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Laura Lopez

Pre Op
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Posts posted by Laura Lopez

  1. Posted

    You should have made him agree that if he couldn't stick to your diet he pays for your surgery in Mexico. Aim high with the bets!

    I have thought about Mexico many times. But I am a little afraid. I know a lot of people have had surgery in Mexico and are doing just fine. But will not discard that option. Hehehe
    The same thing happened to me with my insurance! I need this to save my life so my husband agreed to help me self pay. We are both terrified of surgery in Mexico as my aunt died getting a Tummy Tuck abroad as well as many other horror stories I've heard... So we searched until we found an American surgeon with reasonable fees. My surgery is 6/7 in Michigan and the cost is $11,000. Sure it was a bit higher than Mexico, but worth it for my peace of mind. I would consider self-pay if you can make the financial sacrifice and get your husband to back you! Good luck sweetheart!

    Sent from my iPhone using the BariatricPal App

    Thank you! 6/7 is just around the corner wishing you the best!

  2. Posted

    Are you sure the plan doesn't say 6 months weight management in the past two years? There's lots of stories on here but this is the first I'm hearing of having a 2 year medically supervised diet, 24 months of visiting the doctor seems extreme.

    "We can't solve problems by using the same kind of thinking we used when we created them"

    Einstein

    I really wish i was wrong, really really wish I was...

  3. Posted

    We are missing the point here- if you were already in the works towards surgery, is there a possibility you may be grandfathered in? If not- consider switching to a different ins plan asap. Maybe thru obamacare? Just take yourself off your current plan and switch if they can cover your surgery faster.

    I will definitely talk to my surgeons staff about getting grandfathered in. Next step will be switching insurance, I have medi-cal. Thank you so much :)

  5. Posted

    my husband has a lot more tact and self preservation than to say that kind of thing,

    but I think for a long time he really did think it was that simple because he has never struggled with his weight. to loose 10 pounds he just cuts back on his potato chip habit. seriously. not eliminate them, cuts back.

    it took him quite a while to accept and see that my body is different and it wasn't going to happen for me without serious medical intervention.

    I hope your husband can come around and see what you need, and be willing to do whatever it takes to get you to good health.

    I hope so too. I want him to understand that whatever works for him may not work for me. His point is that I shouldn't wait around for surgery to happen because there is a chance I may not get approved. Something about that really annoys me. I have convinced my self that surgery is the only way. While He is convinced that surgery may be of big help, he also strongly believes I can lose the weight by exercise and dieting.

  7. Posted

    Me: well I guess I won't be having surgery anytime soon my insurance changed their guidelines to 2yrs of supervised diet . I only have 6 months down.

    Husband: Well maybe you can try working out now and lose the weight on your own. You lost 6 months going to appointments and stuff.

    Me: well it is easy for you to say because you are not in my body. What happened to all your support?

    Husband: well nothing is happening , you need to do something about it now. Don't wait for surgery, And you still have my support.

    Me: okay thank you. ( in reality I was so angry, maybe because he was right. Maybe because I gained 7 pounds in the last 6 months. And if I keep it up who knows how much weight I will have gained at the end of two years. And most of all the thought of going down that road of dieting and exercising, we all have been there before and had little to no success. Just to gain all the weight back plus a few bonus pounds . It is that cycle I want to avoid. I need this tool to make my weight loss a success and to keep me moving forward. Now to make him feel what I feel, I make him eat what I eat and make him workout with me too. We have been doing this for a week now and he is ready to give up. But won't admit it. We made a deal if he gives up I give up. So I will keep pushing him until he sees my point.

  12. Posted · Edited by Laura Lopez

    This journey of getting approved is more complex than I could have imagined. When I began thinking about this I never consider the first step should have been to look at my insurance policy. I just figured if they covered it, it would be handled like they do with any other health issues.

    I wonder if the surgeon spaces out these "approval" based on their schedule. I know the one I'm using said he is booked for two months.

    I love Mexico but am too chicken to have my surgery there.

    Sent from my iPhone using the BariatricPal App[/quote

    I am too! At the beginning of my journey Mexico was my only option. But then I was told that medical also covers this procedure I was excited and decided that I rather wait 6 months. I feel more comfortable having surgery here in the states than going to Mexico.

  14. Posted · Edited by Laura Lopez

    My guess is if the surgeon says you don't or do need something, the insurance has to go with it. The surgeon is suppose to be the medical expert

    Sent from my iPhone using the BariatricPal App

    I hope so. I asked him if this doesn't work ( insurance approval) how much does the procedure cost he said 18,000. I immediately thought Mexico, I will go to Mexico. Then he added but don't worry I don't see a reason why you won't get approved just wait till next visit! why do they make it so hard to get approved!

  15. Posted

    When I initially called - they reluctantly listed info over the phone. One requirement was 6 months of supervised weight loss. I wanted clarification on that (since coworker with same insurance didn't require that). I was told I would have to find out requirements from surgeon when they request prior authorization. Surgeons office told me 6 months weren't required (on my 2nd monthly visit). I wish I had that info in March - I may have had surgery already.

    Initially I was told all I needed is my 2 year weight record. 6 months of dietary notes, NUT and psychological evaluation. Which I have done all I even provided them with a 3 year weight record. My next appointment is June 30th I am hoping it goes just the way the surgeon said and they submit to my insurance then.

    When I initially called - they reluctantly listed info over the phone. One requirement was 6 months of supervised weight loss. I wanted clarification on that (since coworker with same insurance didn't require that). I was told I would have to find out requirements from surgeon when they request prior authorization. Surgeons office told me 6 months weren't required (on my 2nd monthly visit). I wish I had that info in March - I may have had surgery already.

    Initially I was told all I needed is my 2 year weight record. 6 months of dietary notes, NUT and psychological evaluation. Which I have done all I even provided them with a 3 year weight record. My next appointment is June 30th I am hoping it goes just the way the surgeon said and they submit to my insurance then.

  17. Posted

    Yesterday I had my last appointment with my surgeon but I was advised a week ago that my insurance (medical) has new guidelines that require 2years of dietary notes (it used to be 6 months). The girl at the front desk said maybe if I keep going for another year that should suffice the requirements. When I met with the surgeon I mentioned to him that I was a bit upset that now I must wait longer, he looked a bit confused and checked my record and said I am sure we can submit next month. So Who is right? It is hard when I keep hear two different things.

  21. Posted

    Today was my 3rd consult out 6 with my bariatric surgeon. I was asking the receptionist there about the whole process to getting approved for surgery. When she starts to review my medical file, she noticed that out the 2 year weight history they requested, one of them is not very detailed but it does show my weight then, (and was definitely overweight) and the other report has a note from the dr stating her concerns for my weight. Long story short, I may get denied because one of my weight history is not as detailed. And to top it all off she said that my insurance has been very picky lately. ???? feeling a bit down.

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