Kat36

I ate Wendy's chilli 6 weeks out. I'm 2 months post-op and having trouble eating chicken but no problem with beef.

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This is the first time posting any pics. I am a couple days shy of 2 mos post op. Down 46lbs.

After three appeals the last appeal to UT office of employee benefits the BCBSTX decision was overturned! I'm approved. If you're denied but met the criteria appeal appeal appeal it's frustrating but don't give up. My surgeon's staff handled all my appeals because I should have never been denied anyway. On my way to a healthier me.

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I was also denied my BMI is 36 and I have high blood pressure however BCBS feels it's controlled by best practice medical management. I'm appealing now. Did you ever get approved by your insurance?

That everyone's experience is a little different from everyone else's. I had virtually no pain. Have had no problem with Constipation, but some of the reverse issue. I've had gas, annoying rather than painful. Mostly, I guess I wish I'd known how incredibly tired I'd get of Protein Shakes and Water as the basis of my intake. I've had some Soup and yogurt the last few days, but I can't wait until I can have a greater variety of food. Also, I feel like I'm drinking constantly but I still don't meet my water goals. Argh.

I tried eggs about 1 month out once i could have soft foods and they were not for me. A few nights ago, figured I'd try again and still they came right back up [emoji53]I am 4 1/2 months out now. I absolutely love eggs, so I will keep trying.

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So this just in...My surgery was pushed to August 1st, due to my white blood cell count being elevated ( acute pharyngitis)- PCP isn't able to give me clearance until my labs are perfect. So yea- this is a bit of a blessing ins disguise, by the date being pushed I get to accrue more time off work/ can take more time off. I am going to take 2 weeks off now instead of 4 days.

After three appeals the last appeal to UT office of employee benefits the BCBSTX decision was overturned! I'm approved. If you're denied but met the criteria appeal appeal appeal it's frustrating but don't give up. My surgeon's staff handled all my appeals because I should have never been denied anyway. On my way to a healthier me.

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[emoji1480], Hoping you get approved soon! [emoji1488]

I'm waiting for vsg approval after submitting my 3rd appeal this past Monday. I live in Houston my surgeon is Carlos Ferrari at MHMC to. I plan to schedule as soon as I get an approval. Good luck to everyone.

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@sweitzer2148 Did your policy require your co-morbidity to be uncontrolled?

I was really nervous my PCP would not agree to write a letter. So I went to see her prepared. I wrote a sample letter for her, also put it on a flash drive and brought it to my visit. I brought all of information from Bariatric doctor as well. I didn't ask for her permission. I came in and said, "I have been seeing a Bariatric doctor for several months, I have also been seeing a Nutritionist for several months and we all agree that my health would greatly benefit from gastric sleeve. I don't want to be overweight and I don't want to be on HBP meds anymore. I want all of my doctors to be aware that I am getting this procedure and more importantly, I want your support. My endocrinologist, gastronologist, and OBGYN have all written letters supporting me to make this journey easier on me. I know you are busy, so I have a sample letter on a flash drive for you. You can simply print it on your letterhead and sign if that's easiest."
She said wow, you have done a lot of research. Then all the questions that she asked were questions about my surgeon and hospital. She wanted to make sure I was t going to a shady doctor. She told me she was happy I chose his facility and happily wrote her own letter for me. Her letter was awesome, she even wrote in the letter that she never had a patient that's she was so sure would be successful with surgery and would benefit from long term effects. It was great.

Sorry to hear that I was just denied due to BCBS AL hold me haveing pneumonia in 2013 where my BMI dropped to 28.1 but I was not eating because I was sick so now my surgeon office is writing a letter to see if that will be approved if not I will have to wait a year to try again ,I have mentally prepared myself along with my husband for this day just to get bad news I have a yo-yo affect with my body and I wanted to prevent future issues you would think they would benefit from that and not having to pay for unessary Dr visits in the future .
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Congratulations.

How come these things aren't handled electronically these days?

Just wanted to update you all. that it was just a stall that ended a week or so after i posted this and most likely due to my low Water intake. my friends and i have patched things up. changes may sometimes bring out the worst in your friends but rifts are what friendships are made up. thank you all!

I know it sounds crazy to wish high cholesterol but I know exactly how you feel. I was praying for sleep apnea before I was diagnosed. I know that they have to put a number on this for insurance purposes but it's so frustrating that we are trying to do something about this before it gets totally out of control and we have all the comorbidities. I wish you luck in your journey!!