BGrundee

You look beautiful!!! Keep it up and don't just live life but truly love life to the fullest!! Sent from my SM-N910T using BariatricPal mobile app

Hey Bri, I just got denied and in process of appealing myself. My BMI is 39.51, I am pre diabetic and have a few commorbidities like hypertentension, and few others. I have always been betwen 36-40 BMI for the past few years and its been hard as hell. My mom has diabetes, and grandma passed away from obesity and alzheimers. I wrote a 4 page letter, included my doctor's letter of medical necessity, 2 years of work out history, record of different weight loss drugs ive taken in the past 3 years and hope I do not get denied. Can I ask how long the process was to use Lindstrom obesity advocacy appeals and how much did it cost? Can you please guide me? I really need your wise advise... Thanks Becky

Congratulations on your tiny size!! How long did it take you to get a 2 & 4? How often are you working out and stuff?

No, I never knew a WLS appeals attorney existed! I just Googled it and saw WLSappeals.com but nothing else showed up. Is that them? On my phone it said the site was not safe so I didn't click on the link to be safe. Good look out on the WLS attorney. I'm going to research it more. [emoji3] Sent from my SM-N910T using BariatricPal mobile app

Congratulations! I hope you have a speedy recovery. Hopefully I will get my surgery soon! Sent from my SM-N910T using BariatricPal mobile app

MY PCP doesn't do P2P, she said she could only write a letter or doctor's note for me as she is not the surgeon. The first hurdle is getting Aetna to even allow me to see a Bariatric Surgeon. Urgh!!

Hi Crystal, Thanks for even getting back to me. I greatly appreciate it. My spoke to 2 different insurance agents and both told me to appeal and write a letter explaining how the surgery would benefit me, include I have tried on my end other options (exercise, pills), include a doctors letter that even though only shy 1.3 points (4-5 lbs) to get approved it is doctors orders for surgery. In March I was 202 lbs and would have been at 41 BMI, but I really wanted to give it a try myself to lose weight. I only lost 7 lbs between March and July. I also have on record trying Belvique and Contrave but had little success. I know 193/194 sounds alot less than many people on here but when you 4'11 its like alot of weight for a short person with a small frame. I have to exercise harder than skinny girls to maintain myself being at 193/194. Surgery is the best option to have successful results. If all else fails, I will just make my way to Tijuana because its the same amount of money I would have to pay out of pocket and TJ is 2.5 hour drive from me... Thanks Becky

I'm southern california! I havent had my surgery yet but I'll be your friend! I'm still in the baby stages like getting insurance to approve (l'm in the appeal process). If all fails I'm heading to TJ... I'm there for you! Sent from my SM-N910T using BariatricPal mobile app

Thank you so much! *hug* I greatly appreciate it. Please pray for me my insurance has a change in heart...Otherwise i will most likely have to go to Tijuana!

Hi, Theres only a few surgeries that are approved from Aetna and my PCP felt like doing the surgery was my best options. She told me I would have the best results doing surgery to reset my body as pills and exercise are not really impacting me as much. Right now, when I work out (Spin cycling or Pilates) Im doing it to keep my back and stomach strong as much as possible also to keep me from gaining any further weight. Its the only defense I have right now and its a real fight. My body will not shed 1 lb. I know girls that eat right, work out, and sheepishly shed weight like nothing. For me, I have to work 3x times harder to make sure I dont gain anymore and i'f im lucky maintain my current weight for the month. I can't run cause my feet, ankles, and joints hurt but I can spin for a solid hour since Im sitting on a bike and will sweat a lake but just cant slim down for the life of me.

Hi Crystal, I have a group policy and weight loss surgery is covered 80%. I need tips and wise advise on appealing. I'm only 1.3 points from being 40 BMI. I want to write my insurance and tell my story. I wish there was a template I can follow so I know how to write my truths as professionally as possible without being all over the place. Im going to go see my PCP on Monday to discuss because all she wrote on the notes was that I snore. She didn't write I have stress incontinence due to all this extra weight and joint pain in my ankles...Especially my feet. The heels and balls of my feet hurt so bad even with sole pads. Do you work for insurance and why would you deny someone several times? Just asking because any and all knowledge helps so much. Kind regards Becky

I have a group policy. I just talked to insurance and have to write an appeal. I'm going to submit a years worth of exercise history, which thank god I have because my studio logs every class for you and have a letter from my doctor. I will be doing my sleep study in two weeks... Sent from my SM-N910T using BariatricPal mobile app

I spin on a bike to help stay off my ankles but still allow me to peddle since I'm sitting on a seat and do pilates on a reformer machine to help with abdominal/back strengthening. I'm pretty big at 193 lbs and 4'11. I'm doing what I can to maintain and not go over. Seriously trying get up every morning my ankles are hurting like hell and even after a short walk I'm done. I don't want to NOT do anything for myself Sent from my SM-N910T using BariatricPal mobile app

I read someone on here wrote a letter to help get them approved and it was well received...I'm hoping to write a letter Sent from my SM-N910T using BariatricPal mobile app