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Is it true that the insurance info changed?

Mrsace13

By Mrsace13, in LAP-BAND Surgery Forums

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Mrsace13    0

Mrsace13
Posted

I am going to call my insurance, however I was wanting to know if anyone here knew first. My friend told me that most insurance's now do not require you to have a BMI of 40 or higher, has anyone heard that?

I used to be on here daily and have not been on in so long since my insurance denied me since at that time my BMI was 39.4 and I did not have any medical issues that they felt were reason enough to cover it.

Since then my weight is up and down and up and down, I am going crazy with all this. My friend is about to get bypass and she just told me this.

Thanks, and again I know I need to call my insurance. I haven't gone through to see if any of my old friends are on here, if you are HI!!

Teresa

Haha, just saw my weight info on here and dates of my Dr visits, that was a couple of years ago too.

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Mrsace13    0

Mrsace13
Posted

I am going to call my insurance, however I was wanting to know if anyone here knew first. My friend told me that most insurance's now do not require you to have a BMI of 40 or higher, has anyone heard that?

I used to be on here daily and have not been on in so long since my insurance denied me since at that time my BMI was 39.4 and I did not have any medical issues that they felt were reason enough to cover it.

Since then my weight is up and down and up and down, I am going crazy with all this. My friend is about to get bypass and she just told me this.

Thanks, and again I know I need to call my insurance. I haven't gone through to see if any of my old friends are on here, if you are HI!!

Teresa

Haha, just saw my weight info on here and dates of my Dr visits, that was a couple of years ago too.

Wow, I called my insurance and they told me as of 2011 that do not cover any type of sergury for weight, nice to know that now!! OK, just a sign to not have it done I guess.

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fly4kidsrt    1

fly4kidsrt
Posted

There is an article posted under the "Blogs" it is the first one on the page. Nationally they have changed their requirements, but still check with your insurance to see if the surgery is covered or if you would be self pay. Best of luck!!

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lv2h8me    2

lv2h8me
Posted

If you have a BMI over 30 with health complications, you can get the lapband. But I belive for the other WLS it's still 35 with 2 or more comorbitities, or a BMI over 40.

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Go To Topic Listing LAP-BAND Surgery Forums

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    • Alisa_S

      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.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      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

        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.

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      CaseyP1011

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    • KimBaxleyWilson

      KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      1. This update has no replies.
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      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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