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hersheymalone

LAP-BAND Patients
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Everything posted by hersheymalone

  1. hersheymalone

    October 17!!!

    thanks for the tips/advice... The gas is a little scary.... With surgery being on Thursday, I am going to try and go back to work on Tuesday and work half days from home.... I'm ready to get the ball rolling....
  2. hersheymalone

    Any October Bandsters!??!?!

    RH... maybe I shouldn't say this.... oh well, I have two weeks before surgery.... I LOVE Pittsburgh Hotlinks!!!! My grandmother is from Gilmer so I grew up on them..... thus..... explains the rolls on my belly and hips....hahhaa.... I work for a wholesale liquor distributor and we distribute up there...... it is a small world!!!
  3. hersheymalone

    Any October Bandsters!??!?!

    I am excited but nervous... My surgery is set for October 17th..... I have a positive outlook on this but am scared at the same time that I will be in that small percentage that....a) it will malfunction.... that I will fail at it just like all the other diets..... But I am keeping my head up..... Looking forward to a new lifestyle and better living.....
  4. hersheymalone

    Typical Daily Meal Ideas

    so funny you posted this.... I had been thinking about posting this question.... what do you eat during the liquid, next phase, and so on to give us "newbies" ideas.... I have surgery two weeks from today and am so excited yet nervous..... any tips out there?
  5. hersheymalone

    Got a DATE!!!

    My appeal was over turned and finally got a surgery date this morning. I am set to have lap band October 17th!!! I am so excited. So does this make me a "Smashing Pumpkin?" hahhaah:thumbup:
  6. I know what you are going through.... I was denied by UHC the first time, then my doctors office submitted new info and I submitted my appeal. The medical director personally called the surgeons office and asked them for some info and left his cell phone # when they got the answers to call him. It only took 2 days and they finally approved it! What a blessing. I was exhausted and tired of worrying about it. I'm praying for you. It's so hard to sit around and wait on them!!!
  7. dumb question... what is "pb?" I keep seeing it in posts.
  8. hersheymalone

    Whoooohooooo!!!

    :w00t:Just called my insurance company and they overturned my appeal and I'm APPROVED!!!! YEAHHHHHH... Someone please tell me how to put one of those "ticker" things on my account!!! What a way to start a Friday!!!!:thumbup::thumbup:
  9. hersheymalone

    Approved!!!!!!!

    Dr. Babineau is doing mine and I can't wait!!! Finally this day has come!!!
  10. hersheymalone

    Approved!!!!!!!

    Who is doing your surgery? I just found out I was approved also and I am so excited!!!!
  11. hersheymalone

    Need help quick!!

    My surgeon just spoke to the medical director @ UHC and they said they need an accurate height and weight b/c I have too many listed that are different. I need to gain 5-10 lbs really quick and I don't know what to do.... like before 9am in the morning. Please help and it doesn't need to be obvious..... I live in Texas so I can't wear 3 pants and sweaters.... HELP!!!! Any advice????
  12. hersheymalone

    Need help quick!!

    If I drink a lot of water 12 hrs before, will it not flush me out and make me lose weight? Oh geezz,,, I'm sooooo nervous!!!
  13. hersheymalone

    Need help quick!!

    I weigh about 247 and to be safe I would say 255. I am so scared!!!!
  14. hersheymalone

    Need help quick!!

    I am so nervous about getting caught yet it all depends on this! I think I might try ankle weights also around my waist. Do you think the doctors office would "fudge" a little? I am scared to ask.... I am borderline........
  15. hersheymalone

    Does anyone have UHC Choice Plus?

    Do you think it hurts your chances of being approved if you call every day or even twice a day... bugging them???
  16. hersheymalone

    appeal

    I was denied by UHC w/a 38.7 bmi. I have appealed and now have several comorbidities and a 40.3 bmi. What are the chances that they will reverse the appeal? How soon should I start bugging the insurance company after the receive my appeal by fax?
  17. UHC denied me with my BMI @ 38.7.... I recently have been put on medicine for a weak bladder and have pitting edema. Tonight I am having a sleep apnea test. I'm still hoping there is a chance that I will be approved for the lap band. Any suggesions out there on what I should do or on the sleep apnea test? Thanks!!
  18. hersheymalone

    Need Encouragement!

    I just got back from the doctor, and I don't have sleep apnea. which is a good thing..... but... UHC denied me w/ 38.7 bmi.... I have since been put on medicine for pitting edema, reflux, and a weak bladder.... and my bmi is at 40.3 now. What are the chances that they will approve the surgery now since my doctor is re-submitting it. I haven't submitted an appeal yet b/c I am waiting on a letter from my PCP explaining the medical necessity.... words of encouragement???
  19. hersheymalone

    UHC Denied, but have sleep apnea test tonight

    my insurance states a 35 bmi with comorbidities or 40 bmi. I would still submit your stuff. You never know. I just sent in ap appeal in hopes of having my overturned.
  20. hersheymalone

    UHC Denied, but have sleep apnea test tonight

    so the sleep apnea test went well... I get the "official" results from the doctor tomorrow. They did tell me that I don't quit breathing but that I toss and turn and move all night long to include coughing. I knew I was tired all the time but they said that I would always wake up before the 4th stage of sleep which is the most important. They said they were "tired" watching me all night b/c I moved so much. Do yall think they will put me on one of these machines or classify this as sleep apnea? I'm wondering what they will do and if insurance can use this as a comorbidity.... Any thoughts?
  21. hersheymalone

    help in East Texas

    my insurance will cover it, if.... your bmi is 40+... Babineau said they will not submit an appeal and she acted as if she didn't want to help me. I just needed guidance. They also said if you gain the weight they will not resubmit your papers. Looks as if I need to find a new surgeon. Just don't know who to use around the Longview area.
  22. hersheymalone

    help in East Texas

    I was denied by UHC last week. My BMI is 38.7 w/ no comorbidities. The doctor I saw in Tyler, Dr. Babineau, said they cannot help me. I must go to my regualr doctor and "find" some comorbidities. I don't have a doctor b/c I don't complain about things! I have pitting endema, a severe weak bladder, back and knee pains..... none of this documented and no doctor to go to. Does anyone have any recommendations or suggestions on a new doctor. During my initial consult, the insurance lady said they would fight to get you approved. I was shocked at how she just blew me off and told me they couldn't do anything. HELP!!!!!
  23. hersheymalone

    No comorbidities

    I was denied this week by UHC. My BMI is 38.7. I have pitting endema, weak bladder..... My insurance said I have to have more comorbidities. Any suggestions as to what I should do? Thanks!
  24. hersheymalone

    No comorbidities

    I never get sick so I really don't have a primary doctor. Just switched ob/gyn so thats a no good thing too... But I have all my records for the last 10 years showing that I have been over the 200lb mark..... Just at a loss and discouraged!
  25. hersheymalone

    Denied... UHC

    I just found out that I was denied lap band surgery. I am borderline... 38 BMI. Any suggestions? I am heart broken and don't know what to do.....

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