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

Hello from Akron Ohio



Recommended Posts

Hello all,

I am just starting to explore the possibility of being banded, but my insurance (through my employer) specificall excludes WLS and any complications that may result from WLS, so I am not only going to have to self pay, I will be totally exposed physically and financially. It will take me a year or so to save enough money for the surgery and a cushion, but my car has 150K on the odometer, my 60 year old house always needs something and I support a mother with dementia and a sister with Asperger's. I will figure something out; coping is what I do best, except where food is concerned. I have been fighting a losing battle with my weight since I hit puberty. I am pretty sure I have PCOS but was never diagnosed since I wasn't planning on having children.

I have multiple co-morbidities, diabetes, hypertension, high cholesterol and probably sleep apnea since I don't remember ever having a good night's sleep.< /p>

Share this post


Link to post
Share on other sites

Hello all,

I am just starting to explore the possibility of being banded, but my insurance (through my employer) specificall excludes WLS and any complications that may result from WLS, so I am not only going to have to self pay, I will be totally exposed physically and financially. It will take me a year or so to save enough money for the surgery and a cushion, but my car has 150K on the odometer, my 60 year old house always needs something and I support a mother with dementia and a sister with Asperger's. I will figure something out; coping is what I do best, except where food is concerned. I have been fighting a losing battle with my weight since I hit puberty. I am pretty sure I have PCOS but was never diagnosed since I wasn't planning on having children.

I have multiple co-morbidities, diabetes, hypertension, high cholesterol and probably sleep apnea since I don't remember ever having a good night's sleep.< /p>

Share this post


Link to post
Share on other sites

I had lap band surgery last October, and have lost 70 pounds. Our insurance covered our surgery because I too had diabetes, high blood pressure, and sleep apnea. If you need three problems, and have not been tested for sleep apnea, see if your insurance pays for the sleep study and if so have it done. Then go back to the insurance company and see if they will pay for weight loss surgery.

Claudia from Lacey WA

Share this post


Link to post
Share on other sites

Hello all,

I am just starting to explore the possibility of being banded, but my insurance (through my employer) specificall excludes WLS and any complications that may result from WLS, so I am not only going to have to self pay, I will be totally exposed physically and financially. It will take me a year or so to save enough money for the surgery and a cushion, but my car has 150K on the odometer, my 60 year old house always needs something and I support a mother with dementia and a sister with Asperger's. I will figure something out; coping is what I do best, except where food is concerned. I have been fighting a losing battle with my weight since I hit puberty. I am pretty sure I have PCOS but was never diagnosed since I wasn't planning on having children.

I have multiple co-morbidities, diabetes, hypertension, high cholesterol and probably sleep apnea since I don't remember ever having a good night's sleep.< /p>

Hello there ! Well , it sounds like you have alot on your plate ! If I were you I would first make a appt with whatever surgeon you are planning on using. Because in most cases their office manger can help you with your insurance company. The surgeon wants to make money . so they most likely will find a way. You will have to jump thro alot of hoops and red tape .. but if you have that many co-morbidilities theres someway it can be done. If not thro you insurance at work , the state may pay for it since you are so high risk. I urge you to make a appt with the suregon and get the ball rolling.

I myself am jumping thro alot of hoops to get Gastric bypass. I have more than 150lbs to lose so that was the besst option for me. But yea, i know it will all be worth it in the end.

GOOD LUCK !!

KEep me posted !!

Share this post


Link to post
Share on other sites

Hello there ! Well , it sounds like you have alot on your plate ! If I were you I would first make a appt with whatever surgeon you are planning on using. Because in most cases their office manger can help you with your insurance company. The surgeon wants to make money . so they most likely will find a way. You will have to jump thro alot of hoops and red tape .. but if you have that many co-morbidilities theres someway it can be done. If not thro you insurance at work , the state may pay for it since you are so high risk. I urge you to make a appt with the suregon and get the ball rolling.

I myself am jumping thro alot of hoops to get Gastric bypass. I have more than 150lbs to lose so that was the besst option for me. But yea, i know it will all be worth it in the end.

GOOD LUCK !!

KEep me posted !!

Share this post


Link to post
Share on other sites

I didn't mean to sound quite so martyred. LOL. My life is no more difficult than millions of others, sometimes I am not as gracious with it as I should be. But all the little ways I comforted myself as a child are killing me now and knowing that hasn't helped me stop. When I get home all i want to do is hit the recliner with a couple of pieces of fried chicken followed by ice cream and get Mom to bed at 10. I am usually in bed by 10:30 since I need to be up and on the road to work by 6. I once told a friend that a "day without ice cream was like a day without air." I found out today we are changing insurance, maybe the new contract is different.

If I don't get healthy, not only will my Mom and sister be left on their own; my other sisters have never been much help. I will be dead early. Not a prospect I contemplate happily.

Thank you for your good wishes.

Share this post


Link to post
Share on other sites

I didn't mean to sound quite so martyred. LOL. My life is no more difficult than millions of others, sometimes I am not as gracious with it as I should be. But all the little ways I comforted myself as a child are killing me now and knowing that hasn't helped me stop. When I get home all i want to do is hit the recliner with a couple of pieces of fried chicken followed by ice cream and get Mom to bed at 10. I am usually in bed by 10:30 since I need to be up and on the road to work by 6. I once told a friend that a "day without ice cream was like a day without air." I found out today we are changing insurance, maybe the new contract is different.

If I don't get healthy, not only will my Mom and sister be left on their own; my other sisters have never been much help. I will be dead early. Not a prospect I contemplate happily.

Thank you for your good wishes.

Here's hoping that your new insurance covers WLS or at least complications. All I can say is that if it is covered get it done. I've been with my current company and if I had gotten this done 3 years ago, WLS would have been covered at 100%. If I had gotten it done last year - WLS covered at 50% but now WLS is still at 50% but now I have a $1000 copay for any outpatient procedure and anesthesia has an additional 25% copay. I need to get this done this year before more copays are added !! Good luck to you !

Share this post


Link to post
Share on other sites

I didn't mean to sound quite so martyred. LOL. My life is no more difficult than millions of others, sometimes I am not as gracious with it as I should be. But all the little ways I comforted myself as a child are killing me now and knowing that hasn't helped me stop. When I get home all i want to do is hit the recliner with a couple of pieces of fried chicken followed by ice cream and get Mom to bed at 10. I am usually in bed by 10:30 since I need to be up and on the road to work by 6. I once told a friend that a "day without ice cream was like a day without air." I found out today we are changing insurance, maybe the new contract is different.

If I don't get healthy, not only will my Mom and sister be left on their own; my other sisters have never been much help. I will be dead early. Not a prospect I contemplate happily.

Thank you for your good wishes.

Here's hoping that your new insurance covers WLS or at least complications. All I can say is that if it is covered get it done. I've been with my current company and if I had gotten this done 3 years ago, WLS would have been covered at 100%. If I had gotten it done last year - WLS covered at 50% but now WLS is still at 50% but now I have a $1000 copay for any outpatient procedure and anesthesia has an additional 25% copay. I need to get this done this year before more copays are added !! Good luck to you !

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

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
      · 0 replies
      1. This update has no replies.
    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 1 reply
      1. BabySpoons

        Amazing! Congrats!!! Watch out for the sharks. 🦈

  • 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

    ×