TracyinKS

My doc says that he does a lot of his surgeries on Thursday and people going back to a desk job often go back to work the following monday. Two weeks if you have a labor intensive job, as he says absolutely no lifting more than 20 lbs for 2 weeks. He said if he were to have it done he'd take a week.

I'm hoping to be one of those Thursday-Monday people...

At my docs office, they will not let you have a fill until 5 weeks post op, no exceptions, but if you feel you don't need one then you just tell them.

great ideas Jack!

what my docs office said is that once the intial care of 3 months is over if you have insurance a fill visit is an office co-pay and that is it.... it must be a billing thing.

First of all CONGRATS!!!!! I can not wait to get an actual date for surgery... You will find a lot of support on the January Bandsters thread in the generl lap band page........ Audree just got back from Mexico and so many others are posting as they get released.

that is really great advice Audree!!!!!

The 18 year old stubborn hard headed self assured girl would be very suprised that the love of my life (or so that's what I thought then) HS sweetheart, would of turned out to be such a pathetic cheater after 17 years together... would of also been suprised that I went up and down so much on my weight, would of been suprised that I ended up working in an actual CONVENT.... and also she would of been proud of me for surviving life's rollercoasters..........

Please note, since I have been scheduled in April, I'm mainly posting over there, although I still read this one!

Anyone who wants to take over the editing just needs to copy this message and paste it into a new message.. (not a quote) then you can go back and edit as needed.

Here's the updated list!

Fabulous,funkadelic, freaky, funloving February bandsters!!:biggrin1: per Susannah

b_Russell 02/01

:thumbs_up:CadillacDave - 02/01

:thumbs_up:TresChic -02/01

:thumbs_up:tilde30 02/02

:thumbs_up:Dori – 02/02

:thumbs_up:Schindog18(Greg) - 02/02

:thumbs_up:Susannah - 02/02

:thumbs_up:Cindibear1 – 02/02<O:p</O:p

:thumbs_up:Wanna be thin – 02/02 (tip: don't wear a nice shirt)

:thumbs_up:BoomerSoonerz & Wife - 02/02

:thumbs_up:TravelGirl - 02/05

:thumbs_up:Staceyrtl - 02/05<O:p</O:p

:thumbs_up:Ready_to_Lose - 02/05

:thumbs_up:Twinskd - 02/05

KatyClaire (Eva) - 02/06 :biggrin1:

:thumbs_up:Mom2miracleprin - 02/06

:thumbs_up:Babygrl1234 - 02/06

:thumbs_up:Mel07 - 02/06

Megret - 02/06

:thumbs_up:garreau_gal (Dawn) - 02/07

:thumbs_up:DmMedina - 02/07

:thumbs_up:MarshallMG - 02/07

:thumbs_up:Marissa424 - 02/07 (our thread youngun at 21!)

:thumbs_up:LapBandNC - 02/07

:thumbs_up:Lapband4menow - 02/08

:thumbs_up:Riley - 02/08

:thumbs_up:NurseCEO - 02/09

:thumbs_up:DonnaA - 02/09

RavenHeart - 02/10

:thumbs_up:Terriho - 02/12

:thumbs_up:PurplePetal - 02/12

:thumbs_up:BioMama - 02/12

:thumbs_up:Debi717 - 02/12

:thumbs_up:Kedasmom – 02/12

:thumbs_up:Kelsy: 02/12

:thumbs_up:HeatherPA - 2/9 or 2/12

:thumbs_up:LessofMe - 02/12

:thumbs_up:Humponelove - 02/13

:thumbs_up:RisaAnn - 02/13

:thumbs_up:Oldgeisser(Terry) -02/13

:thumbs_up:LouiseR - 02/13

:thumbs_up:MinnesotaLady - 02/13

:thumbs_up:MyLifeMyChoice - 02/13

:thumbs_up:Cchristys - 02/13

:thumbs_up:Sandy1280 - 02/13

:thumbs_up:LizRbit - 02/13

:thumbs_up:becca77 - 02/14 :kiss2:

:thumbs_up:DiscoDiva and Daughter - 02/14 :kiss2:

:thumbs_up:NatalieC - 02/14:kiss2:

:thumbs_up:Mommyofthreebs - 02/14:kiss2:

:thumbs_up:Creman - 02/14:kiss2:

:thumbs_up:vermonster05488- 02/14:kiss2:

:thumbs_up:HelenC - 02/14 :kiss2:

:thumbs_up:Zannie -02/15

:thumbs_up:Kimwolf3 - 02/15

:thumbs_up:M1Hocker - 02/15

:thumbs_up:LB304 - 02/15

:thumbs_up:CP-Mike - 02/15

:thumbs_up:Mom2Sassy - 02/15

:thumbs_up:Ambrosia(Sharon) - 02/15

:thumbs_up:Chelley - 02/16

:thumbs_up:dtrmt07 -02/19

:thumbs_up:Angela - 02/19

:thumbs_up:Ouachita - 02/19

:thumbs_up:cosean - 02/20

:thumbs_up:DooneyJC - 02/20

:thumbs_up:KHolmes - 02/20

:thumbs_up:FLPeach - 02/20

:thumbs_up:Pam~02'07Bander - 02/20

:thumbs_up:Lexus02 - 02/20

:thumbs_up:Skyeblue79 - 02/20

:thumbs_up:StaceyLynn - 02/20

:thumbs_up:KindredSpirit - 02/21

:thumbs_up:Jean (Freeksky) - 2/21

:thumbs_up:Silry - 02/21

:thumbs_up:Alt - 02/22

:thumbs_up:Mary - 02/23

:thumbs_up:Wilma – 02/23

:thumbs_up:Gretchen - 02/23

:thumbs_up:Dakota1984 - 02/26

:thumbs_up:IN_Denial - 02/26

Hopeagain 2007 -02/27

:thumbs_up:SynicalChick - 02/27

:thumbs_up:Magii - 02/27

:thumbs_up:Chris - 02/27

:thumbs_up:JennilynnW - 02/27

:thumbs_up:Jbtullis - 02/27

:thumbs_up:Michelle - 02/27

:thumbs_up:Kathyy68 - 02/28

:thumbs_up:SunnySea - 02/28

:thumbs_up:IrishMae - 02/28

:thumbs_up:Kathy68 - 02/28

:thumbs_up:CarriedBA - 02/28

:thumbs_up:Tea Time - Pending

:thumbs_up:BlondeLocks (pending in March)

What I did was put together a weight chart, and a picture timeline of my ups and downs..... I went back to my credit report and cut and pasted things that showed up on their like... BALLY's Total Fitness, I went and pulled bank statements that showed my membership in CURVES... I don't even know if this is gonna be required BUT I'm sending it with my file anyway, and I'm hoping it helps... I would say that ANYTHING you can think up that proves your obesity issue would be a help.

thanks for this thread... I think Alexandra has great advice.. call, call, call and check with them... let them know that you are waiting.

I have already been in contact with my insurance company, and i'm hoping that my case will stick in their head just to get it pushed through... I am not shy about contacting them and being a squeaky wheel.... I just hope it works!

Also, my doc said that there is a lot of fat around the stomach, and when you lose it, the need for a fill arises

what I think happens that as the guys belly and upper pubic area gets smaller... you get bigger

Yes.... I've lost 80 some pounds 4 friggen times in my adult life....... but it ALWAYS comes back........ for me the band will help me to once again lose the weight, but even more.. it will aid me in MAINTAINING the loss

very interesting...... would be really neat to hear from the winner!

Welcome back Audrey! I attended my seminar yesterday and have my consult tomorrow (I got lucky and was able to get in on a cancellation or something) I have been posting my insurance saga in the insurance threads.. I really hope to know something by this week. I have all my documentation ready, I don't think I will be an actual january bandster because the dr said that it usually takes 4-6 weeks if you have all the insurance stuff and 2 weeks if your self pay...... but I can HOLD OUT HOPE.. I do know that he only does surgeries on tuesday and thursdays, he said most that get it done on thursday go back to a desk job on Monday... 2 weeks if you lift 20lbs...... I'm still excited

welcome to lbt!

congrats on your band!!!!!!!! I'm hoping to find out something insurance wise this week!

congrats!!!!!!!

Congrats and Welcome!

great advice lap dancer!

LOL LapDancer! I like that last quote

I went to my seminar yesterday, and although I knew much of it already I did get to meet the doctor, listen to him speak, and found out that he is much less strict than some others here on LPT... The lady who is his program coordinator was also his number #1 band patient 3 years ago, she is a walking testimonial, and I liked her because she pretty much told us like it is. Also one of his patients that got banded 6 months ago showed up to help answer any questions..... she and her husband got it done on the same day.......... oh and the insurance coordinator that I had been emailing was also there. It was really good for my dh to go too he learned alot.

What I noticed was a room FULL of people like me.. Obese. The looks on their faces were sad, embarrassed, depressed, and hopeless.... it really made an impact on me..... I wonder how many in the room will actually have the procedure.........

Some requirements from this doc........ pre-op 24 hours prior to surg. Clear liquids only.

Post-OP - 3 days full liquids, 5 days of creamy liquids, 1 week of purred foods.. about the time you go back for your 4 week check up he will try some solids.

He said the ONE thing you will have to give up is WHITE bread, because of the gluten.. (there was a lot of discussion on this) Basically Darlene explained it like this: take a piece of white bread, wad it up in a ball, and pour Water on it.... let it sit and then just watch how Gummy it gets.. it acts like a cork... and either you will wait til it disapates or PB it up!

So when asked about how long til seminar to sugery.. he said about 4-6 weeks from time of insurance submittal (if you have everything they want) and about 2 weeks if your self pay.

I have my consult tomorrow, and I am SO glad that Darlene scheduled me for Monday, because yesterday they were scheduling appointments the last week of january

I don't have UHC, but I wanted to give you some encouragement...

APPEALS work, just look at all the people on here who have appealed and won!

Margo.. I would do a search for uncommon co-morbidities...

I read somewhere.. and I can't remember where.. but things like

Infertility, PCOS, Skintags, BackPain, Heartburn GERD.. and things like that are also considered....

TGIF!!!!!!! just got this off my email from BCBS SC...

Tracy,

Hi. Sorry it has been awhile for me to reply. It has been a very busy.

I will try to summarize our predetermination process. Our nurse reviewer will receive the clinical information submitted from your provider, including your history and the surgical codes. Although you have offered most of this information personally, we need to accept it from the actual provider to complete a pre certification. All information is submitted to our medical reviewer. Then, the nurse will contact your provider with either an approval and authorization number for claims assistance or a denial along with the reason the procedure is denied. If additional information is needed, the nurse will let you know.

I really can not assist with benefits questions, but I hope this helps with some of your questions. Please feel free to have your physician submit the clinical information along with the code for surgery to us at 803.264.0181.

If I can be of any further assistance, please let me know.

Thanks,

Cindy

this is what our SPD says on the subject and this is from an email directly from our DIRECTOR of CORPORATE BENEFITS (i.e. the head hauncho at Corp)

Notice Wausau was our OLD insurance and BCBS SC is the new

He sent me an excel spread sheet that was titled bariatric surgery....

Now to me this is pretty vauge.... although it DOES look easier under BCBS.... especially because I'm in the >40 range

BCBSSC

BMI must >40kg/m-2

BMI must >35kg/m-2 with associated complications (diabetes, hypertension, obstructive sleep apnea)

The first treatment must be dietary and lifestyle changes. When this fails, surgery may be considered.

Wausau

BMI must >= 40kg/m-2Review conditions that are exasperated by the obesity.There must have been structured diet attempts that are physician monitered prior to surgery.Must be considered morbidly obese for at least three years