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Gastric Bypass Patients
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Everything posted by droose

  1. droose

    Any March Surgeries?

    After fighting insurance for 10 months my surgery is scheduled for March 10th. So excited!
  2. I am doing the bypass for my Hiatal Hernia which caused GERD and Esophageal Spasms. Due to my weight the standard procedure is not an option. As my insurance coverage does not cover "weight loss surgery or medications" it was a 10 month multi appeal process to get my surgery approved. I do hope your post surgery is going well! Mine is scheduled for March 10th.
  3. When my surgery was scheduled (would have been Wednesday), we knew it would be denied but my doctor and nutritionist were confident it would go through on appeal with the proper paperwork. The denial came back, there was some delay getting information and giving the information to my Dr. before COVID put a hold on surgeries. When I ask about the status I am told "it's on his desk" and "he needs to write up the information for submission" it has been 2 months with no progress. All I want is for them to finish submitting everything so that when surgeries are allowed again (possibly as early as 2 weeks) I am ready.
  4. Still waiting for the insurance company, they haven't given a decision yet.
  5. I hope you find the right fit! Keep me posted.
  6. Thanks He comes highly. Yesterday I received a call that he "wrote a beautiful 4 page letter" and the appeal was submitted. I am relieved that the process has started moving again.
  7. Always here for you, I do understand. I am blessed enough that most people involved in my day to day life understand how real this is. I did loose 70 pounds once.... found it all and since have been completely unable to loose anything. The surgery was recommended to me as the best option for repairing my hiatal hernia/GERD/esophageal spasms. Once I did my homework I feel that it really is the best option for every aspect of my life. As for the co worker, they haven't walked in your shoes. Hang in there, our time will come!
  8. In Washington this is one thing our Governor addressed with an "Emergency Order". All non essential surgeries (that are not emergencies or will not do harm if it were to wait 3 months) have been banned until May 18th unless he extends it later. Really sucks, my surgery was scheduled for May 13th. We are not selfish to feel disappointed, this is a very emotional topic that will change our lives, we will get through this together.
  9. droose

    How long a postponement?

    I'm scheduled for mid May, haven't heard of changes yet. With the current situation they will need to keep all available beds and ventilators open I'm guessing until we see the curve going down. It is extremely frustrating to be told we have to wait. I do pray you are able to get re scheduled as quickly as is possible. I pray you and everyone stay healthy and safe from the virus.
  10. droose

    i'm being submitted ❤️

    I'm so excited for you! I've been waiting forever for my insurance appeal to go through. (ok, only a week but feels like forever). Keep us posted
  11. droose

    Time frame

    My first consult was January 30th and dietitian Feb 6th. I needed an EKG, Labs and medical clearance from my primary. My surgery is May 13th, earliest date I could get because he is booked solid. I do not have coverage for weight loss surgery BUT it is needed for a hiatal hernia. My doctors are confident what they can get it approved on appeal (we know it will initially be denied).
  12. I need to buy a blender for pre/post op meals. Does anyone have recommendations on products?
  13. Great place to start. 🙂
  14. droose

    Post Op Meds

    I have also been concerned about taking my meds curshed. What an awesome suggestion!
  15. My surgery date is set, for this I am excited! I already know that insurance will deny the pre approval but my surgeon and dietitian are confident they can get it approved on appeal. I have a hiatal hernia, due to my weight this is the only surgery recommended due to high rate of failure for the other options. Premera considers this treatment "investigational" which will result in the initial denial I am expecting. My surgery is scheduled in May (my surgeon is popular ), they are putting in the pre approval now. Does anyone have an idea as to how long I can expect the denial and appeal to take?
  16. I've had a small hiatal hernia for many years, it now is joined with GERD and esophageal spasms. I recently had to double my acid meds just to keep discomfort manageable. My primary send me to consult to repair it. I was told there were other surgeries out there but with my weight they had a high rate for failure. My initial reaction to bypass was surprise, I wasn't really that big was I ..... well yes I am with a 39.8 BMI. As I stepped back to look at my situation I came to terms with it's necessity. I've lost weight before only to find it again, as I age the extra weight is taking a toll. My insurance does not cover "weight loss" surgery and they consider a bypass to repair my hernia "investigational". My surgeon and dietitian tell me they will put in for pre authorization, it will likely be denied but they are confident it will be approved on appeal. My medical clearance, EKG and blood tests are complete and ready for surgeon to review for the next step. How long does this portion take? I feel like a child at a toy store who must wait for the green light to get what they want.
  17. I'm on 2,000 IU (50mcg) a day along with iron supplements. I agree it explains how tired I get, will re test in 3 months unless my surgeon wants sooner. So glad you are doing better!
  18. TheAngryMewo Good luck! and thanks for the input.
  19. They are not requiring their standard psych appointment. Yes I believe the next step is to put in for approval. With the tests for clearance I've learned my vitamin D and Iron are very low. I started supplements, hopefully that won't delay the process. I believe that once we put in a date for pre approval I will know when to start the rest of our pre op process. Hopefully you get the approval quickly! Good luck!