olamae

I have been stuck at 38 pounds for a week now. Sleeved 04/25 down to 217. I get 75 grams of Protein daily. Do we all go through stalls or what? I am able to eat more now and I really can tolerate everything. I am sticking to the meal plans too.

I am 5 weeks out and started soft veggies this week. But shrimp and catfish have been my go to meals when possible. Other than that yogurt, Protein Shakes and eggs!

Ok right now I am taking chewable Iron and Multivitamin. Is there an over the counter iron and or multivitamin that has the same MG as the bariatric type Vitamins? One that is not chewable?

I have already completed everything I need except they have no openings for my egd until April 14th so my surgery isnt until April 25th!

How do you have a surgery date without approval or do you need approval?

What is Aetna MVP? An HMO or medicare plan? Or a ppo?

Do you feel anything during the procedure? Is it uncomfortable? Or are you in lala land?

I have asked this same question and I have been told they go by your starting weight. How long do you have to go through with insurance?

So just curious what chewable you guys use or do you use a dissolve-able all around Vitamin? I have not had surgery yet but trying to get used to the chewy Vitamins. Which one has the best taste? Aftertaste?

They submitted my paperwork to Aetna on Friday, but after reading all these forums I am worried. From my 1st appointment to the last one I was up 4lbs. Nowhere did it say that I could not gain any weight during the process.

Now i'm pissed off because I am for sure going to be denied, but how was I supposed to know?

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Sounds like to me you will owe the entire deductible if not met $750 then you will owe the entire amount of the out of pocket $7150. So being the procedure is well above $7900 then you will owe that entire amount. The contractual rate is what the insurance agrees to pay the hospital. Sucks they don't include the ded in the out of pocket.

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!

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So when you weighed in the last time you weighed more than the first time you weighed?

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!

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Ok so my insurance Aetna says no Net gain. I am almost 10 pounds from my starting weight, but afraid I gained 1 or 2 pounds for my last weigh in today. I still have a loss of 8 pounds but will the 1 or 2 pounds gain hurt me?

If you have dermatitis or problems with your stomach overlapping and causing problems some insurances will pay for a paniculectomy. Google it but it's like a Tummy Tuck. Breast reduction or lift rarely but same thing like causing problems. Excessive skin on your arms or thighs never seen it.

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Actually a panniculectomy is different from a tummy tuck.

Panniculectomy just removes the "apron" Muscles are not touched.

Tummy tuck pulls the muscles taught, suturing them together

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If you have dermatitis or problems with your stomach overlapping and causing problems some insurances will pay for a paniculectomy. Google it but it's like a Tummy Tuck. Breast reduction or lift rarely but same thing like causing problems. Excessive skin on your arms or thighs never seen it.

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I have the most Expensive Aetna plan with my job. I only had to do a 90 Day Supervised Diet where you cant gain 1 pound. As far as Endoscopic Testing I didn't have to. We had a pre-approved amount including for my skin tightening option if I needed. My out of pocket towards the surgery was minimum.

Tie Hill Samsung S6+

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Depends on your policy if you need an auth for the egd. Call the benefit line, but most likely no!

Wonder if they can take out my dermals as soon as they put me under??

What insurance do you have now and what did you have?

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I have anthem BC/BS in NY. I believe that's what my surgeon is saying. Both he and my pulmonologist believe that I have sleep apnea and that it's what will get me approved. I was just wondering if there's anyone who was in the same boat.

Yeah sounds like that is your case. I have a bmi of 41 with no cormibids so over 6 months I have only lost 6 pounds. I say if you dont have sleep apnea then get your BMI to 40 and start over!

It sounds like to me they won't approve it unless you have one cormibid? What insurance do you have? I know with my Aetna you have to have one with a bmi of 40 and under or you do not qualify.

What about dermals? I have chest dermals. I wonder if I will have to take them out? That is no easy task! Literally need them cut out!

Okay maybe you'll need to request the Bandage.... or tape : / make sure you keep us posted with the outcome you never know who may need this information : ) thanks for your question.

I know I have heard different things. If they need to take them out maybe they can wait until I am under anesthesia lol!

What about dermals? I have chest dermals. I wonder if I will have to take them out? That is no easy task! Literally need them cut out!

Please keep me posted on this thread. I started with another insurance and a bmi of 42 and now a 41.7 I am afraid to lose too much weight because I have no comorbids. Do they go by starting weight?