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Big Fat Denial!

SinCityGal

By SinCityGal, in LAP-BAND Surgery Forums

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SinCityGal    43

SinCityGal
Posted

So I went on the Tricare website today & saw.....NOT APPROVED! I cannot even begin to tell you how upset I am! My surgeons office didn't even know until I called them. So we won't know the reason until tuesday...I sure hope this turns around, my surgery was scheduled for Nov. 19th! :(

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CHEZNOEL    4,061

CHEZNOEL
Posted

Never, never, never give up!

SinCityGal reacted to this

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Maddysgram    6,159

Maddysgram
Posted

Thoughts & prayers its something simple to fix!

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jen_1381    446

jen_1381
Posted

Don't give up! I was denied by UHC two days before my surgery. My surgeon had to have a 1:1 conference with the approval department head. They overturned the denial the day before my surgery. It could be the fault of some tiny paperwork mistake. Mine was bc my surgeon put "hypertension" instead of "uncontrolled hypertension".

It's very stressful, that I understand, but persevere and remember, the squeaky wheel gets the grease!

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SinCityGal    43

SinCityGal
Posted

Thanks everyone for being supportive & positive. I'm so stressed but, I know in my heart this is suppose to happen for me! I have a young child that I want to be here for....So I'm not giving up that easy!

(((HUGS)))

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sparkplug    106

sparkplug
Posted

My prayers are with you. I was denied twice. I finally asked them if I needed to hire an attorney and went through the whole list of medical problems I have and asked them if they are prepared to either pay one price for the band or continue paying for my medical for the rest of my life. The third time was a charm and they had me approved and in surgery within 2 weeks. Hope all goes well with you.

bigenuff, SinCityGal and A New New Dawn reacted to this

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Banana2363    21

Banana2363
Posted

Dot give up. I have tricare and I was approved. With tricare you have to have a certain bmi to be approved. Or have a higher bmi with an underlying condition such as high blood pressure.

Also make sure that your primary wrote it up right.

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CaGottaBand    498

CaGottaBand
Posted

Don't give up! Have you heard back on what the problem was?

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SinCityGal    43

SinCityGal
Posted

Never heard why I was denied. Surgeon did a peer to peer on the 13th & I've been waiting impatiently....UGH, this has been really emotional!

Thank you to ALL for the support!

(((HUGS)))

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Go To Topic Listing LAP-BAND Surgery Forums

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    • Alisa_S

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      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💪
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