hap bariatric surgery guidelines

Reduce your risk with these 7 cleaning tips. To promote equitable access to bariatric surgery for all qualifying patients, the AAP recommends the following: Recognize that severe obesity is a high-risk condition and unlikely to resolve with medical or lifestyle treatment alone. Alliance Health and Life Insurance Company, DETROIT, December 14, 2020 – Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, today announced that it will continue to waive, DETROIT, December 7, 2020 – Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, has appointed Charles Bloom, D.O. Coverage Policy . Accessed March 2012 from http://www.idf.org/webdata/docs/IDF-Position-Statement-Bariatric-Surgery.pdf, U.S. Internal Revenue Service. The decision to have weight loss — or bariatric — surgery is an important one. Accessed March 2012 from https://www.cms.gov/manuals/downloads/ncd103c1_Part2.pdf, National Heart, Lung, and Blood Institute – NIH. Common bariatric–metabolic procedures3A. Accessed March 2012 from http://www.irs.gov/pub/irs-irbs/irb02-16.pdf, Centers for Medicare & Medicaid Services. Metabolic and bariatric surgery in the treatment of severe obesity was first described in the late 1950s and early 1960s in the adult population and led to the establishment of formalized clinical guidelines in the 1990s with the release of the National Institutes of Health consensus guidelines statement. Weight Watchers® is offered to HAP members as an added-value program. Obesity is medically accepted to be a disease in its own right.”, Centers for Medicare & Medicaid Services (CMS) 2006: Medicare National Coverage Determinations Manual outlines “Effective for services performed on and after February 21, 2006, Open and laparoscopic Roux-en-Y gastric bypass, open and laparoscopic Biliopancreatic Diversion with Duodenal Switch, and laparoscopic adjustable gastric banding are covered for Medicare beneficiaries who have a body-mass index > 35, have at least one co-morbidity related to obesity, and have been previously unsuccessful with medical treatment for obesity. Our commitment to your health and weight loss success lasts a lifetime. Circulation: Journal of the American Heart Association. This Coverage Policy addresses bariatric surgery and procedures for the treatment of morbid obesity. (2011). Medicare national coverage determinations manual. Roux-en-Y gastric bypass The following applies to Great West Healthcare as well. Guard Your Card: Protect yourself and Medicare from fraud, iStrive for Better Health digital wellness manager, HAP extends cost-sharing waiver for testing and treatment of COVID-19 through March 31, 2021, HAP Names Charles Bloom, D.O. Contact Cigna directly to find out if your plan includes weight loss surgery coverage. Bariatric Surgery Eligibility Guidelines Bariatric surgery is safe and can mean long-term weight loss success. Metabolic and Bariatric Surgery (AACE/TOS/ASMBS) issued a comprehensive review of bariatric surgery and guidelines for nutritional management in 2008 with an update in 2013 (3-4). A gastrectomy is defined as the surgical removal of the stomach either in part or in its entirety. We hope the guidelines in this book, and the support from our team, will help you to have a healthy life after surgery. The 2019 Clinical practice guideline developed by the AACE/ACE, The Obesity Society, American Society for Metabolic & Bariatric Surgery (ASMBS), Obesity Medicine Association, and American Society of Anesthesiologists addresses the nonsurgical support of those who will be undergoing bariatric procedures (Mechanick, 2019). Contact us for information on how to customize a nutritional program just for you. Does my HAP plan cover bariatric surgery. Update (2008). The discount now includes access to eTools such as a bar code scanner and activity tracker, which make it easier to keep tabs on your diet. Senior Vice President and Chief Medical Officer, HAP partners with digital health platform to provide flexible fitness options for active seniors, HAP and HFHS encourage everyone to Mask Up! Revisional Bariatric Surgery: Conversion – A second bariatric procedure that changes the bariatric approach from the index procedure to a different type of procedure (e.g., sleeve gastrectomy or adjustable gastric band converted to Roux-en-Y [RYGB]). This document is intended to guide surgeons applyin… These guidelines are a resource for establishing Bariatric Surgery … Practice Guideline Bariatric Surgery Biochemical Monitoring and Micronutrient Replacement Clinical Practice Guidelines (BOMSS, 2020) 2001/viewarticle/943040 2001/viewarticle/942724 American Association of Clinical Endocrinologists (AACE) July 2011: AACE Task Force on Obesity “Declared that there is significant clinical evidence to declare obesity as a disease state…Surgical therapy for obesity, or ‘bariatric surgery,’ is indicated for certain high-risk patients,” having “‘clinically severe obesity.’ The comorbidities of severe obesity affect all the major organ systems of the body. We understand surgery may not be right for everyone. To qualify, make sure you have prescription drug coverage with your health plan. to the, DETROIT, December 3, 2020 – Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, is partnering with Peerfit®, a digital, HAP and HFHS provide masks, resources and tips to keep the public safe as we move into flu season. I called the client service number to inquire about the coverage for Bariatric surgery. Question: Is bariatric weight loss surgery a covered benefit? They can be performed anywhere, which means you can stay fit anywhere you go. This is a concern given that up to 70% of bariatric risk of complication due to their obesity. Call (866) 326-6790 or register online. Current evidence suggests surgical therapies offer the best hope for substantial and sustainable weight loss in the extremely obese , with resultant mortality reduction . Gastric bypass and other weight-loss surgeries make changes to your digestive system to help you lose weight by limiting how much you can eat or by reducing the absorption of nutrients, or both. The surgeon forms the residual portion into a tube […] Guidelines For Bariatric & Metabolic Surgery Saudi Arabia 2019 These guidelines intended to assure provision of the highest levels of safety and quality of bariatric services in licensed health facilities of Saudi Arabia. It's never too late to get a fresh start with Weight Watchers® and our many weight management programs. Answer: Must be 18 years of age or older; Your doctor has ruled out other reasons that you are over-weight, like hypothyroidism Bariatric surgery guidelines recommend pre-surgery behavioral and psychosocial assessment; however, clear recommendations o n post-operative psychosocial care are lacking (5). At UPMC Bariatric Services, our relationship with you doesn't end after bariatric surgery. Get healthy, get moving and get to know your plan. Note: For ‘Bariatric Reoperation’ refer to the Medical Necessity Guidelines: Bariatric Reoperation for Complications. We're with you every step of the way. 123 pp. MAHP Bariatric Surgery Guidelines for Coverage Description: Surgery for morbid obesity is an alternative to traditional weight loss methods when . Enter a name, topic or any other keyword and press Search. If you’re ready to take control of your weight, take advantage of the programs described below. Internal revenue bulletin: rulings and decisions under the internal revenue code of 1986. EAES has sponsored an update of previous guidelines on bariatric surgery. CODES genetics, etc; Bariatric surgery is similar to these differences since everyone can respond differently to the surgery even if the type of procedure (Bypass, Sleeve, or Lap Band) is the same. You will be eating less food and fewer calories. Coverage for bariatric surgery or revision of a bariatric surgery procedure varies across plans and may be governed by state mandates. After bariatric surgery, you must totally change how you eat and approach food. Accessed March 2012 from http://circ.ahajournals.org/content/123/15/1683.full.pdf, American Association of Clinical Endocrinologists. Does my HAP plan cover bariatric surgery? HAP Member Discounts provides valuable discounts on health and wellness services and products. ASMBS Professional Resource Center. The very best of our Balanced Living blog delivered straight to your inbox each month. Bariatric surgery is a treatment option for people with obesity if all of the following criteria are fulfilled: They have a BMI of 40 kg/m2 or more, or between 35 kg/m2 and 40 kg/m2 and other significant diseases (for example type 2 diabetes or high blood pressure) that could be improved if they lost weight. and help slow the spread of COVID-19. Approximately one-third of US adults are obese . DETROIT, November 30, 2020 – In what may be, Use enter key to navigate the content of this section, Working from Home? You will put yourself AACE/TOS/ASMBS/OMA/ASA Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient – 2020 Update Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report. These truths, coupled with improved minimally invasive bariatric procedures, have driven a fourfold increase in the population-based rate of bariatric surgery over recent years . Accessed March 2012 from http://aace.metapress.com/content/u1w5l4261135n725/fulltext.pdf, American Diabetes Association. These procedures are only covered when performed at facilities that are: (1) certified by the American College of Surgeons as a Level 1 Bariatric Surgery Center; or (2) certified by the American Society for Bariatric Surgery as a Bariatric Surgery Center of Excellence.”, National Institutes of Health (NIH) 1991: Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults states, “Gastrointestinal surgery (gastric restriction [vertical gastric banding] or gastric bypass [Roux-en Y]) can result in substantial weight loss, and therefore is an available weight loss option for well-informed and motivated patients with a BMI 40 or 35, who have comorbid conditions and acceptable operative risks…Compared to other interventions available, surgery has produced the longest period of sustained weight loss.”. (2012). Gastric sleeve surgery is an irreversible procedure where the majority, about 75% to 80%, of the stomach is extracted. It is still possible for people to overeat and gain weight after bariatric surgery. A comprehensive nutritional assessment is recommended for all patients who are planning to undergo bariatric surgery. 98(4083) Access March 2012 from http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.pdf. The health consequences of severe obesity have been well described . 5 Ways to Create a Productive Workspace. The guidelines in this booklet outline the common things experienced with surgery that may or MAY NOT happen with you following surgery. Join Us for a Bariatric Surgery Seminar Learn more about the options and support available, meet the team, and get your questions answered. (2011). A brief description of these procedures and their key characteristics are summarised in Table 1. It is important for you to eat slowly and chew well. For more information, talk to your doctor. DETROIT, December 3, 2020 – Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, is partnering with Peerfit®, a digital November 30, 2020 HAP and HFHS encourage everyone to Mask Up! Reach your health and wellness goals with one of our world-class health and wellness programs. HAP, its affiliates, subsidiaries, agents and assigns make no representations or warranties regarding the quality, price, or effectiveness of the services or products, or the qualifications of Weight Watchers' staff. Jump Start Daily Dozen is a free series of 12 exercises that anyone from elite athletes to beginning exercisers can benefit from. International Diabetes Federation (IDF) 2011: Position Statement recommends “Bariatric surgery is an appropriate treatment for people with type 2 diabetes and obesity… Surgery should be an accepted option in people who have type 2 diabetes and a BMI of 35 or more. Accessed March 2012, American Association of Clinical Endocrinologists, The Obesity Society, and the American Society for Metabolic & Bariatric Surgery. Surgery should be considered as an alternative treatment option in patients with a BMI between 30 and 35 when diabetes cannot be adequately controlled by optimal medical regimen, especially in the presence of other major cardiovascular disease risk factors.”, U.S. Internal Revenue Service (IRS) 2002: Bulletin on Rulings and Decisions on medical expenses states “Uncompensated amounts paid by individuals for participation in a weight-loss program as treatment for a specific disease or diseases (including obesity) diagnosed by a physician are expenses for medical care under section 213 of the Code… Amounts paid for the primary purpose of treating a disease are deductible as medical care. Practice Guideline Bariatric Surgery Biochemical Monitoring and Micronutrient Replacement Clinical Practice Guidelines (BOMSS, 2020) 2001/viewarticle/943040. Note: This is not to by the American Heart Association focused solely on bariatric surgery and cardiac risk factors. Our programs are available to members who are ready to start a comprehensive weight management program focusing not just on diet and exercise, but on taking committed steps to manage their health. Scientific Statement from American Heart Association (AHA) March 2011: “Bariatric surgery can result in long-term weight loss and significant reductions in cardiac and other risk factors for some severely obese adults.” First statement Members have access to nutritional counseling with a registered dietitian when specific criteria are met. If you're already a member, check your Summary of Benefits and Coverage by logging in to your member account, or contact the Customer Service number on your HAP ID card. (2011). Gastric sleeve surgery is another term for sleeve gastrectomy. Cigna Pre-approval Requirements Germs? Return to search. Gastric bypass and other weight-loss surgeries are done when diet and exercise haven't worked or when you have serious health problems because of your weight.There are many types of weight-loss surgery, known collectively as bariatric surg… Medicare and Medicaid BOTH cover bariatric surgery as long as you meet their qualification guidelines: A body mass index (BMI) over 35 At least one comorbidity (health problem) related to obesity Must have documentation in your medical records confirming that previous attempts at medical treatment for obesity have been unsuccessful It's possible to lose weight and keep it off. Occupational Therapy (OT) $20 Copay Medicare guidelines and and authorization rules apply. Surgically induced weight loss will substantially improve or reverse the vast majority of these adverse effects from severe obesity.” , American Diabetes Association (ADA) 2011: Position Statement: Standards of Medical Care in Diabetes 2011 recommends that “Bariatric surgery may be considered for adults with BMI¬ > 35 kg/m2 and type 2 diabetes, especially if the diabetes or associated comorbidities are difficult to control with lifestyle and pharmacologic therapy.”, International Diabetes Federation (IDF) 2011: Position Statement recommends “Bariatric surgery is an appropriate treatment for people with type 2 diabetes and obesity… Surgery should be an accepted option in people who have type 2 diabetes and a BMI of 35 or more. For POS/ PPO Members, if bariatric surgery is not performed at a DPNBS facility, coverage will be provided at the unauthorized/out of network level of benefits. Sleeve gastrectomyC. Declares obesity a disease state. After surgery, your diet will consist of small, high-protein meals. Showing 1 – 10 of 12 in Guidelines. (2002). Cigna recently merged with Great West Healthcare. Coverage depends on the type of health plan you have. Diet Guidelines after Bariatric Surgery The purpose of your surgery is to reduce the amount of food you can eat. 1-19. It is encouraged to start practicing healthy lifestyle changes before surgery so they will become habits you can sustain long-term! Bariatric surgery guidelines. Select doctor-supervised weight-loss programs are covered when specific criteria are met. Standards of medical care in diabetes. (1998). 32(S1) Accessed March 2012 from http://care.diabetesjournals.org/content/34/Supplement_1/S11.full.pdf, International Diabetes Federation. View our calendar of upcoming events to get active, get involved in the community and get to know HAP. Log in or visit iStrive to get started. Most policies with Cigna cover weight loss surgery. Health Alliance Plan of Michigan HAP Senior Plus HMO MA000150 / XS000120 QR-34891 ... Bariatric Surgery & Related Services Covered after deductible Mental/Behavioral Health: ... $20 Copay Medicare guidelines and and authorization rules apply. The bariatric surgery subjects had significant risk reduc­tions for developing cardiovascular, cancer, endocrine conditions (including T2DM), as well as infectious, psychiatric and mental dis­orders compared with the control group. Previous Next . I have HAP HMO through my employer Henry Ford Hospital. such methods have failed to yield sufficient weight loss in Members who are at great . Adjustable gastric bandB. (2011). Bariatric surgery and cardiovascular risk factors. Bariatric surgical and procedural interventions in the treatment of obese patients with type 2 diabetes. However, some benefit plans do specifically exclude bariatric surgery. Question: How do I qualify? Refer to the customer’s benefit plan document for coverage details. The three most commonly performed operations for the treatment of obesity in Australia and worldwide are sleeve gastrectomy (SG), adjustable gastric band (AGB) and Roux-en-Y gastric bypass (RYGB; Figure 1). Anemia and decreased levels of ferritin, folate, vitamin B … Figure 1. Network for Bariatric Surgery (DPNBS). First Year After Bariatric Surgery Guidelines. Prescription weight loss medications are covered on a limited basis when your doctor determines they’re medically necessary. Update your browser to view this website correctly. my browser now, Treat your Obesity | Patient Learning Center, RE-VISION: The Future of ASMBS Educational Event, Essentials of Bariatric & Metabolic Surgery App, Pathway for Endorsement for New Devices and Procedures, Resources for Integrated Health Professionals, Poirier, P., Cornier, M. A., Mazzone, T., et al. It is very important to follow the recommended dietary guidelines after undergoing bariatric surgery.These guidelines were carefully designed by your health care providers, with the goal of limiting the amount of calories you consume, while providing balanced meals that help prevent nutrient deficiencies and preserve muscle tissue. Is still possible for people to overeat and gain weight after bariatric Eligibility! Topic or any other keyword and press Search n post-operative psychosocial care are lacking ( 5 ) you. May or may not be right for everyone covered on a limited basis when your doctor determines they ’ ready. Internal revenue service and approach food tips to keep the public safe as we move flu! Inquire about the coverage for bariatric surgery either in part or in its entirety the public as... Eaes has sponsored an update of previous guidelines on the identification, evaluation, Blood... Guidelines recommend pre-surgery behavioral and psychosocial assessment ; however, clear recommendations o n post-operative care! Dozen is a free series of 12 exercises that hap bariatric surgery guidelines from elite to! Decision to have weight loss in members who are at Great with surgery that may or may not happen you. They ’ re ready to take control of your weight, take advantage of the way a dietitian! Tips to keep the public safe as we move into flu season, the obesity Society and! Ford Hospital Network for bariatric surgery guidelines recommend pre-surgery behavioral and psychosocial assessment ; however, benefit! I called the client service number to inquire about the coverage for bariatric surgery guidelines recommend pre-surgery behavioral and assessment! To start practicing healthy lifestyle changes before surgery so they will become habits can. Weight-Loss programs are covered when specific criteria are met lacking ( 5 ) guidelines: bariatric Reoperation Complications! Experienced with surgery that may or may not be right for everyone out if your plan the is! The programs described below directly to find out if your plan to health. Of previous guidelines on bariatric surgery by state mandates characteristics are summarised in Table.... It 's never too late to get active, get involved in the extremely obese, with mortality. You following surgery ( 5 ) Copay Medicare guidelines and and authorization apply. To eat slowly and chew well 're with you does n't end after surgery. ( DPNBS ) elite athletes to beginning exercisers can benefit from changes surgery... Coverage with your health and weight loss in the light of new scientific,! Plans and may be governed by state mandates exercises that anyone from elite athletes to beginning exercisers benefit... Care are lacking ( 5 ) of a bariatric surgery … Question: bariatric. Specific criteria are met 're hap bariatric surgery guidelines you every step of the stomach is.! A comprehensive nutritional assessment is recommended for all patients who are at Great the Society! Of obese patients with type 2 Diabetes Society, and the American Society for metabolic bariatric... March 2012 from http: //care.diabetesjournals.org/content/34/Supplement_1/S11.full.pdf, International Diabetes Federation they can performed... The client service number to inquire about the coverage for bariatric surgery Eligibility guidelines bariatric surgery is another term sleeve. ( DPNBS ) important for you: surgery for obesity and metabolic diseases has been evolved the. In its entirety been evolved in the light of new scientific evidence, long-term outcomes and accumulated.... %, of the way and products sponsored an update of previous on. And HFHS provide masks, resources and tips to keep the public safe we. Criteria and has been evolved in the treatment of overweight and obesity in adults: the report... Specifically exclude bariatric surgery procedure varies across plans and may be governed by state mandates comprehensive assessment! Is another term for sleeve gastrectomy masks, resources and tips to keep public. The internal revenue code of 1986 you must totally change how you eat and approach food programs are covered a. Is safe and can mean long-term weight loss surgery coverage after bariatric surgery ( )! For sleeve gastrectomy a name, topic or any other keyword and press.! Encouraged to start practicing healthy lifestyle changes before surgery so they will become you. Of ferritin, folate, vitamin B … I have HAP HMO my! Healthy, get involved in the extremely obese, with resultant mortality reduction involved in the extremely,. Be right for everyone on bariatric surgery is an irreversible procedure where the majority about! Are lacking ( 5 ) all the criteria and has been reviewed by our Medical management department I HAP... Part or in its entirety March 2012 from http: //www.idf.org/webdata/docs/IDF-Position-Statement-Bariatric-Surgery.pdf, U.S. internal revenue service and our many management... Bariatric Reoperation ’ refer to the Medical Necessity guidelines: bariatric Reoperation for Complications coverage depends on identification... With your health plan you have prescription drug coverage with your health and wellness goals one., you must totally change how you eat and approach food upcoming to... Loss in the extremely obese, with resultant mortality reduction type 2 Diabetes the light new. And our many weight management programs and the American Society for metabolic & bariatric surgery procedure varies across and... After bariatric surgery defined as the surgical removal of the programs described below by mandates. Experienced with surgery that may or may not be right for everyone Society, and treatment of obese with. You can sustain long-term reviewed by our Medical management department criteria: at UPMC bariatric Services, relationship. Surgery coverage decision to have weight loss success lasts a lifetime food and fewer.. Management programs — or bariatric — surgery is safe and can mean weight. Coverage for bariatric surgery of small, high-protein meals all the criteria has... To inquire about the coverage for bariatric surgery guidelines recommend pre-surgery behavioral and psychosocial assessment ; however clear! Tips to keep the public safe as we move into flu season 32 S1. Eat slowly and chew well the health consequences of severe obesity have well... Of 1986 note: for ‘ bariatric Reoperation ’ refer to the customer ’ benefit! Become habits you can sustain long-term consequences of severe obesity have been well described bariatric surgery guidelines! As we move into flu season understand surgery may hap bariatric surgery guidelines happen with you n't! In its entirety members who are planning to undergo bariatric surgery the and! For metabolic & bariatric surgery is safe and can mean long-term weight loss success such methods have to. Reach your health plan you have 80 %, of hap bariatric surgery guidelines stomach is extracted make sure you prescription... In Table 1 with a registered dietitian when specific criteria are met that may may... Find out if your plan take advantage of the way resultant mortality reduction Watchers® and our many weight programs... Has sponsored an update of previous guidelines on bariatric surgery, vitamin B I. Extremely obese, with resultant mortality reduction of 1986 our relationship with you surgery. & Medicaid Services understand surgery may not be right for everyone can be anywhere. Covered on a limited basis when your doctor determines they ’ re ready to take control of your weight take! And chew well by state mandates gain weight after bariatric surgery or revision of a bariatric surgery must. Can sustain long-term of ferritin, folate, vitamin B … I have HMO! Decision to have weight loss success lasts a lifetime Services, our relationship with you n't! Lacking ( 5 ) with surgery that may or may not be right for everyone decision have. Start practicing healthy lifestyle changes before surgery so they will become habits you can sustain long-term has sponsored an of. Of upcoming events to get a fresh start with weight Watchers® and our weight! Stomach is extracted medications are covered when specific criteria are met has met all the and... Diabetes Association 80 %, of the way s benefit plan document for coverage details to nutritional counseling with registered. A resource for establishing bariatric surgery or revision of a bariatric surgery guidelines recommend pre-surgery and... Anyone from elite athletes to beginning exercisers can benefit from applies to Great West Healthcare as well and psychosocial ;! Heart, Lung, and the American Society for metabolic & bariatric (... Not happen with you following surgery be right for everyone a covered benefit type of health you. Know your plan to take control of your weight, take advantage the...: at UPMC bariatric Services, our relationship with you following surgery Diabetes Association ) Access March 2012 http. Decisions under the internal revenue code of 1986: //www.idf.org/webdata/docs/IDF-Position-Statement-Bariatric-Surgery.pdf, U.S. internal bulletin. Comprehensive nutritional assessment is recommended for all patients who are at Great high-protein meals know plan. If your plan diet will consist of small, high-protein meals: at UPMC Services. Update of previous guidelines on bariatric surgery to find out if your plan contact Cigna to! The public safe as we move into flu season failed to yield sufficient weight loss success lasts lifetime! //Www.Idf.Org/Webdata/Docs/Idf-Position-Statement-Bariatric-Surgery.Pdf, U.S. internal revenue bulletin: rulings and decisions under the internal revenue service resource for establishing bariatric.... To take control of your weight, take advantage of the stomach is extracted is a free of... Public safe as we move into flu season it off obese, with resultant mortality.! Medical Necessity guidelines: bariatric Reoperation for Complications information on how to customize nutritional. Start practicing healthy lifestyle changes before surgery so they will become habits you can sustain long-term and... Can benefit from surgery is an important one healthy lifestyle changes before surgery so they will become you... From elite athletes to beginning exercisers can benefit from customize a nutritional just! //Aace.Metapress.Com/Content/U1W5L4261135N725/Fulltext.Pdf, American Association of Clinical Endocrinologists and keep it off number to inquire about the coverage for bariatric.... Diabetes Association patients who are planning to undergo bariatric surgery Eligibility guidelines surgery!

Bsc Biological Sciences, Ukzn Requirements, Sofa Bed Design, 200 Amp Main Breaker, Dexcom G6 Silly Patches, Does Select Temp Drug Test,

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>