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dell

LAP-BAND Patients
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Posts posted by dell


  1. :hurt I hadn't thought that it would be so hard on me, this time around trying to lose weight. After being turned down by my insurance company. Did call Dr. Maese's office and let his office know about it. Said they would try and do the best they could for me, as far as an appeal. But I know it wont be happening for me. After all I've looked into as far as my insurance goes. After you appeal it,

    it still won't happen. I want to look at this objectively, but I cant!!! I started

    back at Curves. But I'm alot bigger this time around. First few days was extremly

    hard. I mostly blame myself for all the weight . Maybe things will get better for me in the long run. But how in the world can I deal with this letdown in my life?

    Just letting this off my chest helps. I guess things are meant to be. I just will

    do the best I can. Cant afford to do any more than what I'm doing. In th mean

    time I wish yall fellow band people joy, peace and happiness . God keep you.

    Love you Dell


  2. :cry I'LL SUCCEED,

    DEAR, THANK YOU FOR THE REPLY TO MY POST. I',M

    JUST WAITING FOR THE DENIAL LETTER, WHICH I SURE WILL COME.

    I'M GOING TO LOOK INTO ALOT OF THIS ALEX AND YOU ARE ADVISNG ME TO

    DO. BUT I HOPE YOU GET YOURS. LET ME KNOW HOW IT COMES OUT ABOUT THE APPEAL. thank you,

    yours truly, dell


  3. Sandie 1958,

    Thank you much for the reply. I guess I do stay a liitle on edge

    now. You are a very sweet person. I'm going to call my lap band coordinator

    Monday. Maybe she will know what to do or help in some way. Well I start

    back at Curves. That's just going to be worser for me. But I will strive on

    and do what I can until somthing is approved or not approved for me.

    hope to hear again from you. love your friend, dell


  4. Sandi 1958,

    Than you very much for the reply to my post and the thought. T

    have BLUE CROSS/BLUE SHIELD OF TEXAS (health select) though Mexia State

    School where I work. I really think I'm going to get turned down. Because I called them and was rudely told that they don't cover weight loss surgery even

    if you have done all that you are to do as far as asking for it medically. The best

    I can do is appeal it and hope to get it approved eventually. Sandi I have heard from alot of people through this forum and believe everyone seems to care about this whole process. I love each and everyone of yall. Someday I HOPE TO MEET SOME OF YALL. Again thank you and have a nice day or night and know that you are being thought of. Love, DEll


  5. Bubblestina,

    Got your reply to my post, glad I'm not the only person that has went to Dr.Maese. He is a very caring person. Mine is going through Dr. Richard S. Anderson of Dallas. Wasn't the sleep test fun!!!! I hated that... My insurance is Blue Cross/Blue

    shield of Texas (HEALTH SELECT) through the Mexia State School where I work. I hope you get approved. I wish that we could get some type of petition going against these Insurance people to make them pay for this type of surgery. But I don't think that will work. In the long run they would come out better. Maybe it will work out in the long run. Hope to hear from you soon/ Thanks for the reply. Have a nice day or night. Love, dell


  6. okiejudy, sometimes you have to do things to see how they play out. The more

    information you have , maybe you will be ok'ed for the surgery. I've done it all

    and hope to be ok'ed for the surgery. if I'm not I will appeal and do everything

    to get it done. okiejudy, I wish you the best of luck. hope to hear from

    you soon. love, dell


  7. Hi,

    Guess Yall Are Tired Of Hearing From Me!!!! But Called My Insurance Carrier Today.. Said That They Have Recieved The 46

    Pages Of Paperwork From The Lap Band Coordinator. They Tell

    Me I Have An Exclusion On My Insurance About Lap Band Surgery.

    Even If I Have Paperwork. Theytalked Like It Wouldn't Be Reviewed.

    I Haven't Recieved A Denial Letter. I Don't Know What To Do!!!! Very

    Upset About This.. Maybe Somebody Can Help Me As Far As This Goes

    And Tell Me What To Do .... Appreciate All Of Yalls Help. Hope And Pray Somebody Will Help Me. Hope To Hear From Yall Soon.

    Love , Dell


  8. Hello Everyone,

    I'm really happy for all of you that have recently been approved

    for lap band surgery. Called my lap band coordinator today in Dallas. She

    says it takes about 60 days to hear from your insurance. Is this correct???

    Ladies I'm worried that it won't happen for me. Meantime, I'm getting bigger

    waiting for this to happen . GOD I NEED A BREAK IN MY LIFE. Sometimes I

    feel like everyone is getting what they want except me. I don't mean any

    disrespect. It is just really tough on me now. I feel this is what I really need

    in my life now. Maybe someone or anyone could give me some advice.

    I WOULD APPRECIATE IT GREATLY!!! Have a nice day or night.

    love, dell


  9. Makena,

    Got your message today. Sounds like me and you been through the same

    things. I know how you feel. I just hope we get approved!!! Sometimes I wonder

    if it is all worth it??? We are just putting more money into this having the test done.

    YOU GO ON AND HAVE IT HONEY!!!! I don't blame you a bit. I'm going to call Monday

    and see if they even have summited my paperwork. Wonder about that too. Let me

    know about you .. HAVE A GREAT DAY.

    LOVE, DELL


  10. Dell,

    What's the latest? I was thinking of you and wondering how it is going? You know, you can always transfer to another doctor if you don't think they are "going to bat for you". Dr Benavides in Richardson has tried very hard for me. Just a thought......

    TAMBONSJO, THANKS ALOT FOR THE REPLY. HAVEN'T HEARD ANYTHING

    YET.. MAYBE SOON. IF I DON'T GET IN SOON. I'LL TRY AND GET ANOTHER

    REFERRAL FROM MY DOCTOR TO SEE ANOTHER ONE. HOPE YOU ARE OK TOO

    HELPS HEARING FROM PEOPLE LIKE YOU.. HAVE A GREAT DAY OR NIGHT

    TRUELLY YOURS DELL


  11. I hope you can get approved! My heart goes out to you. Here is something I have learned. If there are less than 50 people in your office/job that have insurance through your company, whoever it may be, then it is an automatic exclusion. No matter how much you qualify. That is my situation now. I have just gotten my money together and am scheduled for April 7th in Richardson TX

    TAMBONZJO: THANKS FOR THE REPLY.. I HOPE YOU DO WELL. PROUD OF

    YOU. THERE IS MORE THAN 50 PEOPLE WORKING AT THE MEXIA STATE

    SCHOOL. I ASSURE YOU THAT. BUT I FEEL WAHTEVER HAPPENS WILL.

    MAYBE THERE WILL BE A BREAK FOR ME SOMEWHERE. BUT JUST KNOW I

    WILL BE THINKING OF YOU. LOVE DELL


  12. Hi Dell! I just had to say HI to you and tell you to keep your chin up. You wrote about so many of the things I deal with I had to write back to tell you you're not alone. You're in a tough spot right now with waiting but try to stay positive. I know it's hard and you feel so helpless right now but try to do something positive for yourself. Go get a manicure, buy a good book, go for a walk in a park, etc something to raise your spirits.

    Do you know if your insurance company covers the surgery? Just wondering. Take care and try to keep positive. Again, nice to meet you and if you'd like to PM me, feel free. Laura in Texas

    Feel2Young2B40 reply:THANK YOU FOR SENDING ME A MESSAGE.... I DON'T

    THINK MY INSURANCE PAYS FOR THIS. I'VE GOT AN EXCLUSION ON MINE I'VE

    HEARD. BUT MY DOCTOR SAID TRY... WHEN MY LAP BAND CONSULTATION

    WAS DONE. DR. MAESE SAID IF THEY DID TURN ME DOWN. HE WOULD APPEAL FOR ME. I'VE HEARD FROM SOME ENCOURAGING PEOPLE AS FOR AS

    THIS FORUM GOES .. THANK YOU ALL VERY MUCH. I LOVE EACH AND EVERYONE OF YALL EVEN THOUGH I HAVEN'T MET ANYONE. SEEMS

    LIKE YALL UNDERSTAND MORE THAN MY OWN FAMILY DOES. HOPE YOUR

    OK. HOPE TO HEAR FORM YOU SOON

    lOVE DELL


  13. Good Luck to you! Please let us know when you hear something!

    Iluvharleys. Thank you for the thoughts. good luck with your ongoing

    weight loss. Proud of you... Hope they let me have this ...

    Have a great day and god bless you.... love ,dell


  14. Hurry up and wait, don't ya just hate that. Good luck on the weight, I mean wait.

    Thank you for the thought. This is a wait I hope will happen. But if it don'T

    I will do something else to try and lose the weight. But God bless you and

    keep you.. Love, Dell


  15. New Hope,

    Thanks for the reply.... I need to lose as much as I can to

    feel better than I do. Being overweight is tough. But I am not ashamed

    of it. Just would like to lose it for me and the person that the worries

    about me the most. Charlie, the man I live, with for 15 years. He is so

    worried about my health. But he never makes fun of me or anything.

    He is about 132lbs or 131. All I can do is the best I can. Again thank

    you very much. If you know of anything else. LET ME KNOW

    lOVE , DELL


  16. Dell,

    Do you know if your BCBS covers lap-banding? Most definately they will cover the GBP, but are you certain that they cover the band?

    Im with Penni... BUG the heck out of your coordinator.

    Good luck!

    paula, I am not sure. This is my first time trying to have something done...

    God.all I do is eat. I am 277lbs now. At one point in my life I was 165lbs

    and I felt great. But now all I can be is give out. Never been this big.

    Maybe something will happen for me as for as the insurance goes. Been

    to two or three diet doctors over the years since 1992 or 1993. Found

    out being on diet pills if not good for you in the long run. Paula you are

    doing great. Keep in touch. E-mail me if you want at dellm@glade.net

    THANKS ALOT. lOVE, DELL


  17. Awww Dell keep the faith. Also I would bug the heck out of the coordinator and make sure they do what they said they would do. I would call the insurance people to make sure they have the necessary paperwork. Just a way to be proactive.

    I am rooting for you Dell. I will say a little prayer. Where are you located?

    Penni60 , appreciate you giving me a reply.. I'm going to call the

    lap band coordinator soon. I"ve just had the last test (PHYSIC EVALUATION)

    on the 17th of this month. just keep hoping like i do. I DO APPRECIATE

    YOU VERY MUCH. Oh! I live in Tehuacana Texas , about a 2 hrs drive

    from Dallas....

    hugs..... dell


  18. done all what was asked for as far as BLUECROSS/BLUESHIELD ask for.

    my lap band coordinator is suppose to be sending the paperwork to them....

    i am 277lbs now. cry most of the time. hope i can get this done. does

    anybody know DR. RICHARD ANDERSON thats with dallas.... TO EACH OF

    YOU THAT HAS HAD THIS SURGERY..... GOD BLESS YOU AND KEEP YOU.

    YOUR VERY LUCKY. KEEP THE WEIGHT OFF. maybe i will get approved for this.


  19. My first posting.....

    I am trying to get lap band... I have blue cross/blue shield health select.

    But where I work, it has a exclusion on this matter. My doctor has had me do a

    sleep test. I have high chol. but not diabetes. Is there is a easier way to get this approved. I did see a lap band doctor. He has referred me to the doctor

    who would be doing it. But that is far as it has went, they did call me yesterday,

    wanted me to fax them more paper work..... IF ANYONE can tell me what

    else to do I would greatly appreciate it.....

    Have a nice day and god bless you..

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