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 Lipedema00:56 Introducing Leah Fowler and Samantha01:25 Leah's Journey in Healthcare03:48 Understanding ERISA04:39 Sam's Role and Support06:14 Challenges with Insurance for Lipedema15:04 Navigating Insurance Appeals19:00 The Importance of Accurate Documentation22:06 Surgeons and Diagnosis30:43 Outrageous Insurance Practices33:40 Insurance Fee Schedules and Underpayments34:39 Filing Complaints and Advocacy Challenges35:38 Success Stories and Emotional Rollercoaster37:48 Importance of Summary Plan Reviews39:08 Understanding Insurance Language and Exclusions46:07 Preexisting Conditions and Obamacare56:04 Navigating Self-Funded Plans and Employer Involvement59:43 Final Advice and Contact InformationFollow us on Social media!!!Kristy's Contact information:IG⁠⁠⁠ ⁠⁠https://www.instagram.com/dellalunawellness/⁠FB Group⁠⁠ ⁠⁠https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr⁠⁠⁠⁠Website is below  Kristy Dellacroce, MS,OTR/L, MLD-CSunrise Healing, LLC⁠⁠ ⁠⁠sunrisehealingaz.com⁠⁠⁠⁠⁠⁠⁠⁠Lipedema Advocate 856-297-7437Cindy contact information⁠FB:⁠ ⁠https://www.facebook.com/withcindyhowell⁠⁠⁠Private FB Group:⁠⁠⁠ ⁠https://www.facebook.com/groups/7021999704562921⁠⁠⁠⁠IG:⁠⁠⁠ https://www.instagram.com/lipedema_withcindyhowell/⁠Cindy Howell RN PHC MPCHWebsite:⁠ ⁠⁠⁠www.withcindyhowell.com⁠⁠⁠⁠Lipedema advocate: 860-550-1161Top 5 Foods to Avoid for Managing Lipedema! Link:⁠ https://withcindyhowell.com/checklist/⁠Free surgery course: ⁠⁠https://l.bttr.to/6cATB⁠Ready 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/WaDwKFree Lipedema Surgery Course:https://l.bttr.to/6cATBSamantha IG: https://www.instagram.com/lift_up_lipedema/ Lea Fowler IG: https://www.instagram.com/erisaadvocacy/Website: erisaadvocacy.com Email: [email protected]