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Feeling A Little Down, Insurance Woes



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So I've been super stoked about my consultation appointment tomorrow. I get a call from the clinic and they were talking about how my insurance wouldn't cover a fill. I had to patiently explain to the lady that I don't even have a band yet. So she fixes the mess up in the computer and then lets me know that they don't have all their contracts in place yet with my insurance. So it will cover my initial consult but nothing further until they get the rest of the contracts in place, which will be a few weeks.

In the meantime I'm asking her if the nutritionist and the psychiatrist that they use is a part of the group or if they are independent, hoping that maybe my insurance will cover those appointments and I can keep the momentum going until they get their contract issues worked out.

I have no patience, I know this. And when I finally make up my mind to do something I expect it to be done right this minute. My Mother always said that if I could put my single mindedness to good use then I would have had this weight issue taken care of years ago. Well that's what I'm doing now and the powers that be are not cooperating with me!

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Ugh I can so relate to you! I got all my stuff in and done last week, just waiting on paperwork from psych eval. My surgery coordinator is on vacation this week and won't be back to submit anything until the 29th. Waiting for extra things to be done even before insurance submittable is frustrating. I try to look at it as it will all happen the way it suppose to. hang in there!

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I had my first consultation on Monday/nutrition counseling. I am now waiting for the Psych referall. I have to complete 3 more nutrition counseling sessions and get my Dr. to write a note stating I have not smoke in 6 months or been treated for substance abuse in the last year in order to get Fed BCBS to pay for everything. The Patient Advocate told me I was looking at about $3K out of pocket. Hoping to have the surgery by Sept (assuming a quick insurance approval)...I wanna go on my 7 day cruise in November, if possible! All in due time...patience is a virtue I have not yet learned.

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I had my first consultation on Monday/nutrition counseling. I am now waiting for the Psych referall. I have to complete 3 more nutrition counseling sessions and get my Dr. to write a note stating I have not smoke in 6 months or been treated for substance abuse in the last year in order to get Fed BCBS to pay for everything. The Patient Advocate told me I was looking at about 3K out of pocket. Hoping to have the surgery by Sept (assuming a quick insurance approval)...I wanna go on my 7 day cruise in November' date=' if possible! All in due time...patience is a virtue I have not yet learned.[/quote']

It took me a full year so hang in there

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Agreed iv been waiting 5 weeks for insurance and the paper wernt even submitted the whole time! And when they finally were it only too a couple hours to get an approval! Chin up thing will start moving along faster now!!

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FYI even though my insurance paid for surgery, all my tests, Psychologist appointments it did NOT cover my Nutritionist meetings. If I was meeting with the Nut. regarding diet plans because I was diabetic they would have paid for those appointments. Did not quite get the logic on that one.

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Ya my insurance dont pay for nutritionist either! I have to pay 200 before surgery wich is no big deal but ifs kinda stupid cuz my insur. Required me to do six months of nutrition counseling! Lol i thought it was weird also!

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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.
      · 0 replies
      1. This update has no replies.
    • 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
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    • 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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      https://alluniqueguide.com/java-burn-coffee-reviews/
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