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yzplnxg

LAP-BAND Patients
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Everything posted by yzplnxg

  1. Will do first thing monday!! Thanks..
  2. Well, I don't know what to think now.. You know, Lori at Dr. Dewitts office said she sent everything in to UHC on Tuesday so on Wednesday I contacted UHC and I asked if they have recieved a predetermination. The UHC rep said from Dr. Dewitt and I said "yes, that's it." The UHC rep said, "You should hear something from 3 to 5 days." I was soooo happy to know I was in the waiting stage and within a week of knowing something... So anyway this morning I'm thinking today is now day four.. (at least that the way I count the days.. ) This afternoon, my daugther says, "You should call UHC because it's between the three of five days. They may have already made the determination and you will know something." Within a few minutes, I'm on the phone with UHC... it's about 2:30pm. I spoke with the benefit office and they said they have NO pending or approved predetermination for me. I checked with another rep about an hour later and she told me the same thing... They said, We have nothing for WLS or nothing else for you. No doctor has sent in anything." I am wondering if UHC sent the stuff back to Dr. Dewitt for more information or what is going on?? The rep I spoke with on Wednesday was seeing something because she mentioned the type of surgery and the doctors name. Now I am so disappointed and totally confused. Anyway the rep this afternoon from UHC told me that AFTER they get the papperwork from the doctor, it could be up to thirty days before a determination is made. I understand rules and waiting periods... It's just that it's so hard when you're on the other side waiting for someone else. Monday I will call Lori at Dr. Dewitt's office to see if she will please check to see if UHC has the request. I would lat least ike to know if at least the thirty days are ticking down or are we still trying to get the paperwork to them.. Just a little more than frustrating. I wonder if UHC sent if back because they needed something... would it just show 'Nothing.' No notes at all. Lori should know this if they did.. I guess I'll know more Monday. My thryroid surgery is scheduled for two weeks from Monday. I am so hoping to have the WLS by the end of August or at least by the 15th of September.. Still on the fence..
  3. Oh yes.. thanks so much for the info.. It would be so bad to have trouble with the ins. paying especially just because you didn't stay over night. When I have anything outpatient and they wake me up.. I'm so sleepy.. and they say... Honey wake up you need to go home.. I'd rather just stay and get the rest anyway. I think thats a good idea in case anything goes wrong.. you dont have to wonder.. should I call. I'm the type of person that hates to bother anyone. Thanks for sharing. Oh and I was at Pennys last night and I looked through the PJ's. I'm going to get me some new jammies as soon as I hear something... Hope to be shopping soon. Maybe Purple PJs.. That color so out of character for me... which is very fitting. I hope we'll be in the same boat by next week!! Wouldn't that be so GREAT!! On another note, I have had company for the past coulple of weeks. Both my daughters have come (at different times) with my four Grand daughters which I love dearly.. Then my almost (thirteen year old) son's cousin came for a week and I have had neighborhood children (boys) over every night playing guitars and spending the night.. Not all these people have been here at the same time but they have all been spending the night.. My daughters live about 100 miles away. I love for them to be here and I know all this company is all because school is starting next week.. and everyone is wanting the last hooray... but I am so exhausted. And the Snacks and groceries I have bought.. Anyway I LOVE company and love being around my family but .. I"m so exhausted. I'm taking off on vacation after 2pm tomorrow for 10 days. My husband, son and I are going to florida for a week. I'm sleeping.. and waiting to hear from UHC.. I know everything is going better for you now that you KNOW you are having surgery. The world has to look rosier!! You will feel better so soon (after surgery) and you need to take all the time they allow. I know from experience no matter how good the company is.. they know how long you should be off with a surgery and won't let you take one more day than you need. In other words, take all the time off you can because any business will expect when you come back.. you will be well and ready to work. At least that is my experience. Take all the time off. This surgery is not like most. The work begins when the surgery ends.. we have to make sure we adjust well to the rules or this won't work. Any extra time will help there as well, right? Got to go.. didn't mean to be so long winded!! Nechole..
  4. Thanks.. YOU know what's it's like.. It's nice to have someone that understands how important this is to me...
  5. Jem8384, After your GREAT news.. I called UHC to check on the status of my approval.. They told me the doctor had only sent it in yesterday but that I would hear something from three to five days!! I am so glad it won't be 30 days!! Maybe I'll know something by the middle of next week!! Another small step...
  6. That is so wonderful!! What a relief knowing you're are finally on your way!! Such a big step...
  7. yzplnxg posted a blog entry in Blog 56965
    I am reading posts at several websites and trying to decide which surgery is right for me. My choices because of ins coverage is the RNY and lapband. I beleive I understand the differences. When I visited my surgeon and he asked me many questions we decided on the RNY but the more I read the more I have to think about. I really apprecitate everyone taking the time to give their views on the different surgeries. The doctors know a whole lot but there is information to gain from someone who has been there first hand. Thanks to all of you for sharing your views. :cursing:
  8. yzplnxg commented on yzplnxg's blog entry in Blog 56965
    I am reading posts at several websites and trying to decide which surgery is right for me. My choices because of ins coverage is the RNY and lapband. I beleive I understand the differences. When I visited my surgeon and he asked me many questions we decided on the RNY but the more I read the more I have to think about. I really apprecitate everyone taking the time to give their views on the different surgeries. The doctors know a whole lot but there is information to gain from someone who has been there first hand. Thanks to all of you for sharing your views. :smile:
  9. Im planning on calling Lori sometime next week when she gets back into the office and see if she has sent in my approval to UHC. Let me know if get your approval. What ins company are you dealing with?
  10. Long2BThin... WoW!!
  11. yzplnxg commented on d4lussier's blog entry in Blog 63636
    :lol:Are the hiring.. lol I'm hoping to be right behing you.. Just think abou the new year we have ahead of us in 2010!! It's going to be wonderful.
  12. There is some good information here. I appreciate everyones post... especially the details. Food for thought. I'm looking into what type surgery to have as well.
  13. Headhunter, "Bypass and the Sleeve are meant for DIFFERENT types of people and different eating disorders" Please elaborate... Nechole
  14. yzplnxg commented on day221979's blog entry in Blog 70220
    Congratulations!!! I want to follow in your footsteps!
  15. Can the next few weeks go any slower? Am I the only one here watching every second go by.. so slowwwwly..... Last Thursday I finally got everything to Dr Dewitts office. Lori is is supposed to send my paper work in NEXT WEEK!! Yea!!!! Anyone else waiting on pins and needles with me? :cursing:
  16. Can the next few weeks go any slower? Am I the only one here watching every second go by.. so slowwwwly..... Last Thursday I finally got everything to Dr Dewitts office. Lori is is supposed to send my paper work in NEXT WEEK!! Yea!!!! Anyone else waiting on pins and needles with me? :smile:
  17. yzplnxg posted a blog entry in Blog 56965
    I went to the ENT today.. He says my acid reflux is causing my constant cough. And I thought it was my asthma... I asked them if the weight could be causing this.. and the answer was "oh, yes." Yet another reason I'm going to feel better when this surgery is behind me. Right now I don't feel so good.. and the time is standing still especially at work... We going to Florida for the first week in August. I'm looking forward the the rest. I hope to walk on the beach in the morning and the afternoon. I'm going to read some of your blogs.. I hope someone got good news today!! :thumbup:
  18. yzplnxg commented on yzplnxg's blog entry in Blog 56965
    I went to the ENT today.. He says my acid reflux is causing my constant cough. And I thought it was my asthma... I asked them if the weight could be causing this.. and the answer was "oh, yes." Yet another reason I'm going to feel better when this surgery is behind me. Right now I don't feel so good.. and the time is standing still especially at work... We going to Florida for the first week in August. I'm looking forward the the rest. I hope to walk on the beach in the morning and the afternoon. I'm going to read some of your blogs.. I hope someone got good news today!! :smile:
  19. yzplnxg posted a blog entry in Blog 56965
    Sort of good news today!! I got all the weight history to Lori in Dr. Dewitt's office. I'm so glad to have that complete. All the weights were over 35 bmi with my comorbities... she says it looks good. I didn't have 2004 but I had 2003 2002 and 1998... She can't file the UHC until next week because she is doing clinicals so it will be the week after next. The waiting will be terrible but at least I'm one step closer, right!! :smile2:
  20. yzplnxg commented on yzplnxg's blog entry in Blog 56965
    Sort of good news today!! I got all the weight history to Lori in Dr. Dewitt's office. I'm so glad to have that complete. All the weights were over 35 bmi with my comorbities... she says it looks good. I didn't have 2004 but I had 2003 2002 and 1998... She can't file the UHC until next week because she is doing clinicals so it will be the week after next. The waiting will be terrible but at least I'm one step closer, right!!
  21. The time is going by sooooo slow. I go back to the endocrinologist... on 7/28/2009. Thyroid surgery will be in August. I am so happy each time I read that someone has been approved. I so hope it will be me one day soon. This is on my mind all the time. I'm contantly on the internet reading other peoples experiences and what life will be like on the other side of surgery. I am so ready!!
  22. yzplnxg commented on yzplnxg's blog entry in Blog 56965
    The time is going by sooooo slow. I go back to the endocrinologist... on 7/28/2009. Thyroid surgery will be in August. I am so happy each time I read that someone has been approved. I so hope it will be me one day soon. This is on my mind all the time. I'm contantly on the internet reading other peoples experiences and what life will be like on the other side of surgery. I am so ready!!
  23. UHC Insurance Question... I'm looking to see if there is anyone out there with United Health Care PC that was over 40 BMI at time of approval but did not have the required five year weight history. I'm wondering if they will wave the requirement IF you have high blood pressure and/or diabetes. I know some UHC does not require 5 year weight history. My insurance does. I'm hoping there is an exception to the policy. I am going to submitt my information to them and see but as I'm sure everyone here understands.... This is so important to me and I want this so I can feel better. I had to ask the question. Thanks for reading the post..
  24. MandyClem... Are they all over 40 BMI? The reason I ask is that one of mine isn't... ? I do have high blood pressure that even with meds is still running 180/90, really bad asthma and acid reflux which I might make a difference. I'm hoping that helps me.. If they turn me down.. I'm gong to appeal. Im not giving up because I think this is my last hope of feeling better. We'll see.. :smile2: I'm from B'ham (your neighbor!!)
  25. Do you have UHC choice plus? Did you have all five years weights or was that even required for you?

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