seems so long.
Thanks for listening. My excitement level went so far down.
ttyl
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Old 04-17-2008, 07:42 PM   #47
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Originally Posted by martucci View Post
Hi Jason,
Well, found out that my doctor's office withdrew my referral from doctor to insurance co. I was waiting a month to hear something. I have the medicare advantage plan if you recall and they follow medicare guidelines and now the doctor's office said I need to diet for 6 months, I am really upset because of the way it was done. I didn't sleep last night, really stressed. Six months seems so long.
Thanks for listening. My excitement level went so far down.
ttyl
ok well look there is always plain b and thats wait untill you get that packett in the mail ok then go to another doctor and tell them you have been dieting for 6 or 7 months or you can call and tell your insurance that you want to switch to regular medicare i had that advantage plan my wife said and now i remember since she told me and it sucks i went back to regular medicare they say its the same but its not so if i was you i would wait untill you get that packett and call the doctors thats on that packett and tell them a diferent story tell them that you have dieted for 6 or 7 months or so or you can call medicare and switch back to regular medicare i know its lieing but sometimes you got to, to get your insurance to do anything well keep me posted on everything we all love ya and good bless ya if you want to talk to me by phone you can privite message me and i will give you my phone number or i can call you i hope and pray everything works out for ya
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Old 04-18-2008, 03:39 AM   #48
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Jason, thanks for answering. I like the medicare advantage. I'm too young to get a medicare supplement to help with prescriptions so this really helps me, I take 6 prescriptions and costs me no more than $5.60 each one. No copays for doctors or surgery center, so I really like it. I guess I will have to wait the 6 months. Medicare does the 6 month wait they said too. I really can't afford to switch to regular Medicare. Thanks for the suggestions though.
I slept last night thank goodness. I just have to think everything happens for a reasion, right?
ttyl
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Old 04-19-2008, 05:11 AM   #49
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Hi, where did you get the guidelines from? I have a medicare advantage plan but they are supposed to use medicare guidelines and I sure would like to see them. Thanks.
Karen
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Old 04-28-2008, 07:57 AM   #50
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Jason, did you get banded yet?
Listen to this. You know I have a medicare advantage plan which follows the paying guidelines of medicare. Well I need to follow a 6 month program. Today, the girl at my doctor's office said I should start by going to a seminar and that the surgeon sets you up with a nutrionist and it costs $500 up front ?????? She said they have to get approval for you and that is what costs. I am so confused and sick of this. Any ideas? Did you have to pay $500? Did you go to the seminar? Thanks Jason
Karen
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Old 04-28-2008, 08:54 AM   #51
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Originally Posted by martucci View Post
Jason, did you get banded yet?
Listen to this. You know I have a medicare advantage plan which follows the paying guidelines of medicare. Well I need to follow a 6 month program. Today, the girl at my doctor's office said I should start by going to a seminar and that the surgeon sets you up with a nutrionist and it costs $500 up front ?????? She said they have to get approval for you and that is what costs. I am so confused and sick of this. Any ideas? Did you have to pay $500? Did you go to the seminar? Thanks Jason
Karen
No i didnt get banded yet im still waiting on the phys doctor.to give the paper work back to the nurses he done told me i was a good canidate for it. well as to your question about a seminar yea i went to one but they didnt charge me it was free after listening to the seminar they told us that the doctors office will charge us 500 dollars to have it done 250 for the first visit and 250 on our pre opp visit maybe thats what there talking about for you. have you gotten that packett yet from Lap Band ??? CAUSE ONCE YOU GET IT YOU MIGHT BE SURPRISED WHEN YOU GET IT YOU CAN CALL AROUND AND SEE WHAT OTHER WILL SAY WELL LET ME KNOW WHEN YOU GET IT
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Old 04-28-2008, 10:07 AM   #52
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I know that any of the hospitals that are approve by the ABSB will accept medicare but can anyone give the name of a physician that actually accepts a medicare assignment?
Thanks
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Old 04-28-2008, 10:12 AM   #53
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I know that any of the hospitals that are approve by the ABSB will accept medicare but can anyone give the name of a physician that actually accepts a medicare assignment?
Thanks
call 1800 Lap Band and they will give you a list of all doctors in your area the packett will take a couple of weeks to get to you in the mail
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Old 04-28-2008, 10:38 PM   #54
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I have medicare and am in process of getting requirements together...doctor said they don't care how much you lose...it's a delay tactic...hoping you'll change your mind. some states require the six month diet and some don't. must have diabetes,sleep apnea, or hypertension. good luck!
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Old 05-02-2008, 05:57 PM   #55
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this is one of the reasons i went to detroit mi to get banded, south dakato had too many requiements to me. i went to harper hospital had sugery date in less than 2 weeks. medicare paid everything except 1,024.00, that my supplemental insurance picked up. if u have anymore questions just e-mail me. i'll be happy to help u...................sue
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