mrspalmour
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1 years have passed since you registered at VerticalSleeveTalk! Happy 1st Anniversary mrspalmour!
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Hi Texas friend! I saw you post and you will feel better soon! I was sleeved on Dec. 27th. Hang in there and let me know if you need someone to talk to. We can get through this together! We have no other choice at this point. LOL
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OMG what have I done
mrspalmour replied to mrspalmour's topic in Tell Your Weight Loss Surgery Story
Thanks everyone, I knew this was going to happen and be normal. I know all will get better in time. -
Ok so after months of research and KNOWING this was the best option for me I have done it. No turning back now. I thought I had prepaired myself for this moment when I said to myself "OMG what have I done to myself" but it seems im not. I feel so isolated. My family is great they are really leaving the house to eat so I don't watch or am exposed to it. It feels weird to even try to get down apple juice or broth but I know I need to. I juat have to know it gets better. Im doing all my walking and sipping, sipping, sipping. Maybe tomorrow I can start my protine but for now im feeling very wried. Now I did do somthing I know your not supposed to but I weighted. I have lost 5 lbs in 4 days but anyone on the amount of food I was on pre op and post op would and that is exciting to me. Also can anyone explain to me how to make one of those ticker things. Now that I have had the surgery I feel like I need one. Thanks everyone for listening to me wine.
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It's natural to be nervous - I was too. It'll be worth it though - all the best for Wednesday!
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pre surgery over eating
mrspalmour replied to sadie_mo's topic in PRE-Operation Weight Loss Surgery Q&A
I have been doing the same thing for the last week. My surgery is on Dec 29th so I start my liquid diet tomorrow evening. I am almost sick of food now. I think im ready to start the liquid diet now. I do feel the worry of loosing my favorite foods but I know it will be so worth it. I keep thinking about how different next Christmas will be. Looking forward to it. -
Hi Mrspalmours I want to know what are my options on how to get an expedited appeal with a successful approval. I have UHC EPO and I live in Fl this is my story I have UHC EPO and I live in Fla. I was denied last week for wls. The reason was because they didn't have my BMI nor my 5 year history. I notified Dr. Jawad's office about this and they assured me that they sent everything over....
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Unfortunatly I work in UHC appeals and we get these alot. We have special verbiage we put into letters that states since the benefit misquote did not result in any financial burden we dont consider the misquote as grounds to covere somthing. There is alwasy that sweet little disclaimer given in the calls about this is not a guarentee of benefits they are considered based on plan provisions when the claim is reviewed. bla bla bla. We do however put an apology in there for you. I know no help at all. I hope some day there is a way that all ins companies can get their ducks in a row and be able to provide members and providers with the correct information from the get go. The insurance companies are trying to make the member responsible for understanding their benefits. I work in it and still dont understand it all lol. Sorry to hear about your story. I hope somthing works out for you.
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And Yet Another Question Re Aetna's Weight Records
mrspalmour replied to mmcclure's topic in Insurance & Financing
If on the records of that day the Dr put that they were unable to weigh the patient becuase their scale does not go over 300 you should be fine. That is as much a weight history as a number. -
Good afternoon, sorry its taken me so long to get back to you. First you can look up your obestiy benefits online by going to www.myuhc.com. Both times you had the band was it under UHC? If you want I can look up your benefits for you. If you want to give me your group number and what company the benefits would be through. I might have to have your actual policy number to determine if there are various plan for the company but for right now the group number should do and what company it is.
You also can call customer service but honestly I see alot of times that they get it wrong lol.
Another option is go see a surgeon. Have them start the pre determination process through care coordination and wait to see if its approved but I would be sure what the provisions were first so that you may be able to address any of them in the pre determination.
Let me know if there is anything else I can do to help.
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Hi my name is Sherry and I have United Health Care I have had the vertical band 2 times and still having issues, how can I find out if I can have a revision to the sleeve? I saw you work for UHC I live in Dallas
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Don't worry about your surgery. I have had no problem what so ever with my sleeve. It's like anything.... there is always a chance of complications. Thy to remain positive.
Nikki
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Is this norman. Im havins surgery in Dec?
