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- GLP-1 medication Zepbound, Wegovy, access, side effects, progress, and support.
- Before surgery Compare procedures, plan ahead, and get honest pre-op answers.
- Post-op Recovery, food stages, symptoms, and support.
- Long-term Regain, labs, habits, and life after the honeymoon.
- Revision Explore revision options, complications, and next steps.
Everything posted by losethemess
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I'm APPROVED!!
i thought you were already approved and received a surgery date?
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Which Workout Literature do you recommend?
The New Rules of Lifting for Women: Lift Like a Man, Look Like a Goddess. I've had this book for a while and did some of the workouts, boy do they work you just have to do them consistently. My good friend who is in great shape uses it. It's a strength training workout book for women. Strength training is so important. Good luck
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2nd Appt
Good luck, I too had to do the 6month thing
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approved but not happy
hey hutchandmarleysmama, you must have misunderstood me. i have completed all the insurance requirements, been approved, received the approval letter and everything. there are several people on this blog who have been scheduled before they receive their approval letters. while each doctors office is different, i really hope they would make an exception and allow me to schedule my surgery earlier. after all they anticipated me being approved otherwise they wouldn't have suggested i go through the 6 month supervised diet. i'm just really mad (but thankful to God) that i have been approved. my husband has been the voice of reason and just said be patient so i guess i just need to do that. i'm going to call tomorrow and see what happens. Scheduling is at the discretion of the doctors office, not the insurance company. when i was approved the insurance company didn't know the surgery date because the doctors office still hadn't scheduled it.
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approved but not happy
well Skat, that should be enough, my doctors wanted me to provide as much as possible. it wasn't enough so they suggested i do the 6 month diet. do you have anything else like you books that show your progress? did you just pay and not attend? try to submit what you have. if you doctors office feels like it's not enough and you'll be denied they will suggest the 6 month diet. it's a long and arduous process but will pay off in the end. good luck
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approved but not happy
after starting this process in January, going through a 6 month supervised diet program and a psychiatric evaluation, i've been approved for surgery on august 30th. i was hoping for an earlier surgery. i have been asking my surgeon's office since April to schedule me earlier and they refused until they officially received my approval letter. i'm a teacher and was really hoping to go through the surgical and recovery process while out for summer break. i'm thinking about switching doctors so that i can have the surgery earlier. so thankful to be approved, but also disappointed that it's for august 30th. kind of pissed off actually since i practically begged the doctors office to schedule me earlier. has anyone had any luck changing doctors in order to get an earlier surgery date?
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Anxiously Awaiting Approval
You are so lucky. I was approved last week and still have no surgery date. Did I mention you are so lucky. You'll be fine. God Bless you
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Officially Approved BUT NO SURGERY DATE!!!
I was approved last week Thursday (approval took 2-3 days.) Found out when I called insurance company. Called doctors office immediatley, ready to schedule my surgery date, they said they couldn't until they received the approval letter. I called insurance company and asked them to fax letter, they said they couldn't until letter printed off their system at the end of the day. The never faxed it that day, called Friday all I got was voice mail. Called Monday, voice mail again, then I received letter in the mail, Monday afternoon. Leave email for Doctors office, no response. Call Doctors office today, Yippie so now I ready to get a surgery date right? Wrong, doctors office still didn't get a copy of letter in the mail, so I fax it to them today and they tell me it could take a week to schedule WTF? Why so long? I have been going through this process since January and have to wait a week for a date, I'm livid. It seems like every other doctors office in America schedule's their patients surgery before they receive an official approval letter, why my does my doctors office does it differently is beyond my understanding. Side-note: The wonderful young lady who I usually speak with at doctors office has been out of the office for 2 days. I pray she is ok. Maybe that's why it's taking so long to get a date. Hopefully I'll have so good news to reports on Wednesday Just felt like venting. Thank you very much.
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Insurance Questions...do i need all this?
It depends on your insurance carrier's requirements. I have BCBS TX and was required to do a 6 month medically supervised diet. I only had to pay the $25 co-pay monthly to see the nutritionist and paid $25 for the Psychiatric Evaluation. So in total I paid $175 for everything. I started this process in January and just got approved on Thursday, hopefully you'll be approved a lot sooner if not, be patient. You'll get approved in good time.
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How often will you/are you calling your insurance?
I called everyday, approval only took two days. Now I'm waiting for the approval letter to be faxed to my doctors office. I'm so frustrated because without that doctors office won't schedule surgery. I've called like 5 times already this morning, keep getting voice mail. I've waited over six months in order to get approval and am tired of waiting.
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Approved but still no surgery date
I've completed all of my insurance company's pre-surgical requirements, submitted paperwork on Wednesday, July 14th and found out the next day that I was approved. Now I'm waiting for a surgery date. Once the doctors office receives the approval letter, then can schedule the surgery. Not celebrating until I actually get a surgery date.
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Approved Anthem Bc/Bs surgery 7-27-10
Congrats, congrats, congrats!!! How long was the approval process? I have BCBS TX and my paperwork was submitted yesterday via fax. I called today to confirm that they received it and they told me that my doctors office needs to obtain pre-certification before they receive my paperwork. Was this true for you as well?
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Documenting my journey on youtube.
good for you, I love USAbandgirl and BandedWendy
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Denied... what do I do now?!
I got the most accurate information from my insurance company. Try calling them and asking for a different doctor referral. Are you sure that you insurance covers lap band surgery? If so with a BMI of 47 you should be approved. Try going to a doctors office that is more helpful and knowledgeable, that makes all the difference.
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I look like crap, I feel like crap and my Insurance does't cover Bariatrics ...
Hello Ladies, Amazing that I found some information that I pray will help you two. Check out the link I posted for the Weight Loss Surgery Foundation of America, they grant surgeries to people who can not afford to have weight loss surgery. Weight Loss Surgery Foundation of America | Tipping the scales in the right direction.. I was watching BandedWendy's video on youtube and she mentioned it at around the 8 minute mark of her video. Check it out and good luck: YouTube - bandedwendy's Channel
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I look like crap, I feel like crap and my Insurance does't cover Bariatrics ...
Have any of you thought about CareCredit (I didn't qualify because of bad credit or boring money against you retirement 401K or 403B?
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Mountain State Blue Cross Blue Shield-Colorado
Sorry about that I was confused. Still haven't been approved so no congrats are in order, yet. Good luck to you.
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August 2010 anyone?
I had my 6th and FINAL dietician appointment today, Yippiiiieeee!!!! My paperwork will be submitted tomorrow or Monday. The person who handles billing at my doctors office said it should take about a week for a response. I'm going to call my insurance company sometime next week to see if they have made a decision. Please pray for me.
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Mountain State Blue Cross Blue Shield-Colorado
The best way to find accurate information quickly is to contact your insurance company directly and ask them if they cover the surgery. They will ask for your ID#/Group# so that they can specifically look at your plan. That's what I did and they cover it. I have BCBS TX. Insurance varies depending on employer inclusions and exclusions.
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Psych evaluation - details?
Jess55 don't mention that. I think that they are trying to determine if you are psychology fit to have the surgery. Mentioning that you previously suffered from depression, may hurt your chances of being approved. I'm not sure and I haven't been approved myself, it's just my opinion. Don't give the insurance company any reason, not to approve you.
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Ankle weights for the rest of my life?
Everyone is telling Bella Luna to lie, but if she doesn't have to she shouldn't. Don't encourage it. Try to qualify with the co-morbidity's first. That makes more sense. If that doesn't work, do what you have to do. I know I did, need I say more, yes I did and I'm not ashamed. I still haven't been approved, but I did what I had to do. Still completing my 6 month diet. If you don't have to go through the stress like I had to go through, don't. The co-morbidities, at this point are you friend.
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Psych evaluation - details?
I went did my Psychiatric Evaluation on Monday. You have to answer a series of questions You have to complete the Beck Depression survey. And some other questions about your mental state, what you know about the surgery, what you know about the risks involved, what you know about post-op and preparing for surgery psychology, I hope this helps
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August 2010 anyone?
Hey Liria, great to hear your story, good luck.
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Anthem BCBS
I have Anthem BCBS TX.They require a BMI of 40, or 35 with commodities. Since I only had a BMI of 40 I was required to do a 6 month medically supervised diet, which I'll complete in about a week. I also had to complete a Psychiatric evaluation which I did yesterday. Hopefully I receive a response in a few weeks. Your doctors office can tell you exactly what you particular provider requires.
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Did you tell anyone you were having surgery?
My husband does not have a weight problem. Hopefully like you said he'll come around.