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Andrea Guadiana

Gastric Sleeve Patients
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Everything posted by Andrea Guadiana

  1. Andrea Guadiana

    Regret

    @@anitavee, I am starting to second guess my decision also. I am scheduled for surgery on the 25th and I'm struggling with the pre op diet. I was also just diagnosed with PCOS, so I'm started to wonder if I may lose a lot of weight just by treating the PCOS and hormone imbalance. I've been asking myself, "do you really need to do it THIS way?", "can't you just try a little harder?". I have no energy with this liquid diet and I'm a bit nauseous. Also, I'm so scared that since this surgery is irreversible that I may be making the biggest mistake of my life! Aaagghhh! I'm torn...
  2. I am in the same boat! I started my pre-op diet Tuesday and although it has gotten easier to endure, I'm also craving everything! Foods that I normally wouldn't pay much attention to before now look AMAZING, lol. I'm sure that is purely psychological. My surgery is scheduled for April 25th! I'm so excited, yet I'm also finding it hard to get through the days with such little energy. I am taking vitamins. In fact, my surgeon suggested prenatal vitamins to give me an extra boost, but I haven't felt much of a difference. I'm hoping it gets better also! Good luck to you!! We'll be on the loser bench together!
  3. Andrea Guadiana

    The wait game!

    Well, I just heard back from my case manager at the surgeon's office and she confirmed that the insurance company did receive the paperwork for my appeal and that she was informed that all paperwork is stamped with the time and date of receipt, yet the paperwork may not get scanned into the system nor updated until up to 21 days later because they receive so many claims and requests each day. I called the insurance company to verify this and they do have my paperwork and my appeal is now "under review". I'm praying that I get approved. I'm so worried because although I lost weight during my 6-month supervised diet, I've gained around 15 lbs since then. But, that's a totally separate issue. Hopefully your insurance has received your request as well and they just haven't had a chance to update their system yet.
  4. Andrea Guadiana

    The wait game!

    I'm in the same boat with you all. I have Anthem BCBS/ca and I was denied initially. The insurance company said that the reason they denied me was because my initial consultation with the surgeon didn't appear to state obvious weight loss goals and that too much time had passed since the initial consult and the time my surgeon's office submitted for approval. smh... I think that was bs, yet I went back to my surgeon's office for another consult and the doctor made thorough notes this time indicating exactly why I need the surgery (pre-diabetic, sleep apnea, bmi of 41.5) and that I had passed my psych eval and completed 6 months of supervised diet with a licensed dietitian. My case mgr said she submitted the appeal to insurance on 2/18. Yet, today I called my insurance company and they said they never received an appeal letter. They only had correspondence showing that my case mgr called for the fax number to fax the letter and paperwork. I called my case mgr, yet she is in clinic today. I emailed her. Hopefully I will hear something soon. I feel like my surgeon's office has been giving me the run around from the beginning.

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