Navigating Insurance for surgery with Lea Fowler and Samantha from lift_up_lipedema.
Description
In this episode of 'Stronger Than Lipedema,' hosts Cindy and Kristy discuss the challenges and solutions related to lipedema diagnosis, surgery, and insurance.
Joined by Lea Fowler and Samantha Kershinsnik, the discussion covers personal stories, expert advice, and practical steps for navigating insurance claims, including summary plan descriptions (SPDs), gap exceptions, and the importance of knowing your coverage.
The episode aims to empower women with lipedema through shared experiences, detailed process explanations, and the importance of self-advocacy.00:00
Welcome to Stronger Than Lipedema
00:56 Introducing Leah Fowler and Samantha
01:25 Leah's Journey in Healthcare
03:48 Understanding ERISA
04:39 Sam's Role and Support
06:14 Challenges with Insurance for Lipedema
15:04 Navigating Insurance Appeals
19:00 The Importance of Accurate Documentation
22:06 Surgeons and Diagnosis
30:43 Outrageous Insurance Practices
33:40 Insurance Fee Schedules and Underpayments
34:39 Filing Complaints and Advocacy Challenges
35:38 Success Stories and Emotional Rollercoaster
37:48 Importance of Summary Plan Reviews
39:08 Understanding Insurance Language and Exclusions
46:07 Preexisting Conditions and Obamacare
56:04 Navigating Self-Funded Plans and Employer Involvement
59:43 Final Advice and Contact Information
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Kristy's Contact information:
IG https://www.instagram.com/dellalunawellness/
FB Group https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr
Website is below Kristy Dellacroce, MS,OTR/L, MLD-C
Sunrise Healing, LLC sunrisehealingaz.com
Lipedema Advocate 856-297-7437
Cindy contact information
FB: https://www.facebook.com/withcindyhowell
Private FB Group: https://www.facebook.com/groups/7021999704562921
IG: https://www.instagram.com/lipedema_withcindyhowell/
Cindy Howell RN PHC MPCH
Website: www.withcindyhowell.com
Lipedema advocate: 860-550-1161
Top 5 Foods to Avoid for Managing Lipedema! Link: https://withcindyhowell.com/checklist/
Free surgery course: https://l.bttr.to/6cATB
Ready to take your journey to the next level? Join the private Facebook community for exclusive support, practical tips, and a group of women who truly understand. Let's empower each other to thrive—click here to join! https://www.facebook.com/groups/7021999704562921/
What my FREE checklist: Top 5 Food to Avoid for Managing Lipedema! Click there Link: https://withcindyhowell.com/checklist/
Looking for personalized guidance to manage lipedema? Work with me one-on-one to create a tailored plan that fits your unique needs and empowers your health journey. Click here to learn more and get started today! https://l.bttr.to/WaDwK
Free Lipedema Surgery Course:https://l.bttr.to/6cATB
Samantha IG: https://www.instagram.com/lift_up_lipedema/
Lea Fowler IG: https://www.instagram.com/erisaadvocacy/
Website: erisaadvocacy.com
Email: leafowler78@gmail.com