

munger
LAP-BAND Patients-
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Everything posted by munger
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Anyone have a spouse who doesn't/didn't want you to get banded?
munger replied to hopeful41411's topic in PRE-Operation Weight Loss Surgery Q&A
I husband is supportive. He started a diet with me and we are exercising together for the first time in 15 years! However, my girlfriend's husband fought her all the way - she did it anyway. I think he was afraid that she would stop be "HER"! She loves to cook and pamper him - she still loves to cook and pamper him. It has been almost a year - and he is just now thinking it is a good thing. They run together - go to dinner and "DATE". The surgery has been a good thing for both of them. -
I love chips and dip - salsa and mission tortilla chips - but you know what? if I can lose weight - truely loose weight forever - I will gladly give up the chips. I have dieted for the past 20 years - after a month or so it doesn't work and I go back to my chips. After March 16th I don't think i will want another chip - that will be ok
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Hi, I got a letter from the TMA - colorado - I am triwest. So I am approved - do I also have to wait to have a new letter on the web site saying that I am approved? I booked the surgery!! My dr. said I am approved and I am scheduled for March 16th. That is more than 21 days. So I should be good right?
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Hi, I have high blood pressure - it was not being treated so they said I could not count it - I went straight to the clinic and go put on meds! I also have High cholesteral - same thing - back to the clinic! I was borderline on my weight 0ne day I was underweight the next I was 101 pounds over weight. So I went to the doctors office and had them weight me and take my average weight - I did that for a week. I had to have them measure my bones to make sure I was a medium frame - or I would not have qualified! I have lower back problems - but I am not sure if that had anything to do with their dession. I know if I were you I would document everything!! I would write a letter and tell how the extra weight affects you life and your family.Tricare does not go by BMI it simply does the weight charts. I would double check everthing - then I would fax it and as soon as I could I would call an make sure that they know you know that you qualify - be the squeaky wheel!! Good luck.
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Calling All MARCH '09 Bandsters - We need a name!
munger replied to gabi311b's topic in PRE-Operation Weight Loss Surgery Q&A
I like the choc. one - hot it is like coaco - I add a little sweeten low to it. -
Calling All MARCH '09 Bandsters - We need a name!
munger replied to gabi311b's topic in PRE-Operation Weight Loss Surgery Q&A
You will be fine - it took me almost 6 months - and I had to fight every step of the way! Once I got the letter from Tricare that said the deniel had been reversed - it took me 2 seconds to get the appt. make. I am sooooo excited I can't stand it! I will be banded on the 16th - the first day of my spring break. I wish you luck! -
Calling All MARCH '09 Bandsters - We need a name!
munger replied to gabi311b's topic in PRE-Operation Weight Loss Surgery Q&A
I just got approved too! the dr called and we set a date for March 16th - the first day of my spring break. I will have a whole week to recover and get use to the band. I like "March Melters" - if I get a vote. -
Calling All MARCH '09 Bandsters - We need a name!
munger replied to gabi311b's topic in PRE-Operation Weight Loss Surgery Q&A
My dr. said he did not want me to diet before I get banded - he said that he wants me to be as healthy as possible. I wonder if it will make a diffferance to diet or not. I feel like I should be dieting - just because it is a habit!! -
Will tricare approve me (comorbidities)?
munger replied to Allformyson's topic in Insurance & Financing
I was denied by Tricare twice! I figured out that the paper work was not complete. Your records must state that you are 100 pounds overweight - and they have to have you body frame in there - mine did not so I was denied. Remember it does not go by your BMI it goes by the MetLife weight scale for your body frame and height. The comorbities are pretty easy - if you have them and are on meds or special diet because of them - then they count. I just got approved and it took me 6 months!!! -
Calling All MARCH '09 Bandsters - We need a name!
munger replied to gabi311b's topic in PRE-Operation Weight Loss Surgery Q&A
I just got my letter - I am officially UN-DENIED!! I am hoping to get banded the middle of march - I have waited 6 months for this I am soooooooo excited! -
I JUST TO APPROVED!!!!!!!!!!! I got my letter from tricare yestarday!!!! Of course I called the Dr - and they need a referral # - the letter I got just said that the deniel has been reversed - so now I am "preautherized" and I am not sure what that means - so off to tricare I go again! but at least I am aproved!!!!!! 6 months, 2 deniels and 10 lbs later!!!!
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Well the 27th has come and gone - and of course no answer to the apppeal! No letter, no phone call no update on Tricare web page. Gosh I hate the wait. Worst thing is - the wait is not near as bad as another deniel will be.
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I am a teacher too, middle school physics and chemistry. I want to have the lap band because - yes it is a little slower weightloss but I won't loose any days off from school. I would love to have it before spring break! And be in a swim suit by summer!
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You sound like me! I've lost 50 pounds 3 -4 times in the last 3 years! I know that it is not good to have you weight yoyo but I can't keep the weight off. I will do really well for several months - and I do not just hit a wall - I just start gaining weight again - even if I add more time to my exersize or less calories or carb. Nothing has worked for me. I really hope I get approved. I am suppose to know something by the 27th. But the dead lines have come and gone before.
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Hi, I've been putting up with military dr's for a long time. You can call and make an appt and request a different dr. You may have to wait one - two extra days but it would be worth it. With the pycho dr - I would call twice a day everday until they sent the letter in. Be as sweet as honey - but call twice a day they will get the message! What ever you do - just don't let them think you can be put on hold or that you have doubts. Good luck!
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I have been in az off and on sence 87! I use to be army - I married and army guy when we were in germany - we both wanted to come back here. I have been here this time sence 91. And yes we love it!
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I am not sure. It is like they keep loosing all my stuff and I have to resubmitt it!! First my medical records only stated that I had high blood pressure - but I did not have my prescriptions listed. Then my did not specify that I was medium frame - eventhough with my weight - I qualified for large frame too! Now they are just relooking at everything - back in Dec. they had me resubmit EVERYTHING!!! I believe like they said at the Dr. office - they simply do not want use to have this done - so I am still not sure why they said we could!!!
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OMG I turned my stuff in to them in OCTOBER!!! They were suppose to have me an answer Dec. 13th - but that did not happen. They asked for more stuff - or shouldI say the same old stuff on the 12th of Dec. and the whole *&*^& started over!!! I am also tired of being 236! I do not want to diet (like that would work anyway) until I get an answer - just incase they want me to weight in again!! The bad part is I guess I am just getting really tired of all this. I think that the lap band would be so great. I have read everything I can and it just seems perfect for me. But at the same time I feel like I should be doing more for me right now My husband goes TDY to DC at the end of the month - that is when I should know something. I would love to tell him that I am approved when he gets back. I guess we both need alittle luch right now. Hope wyour wait is over soon!
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They should have faxed you dr. too! and he can go up on line and get it!! I feel for you - if it is not one thing it is another. I want to know if I get approved - how long will I have to get the surgery? I teach and I did want to do this over a vacation - well summer came and went, fall break, thanksgiving, christmas. Gosh I've been at this a long time. How long did it take you? Well - I just got a letter form Sen. Kyle. They seem to want to help. I wrote them a letter complaining about how long it is taking and how little they care about us. I have given them permission to look at my medical records and see if they can help. I made sure I let them know that this has taken over 100 days - I even sent them in the Tricare regulation and met life weight table. I hope this does some good. Good luck on your surgery data!
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My paperwork is in denver! I submitted in again in December. I am down at Ft. Huachuca and the people here at the tricare office can't/won't help anyone! I talked to them several times trying to get this to be written up well so it would pass - and they would not even call and find out what mad it a "factual" deniel! I only have a few more days to wait on the appeal - I am hoping to know something by the 27th (Like they have met a deadline yet). But yes, all the damage is done - I am just waiting.
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I am not sure what else I can do. Again I have resubmitted everything. The lady I am talking to is Bridge Ewings - and she changes her "statement" everytime I call her. One day she says they will give me an answer on this day - the next time it's 4 weeks later and she said it will be a different day. I have followed the regulation via tricare rules and I qualify - they just simply refuse to make a desission! I shoudl know something by the 27th of this month - but they way things are going - what I will find out is they need 2 more weeks to make a desision or I have to send them more info. I start another diet tomorrow - I am almost sure it wont work - I have to do something though. I wish it was the high protien diet that would get me ready for surgery.
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Well I think I did all that - my husband is supportive - but he is about tired of my ups and downs evertime I get denied or delayed. I did send in everthing aging - new weight, blood pressure ... and yes a personal letter. I just feel like this is a merry-go-round and there is no end. I was hoping to have the surgery before school started - it seemed to be so very simple- black and white. I read the regs and knew I quailfied! But it seemed that one thing was left out, then another not documented long enough.... I really "hate" the lady at Tricare and she is not the one that makes the dessions! I called her again today - because she said a couple of weeks and I should know something. Today she said "you misunderstood me" now it seems that they have until Jan. 27th - so I figure - 2-3 days to get it off her desk, 2-3 to float around the office, 3-5 days to get down here by mail and I will know something around the end of Feburary!! She got a little peeved when I put it that way - but hey I have been waiting for 6 month! Again - everytime I read that someone won a deniel I am happy - it gives me hope. I am truly happy for you. I hope someday soon I will also be able to say that I won my appeal.
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Ok, I have to know. What do you weigh, what was you co-morbity? Why did you get denied the first 2 times? What did you put in you letter for you final appeal? I am going crazy! I am 100 pounds overweight, Ihave high bolld pressure, low thyroid and degenrative discs in my lower back. I keep getting the run around from TriCare. I had to appeal and wrote my letter sent it to a lady named Bridge Ewings - who seems to be very disorganized and I am not sure what she is doing with my info. She told me at the begining of December that I should have an answer by Dec 13, That day came and went. Now she says that "maybe" I will know something by the end of January!!! I went through Dr. Monash and he did absolutly nothing for my appeals - he would not even call Tricare and see why I was denied - I had to guess! So yes I will take any extra help I can get. Again - Wow you are soooooo lucky. I wish I would get a letter soon saying I was approved.
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Ok so I am very jealous!!! I am still fighting with them I re-sent everything - after they lost i t or what ever. So now they say I have to wait until at least Jan. 26th. I hope pestering them helps - be cause I have been!!! Good luck and keep us posted. I hope to find out soon. I keep thinking of all the winter clothes that will be on sale soon - I can buy them on closeout!!! Again - I am really happy for you!
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Tricare Approval or Denial??
munger replied to JamieNP's topic in General Weight Loss Surgery Discussions
I am "supposed" to hear something within two weeks - I am sure it will be closer to 3-4 weeks. I am going to start another diet on the first - I am going to do a pre-op protien diet. If it doesn't work out I plan on starting Weight Watchers - I believe it is the only diet I have not tried. Good luck - I hope you will be happy with your new life style and body!