Chele H

I am still pre op but have a cruise scheduled for November. I was thinking board shorts or a cute pair of boys swim trunks to cover the thighs with a tankini top. Not going to even try to cover the bat wings.

I had my last visit on Tuesday, submitting tomorrow. Fingers crossed for both of us!

Well....it's really happening. Had my final visit with the surgeon today for my required 3 months for the insurance company. Submitting this week.....I am excited, nervous and a little nauseous....lol

I was denied twice because I had no other illnesses. I do not have high blood pressure, diabetes, or sleep apnea, so I was deemed too healthy. This even though I have been up and down my entire adult life and had a bmi of 49. I ultimately hired a healthcare advocate who helped me fight them and finally got approved.

well that is very discouraging. I know all health insurance plans are different depending on what your employer chooses. Everything I have read about Aetna says BMI of 40+ or 35 + with co-morbitities. I certainly hope my surgeon and insurance coordinator wouldn't waste their time or mine. Keeping my fingers crossed and happy you are finally approved.

Congrats. I fought with Aetna for 18 months before hiring a healthcare advocate and threatening to sue and to go to the media before I was approved.

I have Aetna...I am one more visit away from submitting. I have already confirmed that my plan covers WLS and my surgeon's office confirmed this and also confirmed a 3 month period of doctor visits and other requirements(which I have met, including a letter from my primary doctor recommending WLS) My BMI is 41, my suregon and insurance coordinator seem confident that I will be approved. Can I ask why you were denied for 18 months? None of my business really I am just curious/worried about what I may be up against.

We have a fondue place here at the end of the meal they bring you a fondue pot full of melted chocolate with various thing to dip including SNICKERS!!! Wrong on so many levels!

But good!

The Melting Pot? Have one near me, the dinner was ehhhhh, the dessert...oh my!

To the OP: when you weigh yourself make sure you only use the same scale all the time. When you use your doctors, home then curves they can all be different and then discouraging. Just stick to your home scale.< /p>

Does Curves have any free weights? If so, put a 10 lb weight on the scale to see if it is accurate and if it is you can adjust your home weight up or down to match the Curves scale.

Splenda IS aspertame...

that is incorrect

Splenda is the brand name for sucrolose

Equal is the brand name for aspertame

two different things.....although I don't think either one is healthy in large quantities.

My insurance company will not approve with a BMI under 40 with no co-morbitities and according to my surgeon that is the norm. You are SO close....can you wear heavy clothes when going to the doctor? Maybe gain a pound or two? I know, I know...the thought of purposely gaining weight seems so wrong, but you are a half point away from a BMI of 40. Your initial weight with the surgeon is what is used for insurance submittal. I am in the second month of my three month required medical supervision before submitting for approval. I have a BMI of 41 with no co-morbitities so I just sqeeked by. Good luck

didn't your surgeon give you a post op plan?

are you taking a PPI? I am still pre op but from all my research I see most people take a PPI post op

I am still pre op but read these boards every day and have learned a lot. Are you on a PPI? I have read that acid can mimic hunger. Just putting it out there.

fantastic article....there was one similar in the NY Times a while back. Nice to know that being hungry all the time is not in my head or a lack of self-control

Hello,

Met my surgeon on Tuesday. Been thinking about WLS for over a year but finally pulled the trigger and made the appointment. back in forth in my head for a year.....I can lose the weight on my own, no I can't, yes I can. Truth is, I can't...I have lost hundreds of pounds in my lifetime and gained them ALL back and have been miserable doing it.

My insurance requires 3 months with the surgeon before submittal.....so I could be looking at surgery in June......YIKES!

Waiting on my coordiantor to call with my appointments for psych, nutritionist and gallbladder ultrasound. It is soooo real now.

Michele