cwalker

I'm not going to Mexico but I am having surgery on 4/29/2010 @ Houston...tommorrow is my pre-op with surgeon. I find myself wondering if the pain is as bad as a c-section? I can do this! nerves set in, I guess.

Hang in there, I have to use COE too and had to wait 10 days so hopefully you'll hear something soon. Once you know you're approved then things will be more clear and you can decide. Oh yeah, and it would have been longer except I called the Doctor office, the insurance lady went to the web site and got approval. Best Wishes.Carla

Happy dance...I called and asked today just because I could'nt take it any longer and I'm approved...YAY!!! My surgery is scheduled for April 29th At Methodist Hospital in Houston(COE)..I wanted a different hospital but it's ok.. because I'm getting sleeved next week!!!Now i have to start making broth to freeze and clean house.Thanks guys for being here.Carla:lol0:

Thank you Lan, that makes me feel better, and Mary keep em crossed please:) It just seems like you can be busy but your mind is still on the insurance.ugh

could the knee pain be osteoarthritis? I'm pretty sure Lan said her insurance counted osteo and mine does too.Carla

I called to check on my paperwork and was told it had been submitted and is in review and they'll let me know when they hear something, I hear all the time UHC is easy to get approved. my BMI was 39.2 with high blood pressure which is within my requirements of 35-39 with a comorbidity or 40 BMI and no cormorbidity.Maybe I'll be lucky and they'll approve next week.:redface1:

I'm soo happy for you, I'm in Texas near Beaumont/Orange area, I am waiting for the insurance cord to submit to UHC for my sleeve.Can I ask you how it took ur insurance lady to submit after she had everything? Good Luck , soon you'll be on the loser's bench:)

Well it took two days for us to connect over the caseworker info she needed, I don't want to pester the insurance lady, I just want to know what's going on, she has all the info so maybe(?) it will be submitted this week..then I guess insurance calls the Dr? or writes a letter, it's really tiresome after 2 months of nonstop hoop jumping. I know, patience is a virtue.lol:laugh0:

Krystal, I was thinking about you today, did you ever get a sleep study? I saw some sample appeal letters on another forum, if you have to be the appealer..or maybe your Dr. has those. Keep the faith, it will work out, praying for you. Carla

Hi, Mary...I submitted my 6 month supervised diet to uhc -thru my case manager. I faxed mine in on 3/15/2010 and went ahead with psychologial evaluation, my case manager called 04/01/2010 and said as far as she is concerned I am "done". She said the Dr office needs to call her for pre surgery notificiation. I have heard UHC was easy to work with, still keeping my fingers crossed nothing goes wrong. I was worried that the uhc case manager wouldnt accept the diet history as they had my height wrong but it wasnt a issue. good Luck.:001_smile:

Hi, I just wanted to say my daughter had her bypass in Sept with Dr. Spivak and he is great- but she did lose alot of hair, she started on biotin and it has helped ALOT. Not everyone loses hair but alot do,btw she has lost 95 lbs since surgery,good luck.Carla:001_smile:

great, i'll watch for you blog, I've started cleaning closets as a way of preparing..lol you know I'm desperate, I guess I need to get books but the info on this website is great. :w00t:

When I attended the seminar with my surgeon, he stated that wls cures diabetes, in most cases.Carla

I think you are doing the right thing by having surgery, My daughter had a bypass in Sept. 09, I knew this was her chance at life, I helped her and she will be there for me. It's like people don't get it you've tried and how many times do we have to admit defeat ? Who can live at the gym and who can exist on Slim Fast? Ignore your sisters, they should be ashamed for not supporting you! Just stay close to your Dad so he can be there $$$ and emotionally, aren't the people on here the greatest? :biggrin0:Carla

well I finished all the testing and now have to wait for Dr. to get reports and then submit, waiting is soo hard.Any advice? Carla:confused1:

Well ask her if she's willing to submit it anyway or if she has any experience in denials/appealing denials. I've read on different places on google where just because they say it's not covered doesen't mean they won't pay for it. Also there's carecredit and other low cost loans, Carecredit has like a 48 mo no interest if that's a option.If she isn't willing to do that that would be your answer.Try not to let it stress you -and I know that is sooo hard to do.Hugs,Carla:001_rolleyes:

omg that is funny and I bet you instantly look around to see if anyone saw you,after you caught the dog that is,lol, you deserve new jeans after that!

:thumbdown:Now that you mention it I have RA and thought it was a co-morbid but the case manager said no, but osteo arthritis was taken into consideration, guess knee replacements might be more expensive that wls. GOD is great and good and if you give it to him he will take it off your shoulders. wow..Such a miracle you witnessed with your son, it humbles me to read it, but God knew he hadn't fullfilled his purpose in this life. Doctors are mere men afterall. :redface1: The other comorbidities were diabetes,sleep apnea,hypertention,high blood fats, and the lenght of time you've been overweight and a history of failed diet attempts. The only other thing that was interesting was all my adult life I was 5'8 and I took off my shoes at dr and they measured me and I was 5'7"..I thought no way! Yes way!! I made DH measure me without shoes and I had shrunk, so have you recently measured without shoes? I think they put 5'6" in the end on me so measure you may be a shrinking woman.lolCarla

hey, you could be the amazing shrinking woman, shorter,shorter, lol. My UHC case manager told me high cholestrol was a co-morbid, well keeping good thoughts for you.Carla

I vote NO! lol Dr. Marvin will be doing mine not sure about date tho. :smile:

do you have a drain tube when you come home? Has anyone had a drain with the single incision lap. surgery? Thanks,Carla:confused1:

I've been told legally they have 30 days but usually UHC approves faster anywhere from 3 days to 3 weeks and it's going to fly by and we can say busy picturing the lb's falling off with our help. :smile:

I'm so happy for you and hope you are approved fast, the waitng is the hardest, for me anyway. Maybe we'll get to go about the same time.Carla

Hi, Everone, I'm sooo excited I was on my way to psy.eval today but still had the cardio on April 1, well the cardiologist office called and moved it up to tommorrow.The psychologist said "he thinks it's great I'm doing this." Guess that means I passed.lol:cool0: I'm through with all insurance requirements as of tommorrow!!!YAY!!!! I just have to drive 2 hours each way,two days in a row. If they had called earlier I could've just got a room and stayed but it's ok because I'm almost through,YAY!! Hopefully they will get the reports within next 2 weeks(crossing fingers) and submit to UHC. Carla:lol0:

I know what you mean Doghouse, when I told my friends and family my dughter was having RNY all I heard was a gasp and "AreYou?" and I wasnt ..then. I was denied extra life insurance and it shocked me into realizing just how much different the quality of life could be. Be strong and true to yourself and ignore the other jealous people. We might be older but that makes it all the sweeter.. we Really appreciate the second chance at healty living. Isnt this forum great, age doesent matter here everybody supports each other.I still pre op and cant wait, wishing you all the best.Carla