Navigating Insurance for surgery with Lea Fowler and Samantha from lift_up_lipedema.

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

Follow us on Social media!!!

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