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Red_lips_and_confidence

Gastric Sleeve Patients
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    365
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  1. Like
    Red_lips_and_confidence got a reaction from KristenLe in TOMORROW is my surgery!   
    I'm Ashley! I tried for the sleeve 3 years ago and was denied twice, fast forward now 3 years later I tried again, jumping through hoop after hoop and 10 months later by the grace of God I was APPROVED! so nervous but excited for this new journey.
    My surgery is TOMORROW!
    Any advice ??
    So nervous/ excited...so many emotions all at once
  2. Like
    Red_lips_and_confidence got a reaction from KristenLe in TOMORROW is my surgery!   
    I'm Ashley! I tried for the sleeve 3 years ago and was denied twice, fast forward now 3 years later I tried again, jumping through hoop after hoop and 10 months later by the grace of God I was APPROVED! so nervous but excited for this new journey.
    My surgery is TOMORROW!
    Any advice ??
    So nervous/ excited...so many emotions all at once
  3. Like
    Red_lips_and_confidence got a reaction from carstanger in 5k color run!   
    Yeah I would love to do a 5k..lansing is a bit far for me, but i was willing to travel for the color run... I would like to do the breast cancer walk whenever that is though
  4. Like
    Red_lips_and_confidence reacted to carstanger in 5k color run!   
    If you find any close to Lansing that are 5K walks I'm in. My husband would walk with us too as support. The 11th is a Thursday which surprises me that it would be on a Thursday.
  5. Like
  6. Like
    Red_lips_and_confidence got a reaction from Brenda0928 in denied appeal today! needed prayers and crossing fingers x is everyone with me here   
    I got denied as well this week! I've been an absolute wreck crying my eyes out:( now onto the appeal process in june. Good luck with you!!!!!!!! Prayers coming your way it's so nerve wracking I know first hand
  7. Like
    Red_lips_and_confidence got a reaction from Brenda0928 in denied appeal today! needed prayers and crossing fingers x is everyone with me here   
    I got denied as well this week! I've been an absolute wreck crying my eyes out:( now onto the appeal process in june. Good luck with you!!!!!!!! Prayers coming your way it's so nerve wracking I know first hand
  8. Like
    Red_lips_and_confidence reacted to Brenda0928 in I want the sleeve!   
    Hi, I was denied on Monday, filed my appeal yesterday and got approved today!!! I submitted a letter and a picture of me explaining why I want and need this surgery, some info about me, stressing my determination to do this and NOT fail. I also attached all of the medical records from the last six months....and it worked!! Hang in there, don't delay unless you have to for some reason...
  9. Like
    Red_lips_and_confidence reacted to magpie30 in Mirena IUD vs. Birth control pills   
    I had Mirena for 3 years after having my son and the insertion was uncomfortable but nothing awful. I had no issues while it was in and my periods were so pathetic that a panty liner was all that was needed. However, when i had it removed was when i found out the problem. The removal was super easy, takes like 2 seconds. Hubby and i were trying for another baby, well after a year of trying with no results i went to see the doc. They did tests, they did say i barely qualify as having PCOS but that wasn't the problem. The problem was that i had nearly no uterine lining. Now this is one of the ways Mirena works, is by thinning out the lining so if by chance a fertilized egg does get past it's other defenses, you don't get prego. Well, in some people it can take a very long time for that lining to build back up. It took my body 2 years to get back to "normal", and the OBGYN did tell me that that is an issue with Mirena, but they didn't tell me about that before i got it when i was talking about it with them. i never had any issues with my period pre Mirena.
    On the other hand my doc sis tell me that they have been finding that BC pills are not as effective after WLS. They aren't sure why with the sleeve, as absorption isn't really the issue. So that is my experience with it, a friend of mine also had teh same thing happen to her and she is pretty skinny. Weight the pros and cons, and i hope whatever you decide works beautifully for you!!
  10. Like
    Red_lips_and_confidence reacted to JProx in Denied!   
    A lot of people go through this, keep your head up and reapply a soon as possible . God Bless and Prayers.
  11. Like
    Red_lips_and_confidence reacted to QueenAmandy in Denied!   
    Hang in there, I was denied 2x and it didn't really take that long to appeal.. the girl doing the paperwork in my surgeons office was helpful but I think was missing something - it took the nurse in my surgeons office to set up a conference with my insurance to go over all my medical records to only discover it was a miscommunication somewhere .... I so know how you feel but don't let it get you down - just stay on top of everything and everyone to make sure they do their part.
  12. Like
    Red_lips_and_confidence reacted to brandnewbie in Denied!   
    Sorry to hear that. Start a new post with your insurance name and it should help you get more feedback.. :-) Good luck
  13. Like
    Red_lips_and_confidence reacted to CocoCocoon in Denied!   
    These are both resolvable. They're just going to make you work for it but I'm sure you'll get it approved eventually. You just have to play their game and persevere. DON'T GIVE UP!!
  14. Like
    Red_lips_and_confidence reacted to southernsoul in Denied!   
    Oh my God, sweetie...I'm so sorry!!!! As you know, I have Aetna, too. Maybe the plans are different, but I had a 3 month supervised diet, not 6 month. Call them up & get the precise reasons for denial. Maybe it's just a paperwork thing...maybe they needed to records to be in a certain form or something. I know you must be so frustrated & disappointed, but this does not have to be the final answer! ((hugs to you))
  15. Like
    Red_lips_and_confidence reacted to Sab964 in Denied!   
    Get em girl! Insurance companies want you to give in and give up but I'm glad you're not!! I made sure with my insurance every single form/paper they wanted and I made sure I had copies of each, my surgeons insurance ladies (while VERY nice) could be forgetful... I wasn't having any of that...
  16. Like
    Red_lips_and_confidence reacted to southernsoul in Denied!   
    Hang in there, baby girl. It's probably just a form or letter that got missed or misdirected somehow. Aetna denied my psych's claim for my testing & sent me a letter telling me she was not allowed to bill me for the cost. Turns out she just had to re-submit claim with a different code. I'll bet your denial is due to something simple & fixable. Take a deep breath & hit it again tomorrow.
  17. Like
    Red_lips_and_confidence reacted to LisaLoseAlotx2 in Denied!   
    There are no words to explain how sad I am for how you are feeling. This too shall pass.
    This is also 90% of why many of us go to Mexico...myself included. I was told that I had not been "obese" long enough to qualify, after going through 6 months of testing (metabolic and otherwise). Insurance companies in the US will say and do anything to deny, deny, deny.
    You have options.
    I wish you the best and do not give up!!
  18. Like
    Red_lips_and_confidence reacted to Annie04 in Denied!   
    So sorry to hear about that, I have heard though that they deny most of the time hoping you will just dismiss it. Most people that have the surgery have gone through an appeal or two. If you have the documentation and have gone through their "hoops" you should have no problem. I also have Aetna, and my plan does cover bariatric surgery, but only at 50 percent. I decided at that rate, I would just go to Mexico and have it done on my terms. I researched and found a very reputable doctor and it is costing me less than $5,000. I figure that I will see that back in a couple of years just by eating less and eliminating some of my health problems. Don't let these people define what you know is best for you. If you really want this, you will find a way!! I am sending positive thoughts your way!!
  19. Like
    Red_lips_and_confidence got a reaction from brandnewbie in Denied!   
    Excuse me Naroby80 if you want to be rude and make comments like that then get off of my forum this is for support not arrogant responds. And I DID submit all my information LIKE I SAID if you read^ my insurance said they didn't have the supporting documents. So again, don't rub me the wrong way I am in no mood for your rude remarks at a time like this! And for everyone else we are going to appeal it tomorrow, we think the surgeons office missed a document and we will get to the bottom of it tomorrow thanks for all your support, It's appreciated all my VSG loves. Ill keep everyone in touch.
  20. Like
    Red_lips_and_confidence reacted to perezjewels in Denied!   
    Hey I'm new to this site trying to figure it out but I have aetna as well after four denials I was approved .Just let the Lord control your life. And keep appealing. Wish u the best:)
  21. Like
    Red_lips_and_confidence got a reaction from Kailisa in Denied!   
    Been crying my eyes out all day. Gonna attempt to appeal but idk how to feel about anything right now.. Really let down, discouraged and feeling defeated in life. Prayers needed and words or encouragement .. Thanks..
  22. Like
    Red_lips_and_confidence got a reaction from southernsoul in Denied!   
    Thanks soul :-/ I think something got screwed up because I did everything on the list and the hospital said they received all documents and submitted but according to my insurance I didn't!?? It's mind boggling I don't get it? We're gonna get to the bottom of it .. So aggravating !! Just more freaking hoops to jump through, I'm sure they hope I accept the denial and leave it at that but heck no there will be blood were fighting this! And if it wasn't meant I'm just gonna have to accept that it wasn't gods plan and well idk what I'm going to do uhg
  23. Like
    Red_lips_and_confidence got a reaction from brandnewbie in Denied!   
    Excuse me Naroby80 if you want to be rude and make comments like that then get off of my forum this is for support not arrogant responds. And I DID submit all my information LIKE I SAID if you read^ my insurance said they didn't have the supporting documents. So again, don't rub me the wrong way I am in no mood for your rude remarks at a time like this! And for everyone else we are going to appeal it tomorrow, we think the surgeons office missed a document and we will get to the bottom of it tomorrow thanks for all your support, It's appreciated all my VSG loves. Ill keep everyone in touch.
  24. Like
    Red_lips_and_confidence reacted to LipstickLady in do you wear anything on the surgery table   
    Just your birthday suit!
  25. Like
    Red_lips_and_confidence reacted to CharmingTortoise in Mirena IUD vs. Birth control pills   
    I had the IUD previously and loved it! I had been on birth control for way too many years and that IUD was awesome. No worry whether you remembered your pill or not. I had it in for about 3 years and never had an issue with mine. I honestly didn't think it was that bad going in but I had already had my son before that. Personally, I would not to the Depo or Birth Control again because they make me super-psycho. I had a copper IUD, it was inserted in 1998 so this was quite some time ago. I haven't heard anything bad about the Mirena or new-gen IUD's. I had no issues with the monthly cycles other than my usual difficulties. I always recommend the IUD when I get the chance.

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