Maggies

Thanks everyone for the encourgement to keep trying, I just hope it is really true. Ok, Restless, you can uncross your eyes, I think It WORKED.:smile: I'm just having a hard time believeing it. My surgeons office closes at 12 on Fridays, and that was what time I called Triwest, so I won't know anything until Monday after nine. It seems like I am always waiting on something. You won't believe what I just did, don't tell anybody. I just went and had pizza, and now am eating vanilla wafers. I'm calling it my last supper, I hope... Maggie:shades_smile:

I did what you said and I called Triwest again and talked to a different person and YES, she said I was APPROVED today. So maybe it is true.....

Maggie:tt1:

Hi All, I just called Triwest because my referral was not showing on line today. I talked to a woman named Carla and she told me that I have been APPROVED for the lapband surgery. I won't believe it until I see it in writing. She said it must of been approved today, because the letter has not been sent out yet. I also asked her why the referral is not showing on line today. She said it could be because it is in the process of being updated. Wow, is it to good to be true??????????????Maggie:shades_smile::smile::shades_smile::frown::shades_smile::cool2::shades_smile:

JWRN, Wow, 25lbs. That is fantastic. Congratulations. I'm glad your feeling better after everything you have been thru. What size band did they use for you?

Restless, Thanks for the info on the bands. I guess if I ever get approved I will know what size they use when I wake up. I'm going to Maui the first part of next June and would love to look decent in a bathing suit.

HeloPenny, I thought for sure I would be approved but they did not include my sleep study in the paperwork that was submitted to Tricare. I hope that makes a difference in the appeal. Good luck on your surgery.

Maggie:shades_smile:

Good Monday Morning, I hope to hear good news this week, but as long as Karina's is taking I probably have over a month to go. Restless, how do they decide what size of band that they put in? The surgeon I am working with says he only uses two sizes, large and small. Oh well, I guess I will worry about that later. JWRN, how are you doing by now?

Maggie:shades_smile:

Restless, good to see you posting. Its strange how we get used to people posting and then when we don't hear from them, it seems quite in forum land. How is your weight loss going? I am checking the Tricare site everyday to see if it has changed, but it hasn't yet.

Karina, any news on your appeal? Keeping my fingers crossed for you!!!!

JWRN, are you back to feeling like your normal self yet? You kinda made me think twice about banding, but of course I still want it. I can't seem to lose weight on my own and keep it off, so banding is for me.

Have a good day, Maggie:shades_smile:

Restless Monkey hasn't posted in a while. Come out, come out wherever you are. How are you doing? Maggie:shades_smile:

How are you feeling today? I keep thinking I would of been banded for over a week if it would have been approved. Oh well, no sence in looking back, just forward. Maggie:shades_smile:

Hi, how is everybody doing. My latest news is: An appeal was submitted yesterday by the surgeons office. I talked to them today and she said it sounds good. They talked to Tricare yesterday and they requested all the info being resubmitted to them. Apparently they did not have my sleep study which shows I have sleep apnea. Healther, at the surgeons office said she is calling them on Tuesday to check on it if she doesn't hear anything by then. So the wait continues:rolleyes2: Maggie

Karina, I have called Triwest and they won't put me thru to the person handling mine. They said they will only talk to the doctor. This is getting very old and frustruating. Hopefully you will be hearing something soon. I don't know why it is taking so long for them to let you know.

JWRN, Kick back and enjoy Mom and Dad taking care of you. It probably makes them feel good to be able to do it. I know it does me. Sounds like you are doing better and at least you got to keep your band. I was kinda worried that you would not. A pound a day would be great, but it will slow down, and that is when you will want to start weighing yourself just once a week. Keep up the good work.

Maggie:shades_smile:

JWRN, I'm so sorry to hear about your hospital stay. Will you be able to keep your band with the allergy? Congrats. on losing the 20lbs, but such a hard way to do it. Keep taking the antibiotic so you will get to feeling better everyday. Good thoughts coming your way. Maggie:girl_hug:

Well, no news for me yet. Just waiting.

JWRN, how are you doing with your band? Do you have much gas pain?

Karina, have you heard anything on your appeal?

Hope everybody is hanging in there and getting there approval.

Maggie:shades_smile:

Well, I didn't get the call from the doctors office this afternoon. She did tell me she gets off at 5, so I will call her at 9 tomorrow morning. Wow, childbirth was easier than this.:tongue: If I don't get any satisfaction (approval) I will appeal. I wonder what the chance is that they would approve it after talking to the surgeon???? I am going to check the Tricare website to see if it has changed. BRB It still says not approved, so now I feel like CRAP. I'll let you all know what the decision was tomorrow. Maggie:confused_smile:

Congratulations JWRN, good to hear you are banded. I would love a day by day report to know what to expect if I ever get on that side of the fence. Hope you get to feeling better quickly.:w00t:

Restless, Talked to my doctors office and they had called Tricare Tuesday and asked them for a call back Thursday or Friday. But of course Tricare called him yesterday when he was in surgery. So they are now set up for a 4:15 call today. Wish me luck. Maggie:shades_smile:

Sorry, but if you are happily married, WHY do you want somebody else???

Hey Restless, you made me smile when I read that. You are correct, That is one of my big problems. Someone tells me no, and I take it. I will be on the phone tomorrow and make them sick of me. Thanks for the kick in the butt, I needed it. Maggie

OK, your not going to like this. Were you and your wife listening to your wedding vows when you got married? You cannot have any respect for your wife if you want her to do this and I believe you are on the road to divorce. I hope you don't have any kids involved in this train wreck of a marriage. Just my opinion, take it or leave it.

Hi everybody, I didn't hear from the doctors office today sooooo.:smile2: Any help you all can give me in appealling this would be appreciated. I guess you could say I am desperate and still just running in circles. Therefore nothing is getting done.

JWRN, where are you, we are anxious to here from you......

Karina, Hope you hear something soon:thumbup:

Karina, I haven't heard anything from the surgeons office. I am going to call them tomorrow morning if I don't hear anything today. It has been almost a month since you put your appeal in. So maybe anyday now???? I wonder how JWRN is feeling by now. Hope she posts today.

Maggie:shades_smile:

mljalways, I live in California so I go to Triwest.com. Since you live in Florida it could be Trieast, not sure but worth a try. Then go under beneficiaries, then my account. You will probably need to set up a user name and password. Then you can check your claims and referrals.

Maggie:regular_smile:

JWRN, Will be thinking of you tomorrow as you enter bandland. Let us know how it goes as soon as you feel well enough. Mine would have been the day after yours if Tricare would have approved it. Again good luck.

Karina, any news on the appeal?

I called Tricare today, and they would not talk to me but said the doctor can call them. I hope he calls them tomorrow but I'm not counting on it.

Maggie:shades_smile:

JWRN, What number at Tricare do you call? I'm going to call them tomorrow. Good luck on your banding and let us know how it goes. Maggie:shades_smile:

How to I go about doing an appeal??????Maggie:tt1:

:regular_smile:Thanks to you all for your support.:thumbup: I haven't received my denial letter yet, but did talk to the surgeons office. It said that the surgeon could call them and talk about my case. Has anybody heard of this? He is going to call Tricare next week. I don't put to much hope in this, but we will see. Any news on your appeal Karina? Maggie:shades_smile:

Ya, I got denied, I don't think I am going to appeal it, Because I am over 100lbs. overweight and I have 2 of the required comorities(sp). So I don't know what I could do different. I am really bummed. I wish you all luck and successfull banding.:smile: Maggie