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Well my opinion is an educated one. If you work in and understand insurance you would realize what's already happening in the industry and how in the long run it will help nobody. But as usual, most Americans are concerned with me-me-me and what they can get off someone else, so right now the delusion is that this will help you.

I don't see why this has to become a political discussion, sounds to me like human error can we keep politics out of this... It just doesn't seem like the place to discuss this...

To original poster I hope every thing works out for you Good Luck

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I hope everyone is reading this, when this happen to me today I was shocked & blown away. I hope this never happens to anyone else. Here's what happened. I have to back track a little so please bear with me. So I switch my insurance @ the 1st of the year like everyone else, I went back to my mother insurance due to the new Obama healthcare law, I switched for a couple of reasons but that beside the point before I switch I did my research before dropping my insurance from my company and going to my mothers. I called to make sure the band was covered, how much it was gonna cost, & if I needed anything to do to be pre-approved I mean I asked everything. They told me everything so I switch because it was only gonna cost me $900 the everything in my health care would be covered for the year instead of my insurance I would have had to pay $2000 then pay %20 of everything for the year. So when I resubmitted with my new insurance I was DENIED! I couldn't believe what I was hearing, I kept asking what do you mean I was denied she said my new insurance doesn't cover any WLS how could this be??? I dropped my own insurance so I could be covered underneath my mom "better" insurance. I completely felt like my life was over. I kept screaming this can't be.. this can't be.. I know that poor lady felt bad for me. Well I refused being denied as a answer so I called my insurance & the confirmed my new insurance no longer cover WLS so I cry & ask a million questions like if there was loop hole or if it was a medical necessary.. I mean I asked everything.. she double checked everything.. she said in 2010 we covered it but now in 2011 we no long carry it.. of course I was crying and panicking because I was looking forward to restarting my life. This is something I've thought about since I was 18 and finally was ready to do it.. so I get off the phone because I have to accept what the insurance say because well they are my insurance.. so I'm crying at work thing what do I do? I should have stayed with my old insurance.. while I was talking back with the WLSC i get a call from a doctor. The rep I was talking to felt so bad about what happened she went to her manager & they stated they were gonna investigate & call the company to see why they stopped coverage, she then stated it might be a computer error.. I prayed hard that it was a error. I called my mom & made her get off a factory line to call me so I could tell her everything that was going on.. she went to her HR because my mom informed me that her company couldn't have changed their coverage due to all the employees are in a union & if any changes were made they would have to approve them & all employees would have be notified. My mom then called me after she was on the phone with the insurance company & the insurance company accidently had a computer error when renewing the 1s of the year & removed the coverage for WLS. I couldn't believe this. A FREAKING ERROR. I'm glad it was a error but I was seriously stressing. I can only imagine what else they might have messed up.. I mean what if I was a car accident & they didnt cover the hospital & they just said oh we no long cover when your in the hospital & you call your insurance company & they confirm what else do you do.. So I want everyone to be a wear & warned that insurance companies do make mistakes & you have to make sure they are covering what they are supposed. Write down everyone you spk with & ther operator #. So after a day of stressing & crying & thinking I will have to pay 18k for a surgery I need and want they finally said the error is being fixed & it will be covered.. now to I wait for the WLSC to call back so I can tell her to resubmit it back to insurance. DON'T EVER GIVE UP ON YOUR DREAMS & NEVER LET ANYONE GET IN THE WAY.

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I was denied for being 5 lbs too thin from Tricare. I went to my first appt and weight was fine then went to the dietian and she started me on a diet..I lost abou 15 lbs. THEN..I went to my dr exam and the insurance company wont accept any weight before my dr exam. This is screwed up. I have another appointment in a couple of weeks and hope to have gained 5 lbs back and we hope to reapply!

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Still waiting for them to fix their mistake.. they are sure slow...

Hey let us know if they ever fixed it. It must be so stressful waiting on other people to fix their mistakes that affect your whole life.

The whole insurance thing just scares me to death. That's one reason I finally decided to pursue this now rather than wait another year of trying by myself. I have no idea if/when my insurance will stop covering this so I want to get it done now while they do.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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