acyum2008

I just got off the phone with my Patient advocate and she told me that they are doing my procedure as an outpatient procedure, She also said I will be going home under 24 hours after the surgery? Is this normal has anyone else had the procedure done outpatient? Feedback please. I thought that I would need to be inpatient at least 2 days to recoup and make sure that I am well enough to handle the adjustment????? Thanks in advance guys

Any word from your insurance company? @@Chylyn7 Any word from your insurance company? @@Chylyn7

Well I believe we have all been there before, you are doing so well following the pre-op diet then WHAM a temptation comes along and sets you off course. I can do this is what I keep telling myself, I am too close to give it all up for a sour cream doughnut. How do you all fight those sugar cravings and defeat those carb voices telling you its ok just try it ??? Help a sista out. Phil 4:13 "I can do all things through Christ Jesus who strengthens me."

So quick update I just left my final NUT visit and my starting weight at the beginning of my program in May was 258. I gained 6 pounds by my August visit and they warned me that I needed to be under 258 by today's appt, because I have Aetna insurance and they wont approve me if I have a net gain. I followed through with my portion control and forced my way to the gym. Today's weigh in I am 254.5 pounds. WOOOHHH HOOO Next Stop Pre Surgery Philippians 4:13 I can do all things through Christ Jesus who strengthens me.

Well what insurance do you have? I have Aetna and they want only 2 years. There has to be a loop hole. Here is what they require if you have Aetna. Must meet either 1 (adults) or 2 (adolescents): For adults aged 18 years or older, presence of persistent severe obesity, documented in contemporaneous clinical records, defined as any of the following: Body mass index (BMI) (see appendix) exceeding 40; or BMI greater than 35 in conjunction with any of the following severe co-morbidities: Clinically significant obstructive sleep apnea (i.e., person meets the criteria for treatment of obstructive sleep apnea set forth in CPB 0004 - Obstructive Sleep Apnea in Adults); or Coronary heart disease, with objective documentation (by exercise stress test, radionuclide stress test, pharmacologic stress test, stress echocardiography, CT angiography, coronary angiography, heart failure or prior myocardial infarction); or Medically refractory hypertension (blood pressure greater than 140 mmHg systolic and/or 90 mmHg diastolic despite concurrent use of 3 anti-hypertensive agents of different classes); or Type 2 diabetes mellitus

Well what insurance do you have? I have Aetna and they want only 2 years. There has to be a loop hole. Here is what they require if you have Aetna. Must meet either 1 (adults) or 2 (adolescents): For adults aged 18 years or older, presence of persistent severe obesity, documented in contemporaneous clinical records, defined as any of the following: Body mass index (BMI) (see appendix) exceeding 40; or BMI greater than 35 in conjunction with any of the following severe co-morbidities: Clinically significant obstructive sleep apnea (i.e., person meets the criteria for treatment of obstructive sleep apnea set forth in CPB 0004 - Obstructive Sleep Apnea in Adults); or Coronary heart disease, with objective documentation (by exercise stress test, radionuclide stress test, pharmacologic stress test, stress echocardiography, CT angiography, coronary angiography, heart failure or prior myocardial infarction); or Medically refractory hypertension (blood pressure greater than 140 mmHg systolic and/or 90 mmHg diastolic despite concurrent use of 3 anti-hypertensive agents of different classes); or Type 2 diabetes mellitus

Hey everyone, I am so glad to be apart of this forum. I have a load of thoughts. I am a single mom of a 1 year and I just need to know if any of you guys have been in this boat. I have my last NUT visit on Friday and then the Dr's. office will send off my records for my authorization. I have been told by numerous sleevers that you cant lift for the first 4 weeks??? How is this even possible with a 1 year old at home???? If anyone has any advice please share. I came really far on this journey and I would hate to have to wait 2 or 3 more years. Am

Is your procedure being done inpatient or outpatient?

Expect a wave of bills after surgery after any procedure LOL

@@Natosha Williams I have Aetna, and I have my last NUT visit this Friday, but I spoke with Aetna and I have met my $1000.00 deductible. And some of the OOP Max I believe you will still have to pay off the deductible. You shouldn't have to before surgery because once fees from the Dr, surgeon hospital start to accrue you will definitely meet it. My copay for inpatient hospital is only 500 and my OOP deductible was only 3500 of which I only really have to pay 25% of my surgeon cost etc the inpatient stay is covered 100%.... But I do work for a major hospital corp and it could be the insurance premiums are different. @@Invictus your copay was ridic OMG I would've flipped my lid. Hope this all makes sense...Its so early

Thanks @ I am really trying... I went into the break room saw the doughnuts and realized there were only 3 left i grabbed them and threw them all in the trash.... So what fire me..lol whatever I have to do to fight this thing.

I also have Aetna through my employer and I have one last NUT visit before they will submit my auth request. Was it hard for you to get your approval I am a little nervous about being denied. I have an extremely high BMI of 48. I weigh 258 and I am only 5 ft even, but I don't have any comorbidities. Please let me know. I am getting anxious and I am so ready to get this surgery done.