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Posts posted by alabamaorthogirl
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Do not get back with this guy. You need to move forward and be with someone who will encourage you with your goals. You will find someone else. I believe in second chances but he isn't really giving you a reason to give him one.
desertmom reacted to this -
That is why I got my records sent to me, then I picked the records to give to surgeon. The insurance lady told me she is suppose to pick the lowest weights. So, I took that out of her hands. I think the big comorbidities they are looking for are hypertension on meds, diabetes, and sleep apnea. I hope you get approved soon
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So I called again and got ref. number for call stating that I only need 1 co-morbidity and bmi of 35+ for past 5 yrs although the medical Dir. Of Ins. Said I was denied bc I didnt have bmi of 40+. Second issue the insurance chose 2 of my lowest weights for 2 yrs and didnt even mark down for a whole year EVEN THOUGH my dr. Submitted all health documents! I talked to my ins. Coordinator at Dr office today
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So I called again and got ref. number for call stating that I only need 1 co-morbidity and bmi of 35+ for past 5 yrs although the medical Dir. Of Ins. Said I was denied bc I didnt have bmi of 40+. Second issue the insurance chose 2 of my lowest weights for 2 yrs and didnt even mark down for a whole year EVEN THOUGH my dr. Submitted all health documents! I talked to my ins. Coordinator at Dr office today
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I got approved on Monday but can't get a date till after I take a nutrition class then see the dr. Again. It's quite a pain because I need to schedule the time off way in advance so work will let me off.
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I can't wait to take a vacation and actually concentrate on having fun. Usually I'm planning how I will lose weight so I'll be thin on my next vacation.
Finally feel like my husbands compliments are true.
Not be the fat mommy in my sons kindergarten class.
Bos123 and ProudGrammy reacted to this -
I submitted all my papers and once the faxed them I was approved in two hours. It was awesome.
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Same thing with me. All set for surgery then had to have back surgery. I have same concerns. I hope someone can give us some insight.
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Sorry to hear this. Did they say what the 5 comorbidities were? Also if bmi was over 40 for 2012, was it over 40 last year. If yes maybe you could count 2013 as the third year?
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Awesome! So glad people are getting approved. Hope I'm next. My last pre op appt is Nov. 1st. Can't wait to submit.
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I feel the same way about my insurance lady. They don't have a coordinator. The insurance lady made it clear to me that I am on my own really making sure I get approved. I don't think she would try and fight for my approval. I like the surgeon but office is frustrating. We will see what happens. If it doesn't work I have thought of trying another surgeons office that seems like everyone gets approved through. I'm not going to give up. It has been hell the past 5 months. Can't wait to submit. I really hope you get approved. Keep me posted and good luck!
KickRocks reacted to this -
It is so frustrating to go through all this, I have cried so many times. Once I broke down at the drs office. So embarrassing. You need to appeal. Check out exactly what your policy says. Mine says you can substitute dated pictures for actual weights. They might have denied first off but depending on what policy says you might be able to fight it and eventually get approved. I wish you the best and hope you and I both get approved. Keep your head up and don't give up. We are fighting for our life back : )
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I haven't submitted yet. One month to go. I'm having problems with the 3 yr medical history too. I have same insurance as you. I hope you do get accepted. Please keep us posted. Good luck. By the way I did look into the mexico thing. Can be as cheap as 5000 or I was looking at Alvarez and he was 8700. Still hoping I get approved with insurance before I pay out of pocket.
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Thanks! I won't be having the surgery where I work. Just don't want everyone up in my business. It sure would save me a big copay if I did though.
Need-a-Sleeve reacted to this -
Welcome Alabama. I am also a 18+ year OR nurse. I took 2 weeks off because I have a desk job. I definitely could have used the third week off but I am near 60 & waaaay out of shape so I didn't bounce back like I thought.
Are you going to have surgery at a different hospital? You don't have to tell but you are right--people will talk. I personally told everyone & only got a couple of negative remarks. Most everyone was supportive & the ones that weren't, I just told them I didn't ask their permission or for their comments. Haven't heard from them since which is great!
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That is so crazy. I do ortho trauma too. It is exhausting but I love it. Definitely going to plan to take 3 weeks off. Thanks!
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I'm an OR nurse, and I took 3 weeks off. I was mentally ready to go back at 2 weeks, but not physically. I do compressed weekends, so it's intense, and I was wiped out after the first weekend back. I do a lot of ortho trauma, and it was exhausting. If you can, take the 3 weeks.
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I was thinking of using the credit union at work. Low interest rate and they deduct it automatically from my paycheck.
Kalimomof3 reacted to this -
I'm an operating room nurse and hope to have surgery in December. I am worried about time off because I really can't afford it but I was thinking at least two weeks but maybe three because my job is very exhausting. Not sure what to do because not planning on telling people and if I take three weeks there will definitely be questions.
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I'm half way through my 6 months. My dr says the waiting period is 6 months which is a total of 7 visits. The last visit has to be at least 180 days from the 1st visit. The six months of waiting has just been an emotional rollercoaster because I'm just so ready but it is going by quickly. Good luck!
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I can't wait either. Want to be a better wife, mother and friend. I want to feel good about myself again.
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Marriage is tough. Especially when you love someone who is not the person you want them to be. Being married for 20+ years is a rarity now days. I hope your confidence increases as your weight decreases. When you are happy (and none of us are that happy being overweight), I think and hope it will bring happiness into other areas of your life like your relationships. I've been married 10 yrs and my struggle with weight has affected my marriage because I didn't feel that great about myself. He is a great guy but has not always been perfect. I wish you success with your weightloss and whatever happens with your husband I wish you much happiness in your future.
MGM reacted to this
The Good The Bad And The Ugly...and Pics :)
in Gastric Sleeve Surgery Forums
Posted
This was so funny and true. I'm at the beginning can't wait to get to the end.