Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Waiting for my approval...worried



Recommended Posts

:) Okay, so I have been doing all of my pre-op stuff since January and I cant believe how quick it passed. I didnt loose much weight during my diet, but i didnt gain any either. I met all the requirements, and now im just waiting. This is the most impatient I think I have ever been. I have called my insurance company twice and the 2nd time i called they said they had just received the info, and that there was a lot more info they needed from the doc. Now Im worried that I wont be able to have my surgery on the 26th, which is what we scheduled at the docs, it is a pendind authorization surgery. Keep me in your prayers as I really need this to go through soon! any comments are welcome :)

Share this post


Link to post
Share on other sites

Everything will probably be fine-- your doctor does this all of the time and if they pre-scheduled you they did it thinking they could get it approved.

But, in the chance it isn't approved, it isn't the end of the world. Disappointing, yes, but not the end of the world. Like you said, you've been working this since January, so if you have to give the insurance company and your doc a few extra weeks to get everything squared away, then you can do that, right?

I speak from experience here. I found out 5 months into my 6 month diet that my employer specifically excluded WLS from our plan. I cried and felt hopeless, knowing that I'd have to wait another 5 months to switch to my husband's insurance, and then have to hope they took my diet from the previous insurance and wouldn't make me redo it.

And now, after some procrastination on my own part, I am approved and scheduled and it's going to happen. I lived through it and I'm going to make it out on the other side soon. And, I think it will all be worth it in the end.

Good luck! I hope everything works out for you.

Share this post


Link to post
Share on other sites

They DENIED ME! they said that because my BMI was under 40 in 08, (it was only 38), they said I needed a co-morbidity to prove I NEED the surgery... Now i have to have a sleep study!

Share this post


Link to post
Share on other sites

That which doesn't kill us, only makes us stronger. I've been there too. It is so frustrating and disappointing to hear the news that you're not overweight enough for long enough or that your weight isn't making your unhealthy enough. That's a bunch of bologna! Anyway, hang in there and don't give up. It will happen for you one way or another. While it's hard to wait, good things happen to those who wait!

Sorry about all the cliches, but they're sooo true. Good Luck to you!

Share this post


Link to post
Share on other sites

I was just curious what insurance you guys have? I'm so nervous about this process!

Share this post


Link to post
Share on other sites

:thumbup: Okay, so I have been doing all of my pre-op stuff since January and I cant believe how quick it passed. I didnt loose much weight during my diet, but i didnt gain any either. I met all the requirements, and now im just waiting. This is the most impatient I think I have ever been. I have called my insurance company twice and the 2nd time i called they said they had just received the info, and that there was a lot more info they needed from the doc. Now Im worried that I wont be able to have my surgery on the 26th, which is what we scheduled at the docs, it is a pendind authorization surgery. Keep me in your prayers as I really need this to go through soon! any comments are welcome :)

Praying for you that everything will go quickly and smoothly

Share this post


Link to post
Share on other sites

I was just curious what insurance you guys have? I'm so nervous about this process!

I have BCBS of WV. It's been a one year wait for me so far. But all insurances are different depending on your employer. So the best thing to do is call your insurance and find out for sure what's covered, what's not, and what pre-requisites they require. Good Luck to you, Bella Luna!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×