khelm32
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Status Updates posted by khelm32
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Post op and starting to get my energy back!
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3rd appeal denied. I've exhausted all appeals through the insurance. I have now appealed with my employer since they are self insured. I'm starting to think this isn't going to happen
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We submitted a 3rd appeal a couple weeks ago. The insurance assured me they will be making a decision by Oct. 1st. I'll be calling them today!
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So I was diagnosed with mild sleep apnea, so now I'm waiting for the nurse coordinator that works with the surgeon to get back to me about what to do to move forward.
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I had the sleep study done last Friday. The technician indicated I did have a form of sleep apnea, but no official diagnosis yet. I meet with that doctor later this month...
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My appeal was also denied. Now I am going to do a sleep study to see if I have sleep apnea, which is the only thing that would qualify me through the insurance, uggh!
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Found out two weeks ago that the insurance denied it saying that it was a cosmetic procedure and I didn't fall in the guidelines despite the fact my BMI was 39.8 and I have asthma. I have appealed it and my nurse advocate has been trying to get in touch with the medical director at the insurance. We are still waiting.....
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I met with my surgeon last week. He is so nice and attentive. Everything should be submitted to the insurance this week. I hoping for a quick response!
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I met with the bariatric team yesterday at the hospital I will be getting the lapband procedure done. I am still awaiting insurance approval, but for now, the nurse put me on 1200 calorie diet, 30 min a day exercise plan. Whenever my procedure is scheduled, I will be put on a stricter diet a week prior to the procedure, but I'm not going to focus on that right now. So I'm buckling down and trying to stick to the plan, as I know this will make for an easier transition after the procedu...
