Everything posted by DrmBig4Evr
-
Q about 5 years of documented weights
A lot of people seem to have this issue. You have a lot of history which is great compared to mine. I only provided 2009 and 2010, before that I really never went to the doctor. You can use gyne visits, etc. Make sure you write a letter along with your sumbission simply explaining that you did not see a doctor that year because you didn't have insurance, that should suffice. -Kathryn
-
united health care approval?
Also, wanted to add that they do require a psych eval and sometimes a nutritional evaluation and physical before submitting.
-
united health care approval?
As with anyone, each plan is different for each employer. If your insurance does cover bariatric surgery and your bmi is over 40, depending on your requirements you should get approval easily. According to my surgeon's office as well as many others on here, UHC is the best to work with for lap band, they understand the cost savings. I should have a denial or approval this week, it is taking longer for me because my bmi is right at 35. I will respond to this once I hear back. A tip would be to call UHC and see if bariatric surgery is a covered benefit under your plan, then find out what documentation you need to submit for approval. I needed 5 years of morbid obesity documentation (other peoples plans do not require this), I also needed to document any significant health issues. However, like I said, if it is covered, most insurance plans automatically cover it with a bmi of 40 or over, just make a call. Once you submit the documentation it takes a few days to show up in their system, they usually have 15 days to approve or deny it.
-
Pending Approval - UHC, Low BMI, Mild Apnea, osteoarthritis
My surgeon's office just submitted it last week! Found out yesterday when I called UHC that it just showed up in their system and they are working on it! Good luck to you! Have you heard anything yet?
-
Well hello feet!!!
That is AWESOME! Good for you! Now just keep going with it!
-
Weight Loss Tickers
my ticker is from ticker factory, I already had one set up then I saved that page (otherwise you lose it), then it will show the ticker and you can right click and copy and paste it in your signature in your profile.
-
FINALLY GOT MY SURGERY DATE!! JULY 29!!!
I found Whey Protein at Walmart, but not sure if lactose free in the powder but I mix it with water!
-
When do you think I will be in a size 14?
I was in snug 14s at 195 and fit into 14s well at 185
-
Approval
Honestly that is a loaded question. I am still going through it, we have yet to submit everything to insurance, lacking some records and I've been going through this for a month. Some people it takes 1 month for the whole process, some say it takes 2-3 days once they have submitted and others it takes months. The ones that take months are usually the ones who get denied and appeal. Sorry I can't give you anything specific. I have UHC not Tricare.
-
working out
Mucle burns calories, so although you may look bulky for a little bit you will burn more calories throughout the day and it will look better long term.
-
I Have PCOS, want to lose 95 pds, will lapband help?
I am in the process of being diagnosed, I have the same problem, Dr.'s thought it was Cushing's Disease or PCOS and I too am considering Lap Band, I have almost all my paperwork together to submit to insured, hoping this week coming up we can send it in! Its very hard to have this kind of disease (and similar ones as I have not yet been diagnosed) and I wish you the best!!!
-
Cocktailing
true, sorry, good advice!
-
Cocktailing
I had a personal trainer back in 2005 that said the best liquor should be clear and you should exercise, like dance or something, or it will turn to sugar. So vodka and diet tonic would be my suggestion. If you like dark liquor then go for Jack and diet. Stay away from beer at all costs!
-
OMG, can you overdose on protein drinks?
You can overdose on protein, but it would show up in your urine...
-
Saggy Skin
you can always ask to see if you insurance will cover a panni, this is the removal of excess skin, some insurances will pay for it if you doc writes something about bacteria or infections growning under the excess skin. You would have to pay additional for a full tummy tuck and some surgeons will work with you to get as much as they can paid for by the insurance.
-
Uh oh! Reached a plateau already!
All I can say is increase your food intake just a little bit and also increase the exercise. It is about the length of time. My doctor always said you need an hour a day of exercise to lose, 30 minutes to maintain! You are definitely doing great. I have plateaued before last year when I lost 45 lbs on my own and it was hard, it last about 4 weeks, just be patient!
-
Let's be realistic, folks~
Completely agree with everything said. And as with most of us, we know how to lose weight, but we need to get our mind focused on it. I have yet to be banded but have lost significant weight on my own and it is not easy. From the wording and "tone" of your post, you truly are a marine. I have many friends who are marines and this is reality. Keep your approach up and all of the attached medical issues due to your weight will get better. That is why I am even considering it. Thank you for the post and congrats on your decision.
-
APPROVED!!!!
I know that I will need one as well after I lose the weight, how did you do it? What did you submit? Any help would be greatly appreciated! Thanks, Kathryn
-
Wow, Insurance Paying 90%
congrats! that is great news! just be patient and research both options, the pros and cons of each.
-
I would so like to be a pre-op!
Just saw your post and voted! Wish you the best!
-
Weird Comment by fellow Bandster
Well said Weesie! When you take your height and weight and compare it to what we all should weigh, most of America is overweight. She may have just been comparing you to the average woman. Then again, as Weesie said very well, its your reasons personally and yourself that matters. Not her comments. Congrats!
-
I'm new here,Hello :)
Welcome, I'm new here too! Scheduling my consult on Tuesday, my insurance covers it, but not sure if they will cover my situation just yet! Getting excited! Congrats on joining! Everyone here is helpful and positive!!
-
Surgery today!
Thinking of you today. Praying all goes well!
-
Any Bandsters from Dallas Texas?
How is that place? I only called one place so far, TLC Edge, they have surgeons in Plano. Did you go through insurance or self-pay??
-
Insurance United HealthCare UHC - Approval Process at 35 BMI
thanks so much, I thought so, but thought I'd ask, I have been under 2 doctors with 6 months supervised weight loss programs in the last 12 months so hoping I should get through ok! Congrats on the weight loss!