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my3kids4life

Gastric Sleeve Patients
  • Content Count

    183
  • Joined

  • Last visited

About my3kids4life

  • Rank
    Expert Member
  • Birthday 07/12/1977

About Me

  • Gender
    Female
  • City
    Tampa
  • State
    Florida
  • Zip Code
    33607
[font=tahoma,geneva,sans-serif][size=3][size=3]Sorry so long but heres is my story......My WLS journey started April of this year. I initially wanted the lapband band but decided VSG a more permanent solution. The beginning of my journey was promising I attended the WLS seminar spoke with nurse afterwards she stated with my insurance BCBS Florida that is provided via my employer the nurse said everything was in my favor BMI over 35, a few comorbidites and 5 year history of my BMI being over 35. The next step was make an appt. for a one on one with the doctor everything went well with the doctor visit he signed off stating I would be a good candiate for surgery. So I pay my $15 co-pay and $525 non-refundable program fee the nurse gives me this big packet with the next steps pre-op labs, EKG, pysch evaluation & visit with the nutrionist. I past them all with flying colors with everything in to the doctors it was now time to forward everything to the insurance company......drum roll please..... 2 days later I get the call from the doctor office DENIED I ask WHY? The response was your employer said your BMI has to be over 40 now for 5yrs. So the rules change or someone lied I have now decided self pay Mexico.[/size][/size][/font]

Age: 43
Height: 5 feet 6 inches
Starting Weight: 247 lbs
Weight on Day of Surgery:
Current Weight: 175 lbs
Goal Weight: 165 lbs
Weight Lost: 72 lbs
BMI: 28.2
Surgery: Gastric Sleeve
Surgery Status: Pre Surgery
First Dr. Visit: 04/01/2012
Surgery Date: 03/18/2013
Hospital Stay: 2 Days
Surgery Funding: Insurance
Insurance Outcome: 1st Letter Approval
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