Ashoryb

Just some info. that might help. Most insurance companies have people who just review cases for approval. What they don't want you to know is that most of these people have either no medical background or if they are doctors they are not bariatric specialists. Now tell me what sense is it to have a dermatologist reviewing cases for wls?? So call your insurance company and ask them who reviewed your case and what their credentials and qualifications are. They will tell you some type of specialist doctor. If it is not a bariatric specialist request one. But most of the time they don't want to tell you because it's not a doctor at all. It is just some random person like you and me. Be forceful and do not take no for an answer! You want your case reviewed by a wls doctor! I would be very surprised if you didn't get approved... good luck! I hope this helps!!!
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My insurance wouldn't cover me at all. So I took came up with $ 4,300 and had the surgery in Mexico on 3/11/16. I needed a drastic change in my life and wasn't going to wait around insurance to cover me. Recovery hasn't been too bad, lots of liquids and Protein shakes so far. Looking forward to solid food but I know to wait until my stomach is ready to handle it. I started at 200, lost 7 on the pre op diet, just weighed myself and I am 182 :D . Oh my gosh it is working, cant wait to I get to my goal weight. If you can afford it, go to Mexico for surgery. I was treated very well.

I would call them back keep your foot on their neck. that is what i am doing now. i was denied the first time they said it was missing information so everything was done and my doc resubmitted last wednesday im still waiting if i get a denial again i am prepared with plan a plan b and plan c....they can tell you over the phone you ask the rep to talk to a manager immediately they cannot deny you that that is your insurance that YOU pay for..
good luck hun.

I mean at first I got nervous and thought ...oh snap my stomach is exploding haha. But I'm sure that's just my anxiety talking. I just feel so fragile! I didn't do that much exercise. Literally 10 minutes...

Dayum..........I feel for ya.
And yes....I felt some of the same pains.
Hell......at almost 5 months out......I still feel some oddball pains.
One could safely say that this dude's life is full of random oddball pains.
Some of are my own doing.....trying to be a superhero in the gym or elsewhere....these are what I consider "good" pains. I caused them....I can pinpoint how they happened.....all is good. All will be well.
Some, though, are the random pains that leave me scratching my head and going, "WTF?". I am so not joking. I frequently scratch my head and ask myself that very question.

I've been using PB2 since before surgery. Started eating creamy Peanut Butter in soft food stage. Started eating super chunky at 3 months once I was cleared for nuts. Ate it at least 3 times/week. That went fine for about 18 months. Then, for some reason, I lost PB control. I could no longer stop eating it. After finished a whole jar in less than a week, I permanently banned it from my house. Nuts and nut butters are the only thing I can't eat in moderation . I miss my nuts

Good evening,
My name is Ashley and I'm newbie here. I never thought about joining a bariatric support group. But I do believe this will help me considering how frustrating my journey has been up until now periods I started my journey August of 2015 and I'm going to be using dr. Kim in Texas. I came into this knowing that my insurance which happens to be Cigna is very strict. I have a 53 BMI , obstructive sleep apnea, PCOS, and chronic back pain. I found the support group while I was maniacally searching 4 people experiencing the same things that I am experiencing. My insurance required three months of nutritionist verified diet psychological evaluation cardiac clearance as well as cardiac sonogram. I got all that done and submitted all my stuff to Insurance on January 14th of 2016. Cigna denied me on the 25th of January 2016 because they said I needed pulmonary clearance as well as blood work and they said they did not receive my cardiac testing clearance. Now I've gotten all that done and I just resubmitted March 1st of 2016 and now its March 11th of 2016 and I still have not heard anything. So I started searching for people who have been in the same boat as me and I found this wonderful support group and I've been reading a lot of your stories and experiences and I know by being in this group it would give me some comfort I wish I had found this when I first started. My starting BMI is 53 my starting weight is 320 and I'm so hopeful about my future. I have had a failed lap band which I got banded it in 2008 and then band removal in 2011. Gastric sleeve is a dream come true if I can ever get the approval. I know this has been long but I really wanted to introduce myself so that if anyone has a story like mine they can share with me so that I know I'm not alone.
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Butterfly 23 Thank you so much for your reply. I appriciate your kind words. I'm very dedicated to this process because I have a beautiful 3 year old daughter who needs a mom thay can play with her. All I can do is sit and watch. My insurance is cigna but goes through a third party call group administrators and they are ruthless. But I can be pretty ruthless myself Sent from my SAMSUNG-SM-N900A using the BariatricPal App

@@Ashoryb I hope you hear soon! You are really dedicated to your health and this process so even if they give you more hoops to jump through it will suck but you will make it and reach your goals I have no doubt!
Your hope about your future and willingness to reach out will fuel your success. Best of luck to you.

Good evening,
My name is Ashley and I'm newbie here. I never thought about joining a bariatric support group. But I do believe this will help me considering how frustrating my journey has been up until now periods I started my journey August of 2015 and I'm going to be using dr. Kim in Texas. I came into this knowing that my insurance which happens to be Cigna is very strict. I have a 53 BMI , obstructive sleep apnea, PCOS, and chronic back pain. I found the support group while I was maniacally searching 4 people experiencing the same things that I am experiencing. My insurance required three months of nutritionist verified diet psychological evaluation cardiac clearance as well as cardiac sonogram. I got all that done and submitted all my stuff to Insurance on January 14th of 2016. Cigna denied me on the 25th of January 2016 because they said I needed pulmonary clearance as well as blood work and they said they did not receive my cardiac testing clearance. Now I've gotten all that done and I just resubmitted March 1st of 2016 and now its March 11th of 2016 and I still have not heard anything. So I started searching for people who have been in the same boat as me and I found this wonderful support group and I've been reading a lot of your stories and experiences and I know by being in this group it would give me some comfort I wish I had found this when I first started. My starting BMI is 53 my starting weight is 320 and I'm so hopeful about my future. I have had a failed lap band which I got banded it in 2008 and then band removal in 2011. Gastric sleeve is a dream come true if I can ever get the approval. I know this has been long but I really wanted to introduce myself so that if anyone has a story like mine they can share with me so that I know I'm not alone.
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Darling Babbs, OF COURSE you're a special snowflake. And like all good snowflakes, you followed your surgeons postop orders, didn't you?

What?! My surgeon told me I was a special snowflake! Was he LYING to me??