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Has anybody switched insurance just before surgery?



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Hi, I'm new here and I should probably head over to the intro section first, but I hope you'll bear with me! I am scheduled for a seminar on Sept 26 and am looking forward to starting the process toward a band. I have cigna insurance currently, so I know there is a 6 month supervised diet required before approval. At the moment my BMI is 40.6, which just makes it for the insurance requirement. My husband will probably be losing health insurance in March (his company is going through bankruptcy and his job will be ending) and we will be switching insurance (either he'll start with a new company or we'll pay out of pocket for health insurance - no cobra available). In either case it more than likely won't be cigna at that point and that will be right around when my 6 months will end and I'll be trying to get approval and a surgery date.

I understand that to submit to insurance they take the weight you are at at the beginning of the process (taken on the day with all the appointments I believe?). Does anything get submitted to insurance at that time or is it only submitted when all the criteria are met (i.e. the 6 month supervised diet)?

If it's not submitted until AFTER the 6 months then I should be ok with waiting til I've switched insurance companies and submitting to whatever new company we are with, correct? I will be sure that if it's in our control we choose one that covers lap band, of course!

However, if i have to submit a weight at the time we switch insurance, by BMI will almost certainly be below 40 as the program I am attending (Lahey in Massachusetts) requires a loss of 10% of excess weight before surgery. I have no comorbid conditions presently that would allow for an approval with a BMI under 40 (damn! LOL)

Has anyone had a situation where their insurance changed part way through the process, and especially BEFORE surgery? Does it even matter what I have now, or does it only matter what I will have when it comes time to surgery time?

I'm sure this has happened to some, as in this day and age, people are changing jobs (or unfortunately losing jobs) all too often.

Thanks for any input! I just trying to understand the whole lap band process and am glad to have found these boards! You guys seem like a supportive, happy group and there is so much great info here!

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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💪
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