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NEW INSURANCE...RENEWED HOPE!

MizzouFan1

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MizzouFan1    88

MizzouFan1
Posted

So, my husband just got a job offer today and they have better insurance thought Coventry of Kansas City. I am crossing my fingers big time that maybe this insurance will cover Lap-band as our current BCBS of KC does not. I feel like I have been waiting my whole life for this and I sure hope they cover it and if they do that the restrictions aren't ridiculous. I am thinking Malley Surgical or Weight loss surgical Center? Anyone have any recommendations?

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MizzouFan1    88

MizzouFan1
Posted

So, my husband just got a job offer today and they have better insurance thought Coventry of Kansas City. I am crossing my fingers big time that maybe this insurance will cover Lap-band as our current BCBS of KC does not. I feel like I have been waiting my whole life for this and I sure hope they cover it and if they do that the restrictions aren't ridiculous. I am thinking Malley Surgical or Weight loss surgical Center? Anyone have any recommendations?

Soooo, just as I was beginning to feel hopeful I found out they cover it....but you have to be with the plan for at least 3 consecutive years. WTF? What a load of BS. What does it matter? I am paying $350 a month regardless. I just can't believe it. I am so disappointed. :( :( :(

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Navywif99    0

Navywif99
Posted

Im sorry to hear that I know your disappointed. If it means anything I go to Malley and I love them they are so easy to work with and are very easy to talk with if you still decide to go through with it you will like them a lot Im sure of it. Good Luck!

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isit5yet    37

isit5yet
Posted

I go to Malley as well and Dr Fearing did my surgery. I totally recommend them too.

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gaarmywife06    2

gaarmywife06
Posted

I'd stay clear of Weight Loss Surgical Center. I went there & they told me the day of consult that they accepted my insurance. I went thru the consult and afterwards they're saying they don't. What happened was is that they are trying to jump through the necessary hoops to get on with Medicare and Tricare so that they can accept them, but they haven't met those requirements yet. They only told me that they did in hopes that they'd have it completed within 30 days. Now they're saying I owe $320 because my insurance didn't pay off.

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MizzouFan1    88

MizzouFan1
Posted

Thanks for the comments ladies. I probably would have gone with Dr. Malley. I hear nothing but amazing things about him and I thought I heard he himself use to be overweight so he can relate. I am hoping that maybe I can plead my case to the HR folks to let me have it sooner. It was such a let down. I guess I will just keep on plugging away and count the days until the waiting period is up.

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Go To Topic Listing Tell Your Weight Loss Surgery Story

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    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 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. LeighaTR

        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

      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.

    • CaseyP1011

      CaseyP1011

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

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