adargie

I am in Rockford. My date is Aug 5. I am going with Dr Foote and grand health partners

My date is aug 5th! I only have a one week pre-op diet(whew) I am going on vacation for a week tonight and am going to be good but will prob have a couple food funerals to get it out of my system. I am active on a regular basis, and we are going to kayak our hearts out this next week!! Because I have a feeling it will be awhile before I feel like getting in one.

I am getting scheduled for surg and have a question regarding boobs. LOL, anyway, I am top heavy, 44/46 DDD, wondering if anyone has any tricks to tighten things up as they start going south. In the past I lost 25 pounds on the south beach diet(only to gain back plus 15) but I happened to notice how I lost in the breast area, which worries me they are going to be "2 eggs in a sock tacked to a wall" after I lose a significant amount of weight. Any advice would be welcome- exercises, wraps,(or a good plastic surgeon! ha!)

So my long road just took a sharp curve in the right direction, I have had sooo much anxiety regarding this insurance that I about gave myself an ulcer. So to anyone with Priority Health ins in Michigan, I can give a thumbs up. It was less than a week for my approval. I will call today for my date prob aug sometime, I wanted to do July but have family coming to visit and don't want to be recovering.,( I am a "low BMIer, 40.4 to start and 40.7 at final weigh in, I am 5' 7 and about 262 no cormorbs) This site has been wonderful, tons if info and support for me. I spoke to my surgeon about it, he said I was very "informed" and I said it was due to this site. Anyway, I'm working my last day before vacation, so off I go, till next time....

Wow I never realized there was a medicine for your gallbladder, I just looked up the stats on the actigall and I am totally going to ask my dr ahead of time. I hope you get feeling better, that was a double whammy for you!

I am in the same boat, submitted last thurs have a 14 day wait from he**, and with the holiday it might be longer, so I figure I will glue my phone to my face and proceed to try to have some fun this weekend!!!!

Well I ended up losing the couple pounds I had gained(by starving myself for 2 days) so overall my weight was one pound higher than my initial weigh in, so I remained at a 40.7 BMI. My dr was happy and they submitted my info to the insurance, now to wait, they told me 14 days and with the holiday it could be longer. So I am hoping to hear something early next week. I don't know anyone who has had this surgery with my insurance(priority health)so I am in the dark.

I am also contemplating all that crazy paperwork, where did you go to have your will done? I don't have an attorney and would just like to get an idea of how to go about that stuff. It needs to be done whether or not I have surg. anyway I figure

I have my own waiting game too, mine with waiting for ins approval, also 2 weeks, sigh......

I can agree with not telling those that live far away. My dad lives in Arizona(me mich) and my best friend in cali. It has been difficult not telling them but I know what worry warts they are and would hate to keep them up at night, I will eventually tell them. (don't have a date yet hoping aug) also I am only telling those I know who will be positive energy for me prior to surg. The whole "you're not that fat" gets real old. Good luck friday, will be waiting to hear your story

Had my last weigh in yesterday, so my Dr said they will submit my paperwork today and it takes about 2 weeks before they hear anything, And with the holiday who knows how long....ugh. I swear this has been the longest 6 months ever. I am hoping to have a date in aug. if everything goes well. My Dr did say I would prob only have to do a 1 week preop diet because I am a "low" bmi-er(40.7)

Thanks for the replys, I have been concious with my diet but was told if I dropped below 40bmi I would not be covered(I started with a bmi of 40.4) but I am hopping its not a catch 22 and they deny me because I didn't lose any. Just have the jitters wondering if anyone else is in my position

Wondering if this affected your outcome for surg. Tomorrow is my last weigh in and I am up a couple pounds. Very nervous

I think my insurance is different, sounds like they record my last weigh in. I started at bmi of 40.4 and I have actually gone up a couple pounds so I am now at 41, so I am crossing my fingers that doesnt affect my outcome. My Drs told me not to drop below 40 during the 6 months, its actually been very difficult. I keep bouncing around the same 2-3 pounds. This has been the longest and fattest 6 months of my life!!!

I am on my last month of of 6 month pre-op for insurance and the dr following me said that with my insurance I cannot drop below 40bmi or they will not pay. I started at like 40.7. So I have purposely not lost weight and am nervous that they will deny me because of that

That is amazing!!! I am inspired by your story!!! If you don't mind me asking what ins did you have?

Congrats on the approval!! Did you lose any weight during your 6 month? I have gone up a couple since I started and I am worried this will affect my ins outcome, my paperwork will be submitted 6/26ish so I am absolutely outta my mind about it. This has been the longest 6 months ever.

I am in the same boat, bmi of 40.4 and I have gone up a couple pounds since I began , I am super worried about it my last weigh in is june 25 so gonna be on my best behavior to try to get those few pounds off, but man I am scared they are going to deny me!

OK I have a week and a half before my final weigh in for my 6 month course. I am have no comorbidities and my start weigh was 258 so that puts me right at 40.4 bmi, my insurance requires bmi of 40 or above for no comorbidities so needless to say I have not gone under 258, I have actually gone up a couple of pounds. But I read my surg requirements and it says "The BMI recorded on the prior authorization form should be based upon measu rement of height and weight within one month of requesting the evaluation." My question is should I keep these few extra pounds on to get me to 41 bmi since they use the last measurement of the course or should I just try for my exact start weight. I don't want them to deny me because I didn't lose. But I really have not put anything on. Every weigh in I was within one pound of my start weight and I have printed my food journals and my DR says I have done very well. I think I am just starting to get loopy from constantly thinking about this approval. I was told when I started 'Just DO NOT drop below 40 bmi or they will for sure deny" I am hoping others have dealt with this situation, I know every ins is different, mine is Priority Health and I am in Michigan. I have not spoken to anyone with this ins and in my situation so I am really nervous.

I am in the same boat with you, but I have Priority Health ins, my BMI is like 40.4 and I have no comorbidities. I have been nervous this whole time about that. My last weigh in is June 25th and then the paperwork will be submitted. I do not know anyone who had dealt with priority health so I have nothing to go on. Good luck with the appeal I will be interested to know how it works out

I am on month 5 of the 6th month required plan. I was told my insurance WILL NOT cover if my BMI falls below 40 during the 6 months. I think my starting BMI was 40.7! So I have been walking a fine line trying to stay put with out gaining or losing. My last visit I was up 4 pounds, sigh. I really hope that gaining a few won't look bad but I am really going to try to get that extra weight off before my next visit. I am trying to increase my water intake and exercise more. So my advice would be to call your insurance provider and get an exact statement of what they require. I was lucky and my dr knew what Priority Health requires to a tee! But I admit I am still nervous they will not like that I haven't lost much and deny me.

I really hope you are in some form of entertainment business!! Kudos for making me look like a fool at 8am in the work place due to uncontrollable bursts of laughter. (I'm suppose to be working not reading posts about poo!!)

Just wondering what others did to prepare meals for when they aren't eating(but others in the house need to) I won't be having surg till Aug but I am starting to think of what I will need for single serve meals to freeze for my husband.

I was told the first 2 months no nsaids but after should be fine. I think every DR is different. ITs true they are hard on the stomach but for me ibprophen is the only thing that takes care of headaches for me!

Any of you fellow MI folks deal with Priority Health insurance? I am super nervous about mine going through. Just kinda wondered how diff they were. Dr Footes office said I CANNOT drop below 40 bmi with no comorb. but that gives me like 5 pounds to play with., I am worried they are going to see me not lose ANY weight during 6 months and deny me. Ugh I am being vigilant and attending every visit. I meet with surgeon this month for more info