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:( insurance denied so wont be havin it done



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So sorry, Stacey -- don't give up on your path to wellness.....

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did you try to do a written appeal?

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My cousin was denied and she went back to her doctor to rewrite his referral, it was accepted the second time.

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They won't appeal because its not technically a denial it's an exclusion

How much does it cost if I pay?

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I'm so sorry. Never say never, you could be the lucky winner of Powerball tonight and get whatever you want done. I know the odds, but you have to keep positive thoughts. Good things happen when you least expect them to. This could also be a blessing in diguise, you just never know.

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Don't give up my insurance denied me three times. Hey I have nothing but my whole life to wait so every time they denied me I wrote an appeal letter to the insurance. Well they gave up the fight and approved me. You have to explain to then how getting this done will benefit your health and MOST important insurances want to save money. Explain to them how getting the done will save then cost in diabetes care etc I have sleep apnea so I told them at my age, they are looking at more in Cpap machines pulmonary care and sleep test. Well that adds up over the years so they looked at the obligation picture. They just need you to map or outline it out for then that way when you appeal it will go before a panel of usually nurses that can see past the first line. Try it. It sure help me

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What insurance company are you with? What's your BMI?

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I was the same way until I saw this silly video on YouTube....It simply said...I AM WORTH IT!..I got to thinking..hmm what am I worth? I'm, worth $9888.00. That's what my surgery cost. I'm a single mother and grandmother and work for a non-profit organization that excludes weight loss surgery. So I had to self-pay. I went to True Results and I only had to come up with $4000.00 ( I had to beg, and borrow hehehe) and they financed the rest for me. $190 a month for 36 payments. YAY!!! I did it and would do it again. I already feel better and cant weight till next summer!!! Wish I would have don't it sooner!!! :wub:

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Very disappointed what a roller coaster ride

After all it denied it the company has an exclusion.

Im sorry the company has an exclusion. How very frustrating and plain not fair.

While you're deciding what to do, you might look into weightloss by way of diet and looking at metabolics. www.healthysteps.com is one place that offers a lot of options (including weightloss surgeries) and they are having huge success with using a modified meditteranean diet and exercise. Their patients do this in preparing for weightloss surgery and then lose so much that they no longer need the surgery! I also hear they are not hungry on the diet, either.

Healthy Steps also delves into individuals metabolics and what is best for them according to how they metabolize. I have not participated, myself, so I don't have more direct info to give you. My surgeon (who removed my Lap Band) is the director, though, so once Im recovered I'll be using what they offer as part of my weightloss plan.

Hang in there!

~hiddn

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I believe most things happen for a reason - that said - have you tried to have everything checked before considering the surgery? Have your hormones checked, thyroid, blood, cortisol levels - or trying to cut certain things from your diet such as dairy, or meet, or processed foods, or gluten?

Back in 2009 when I was considering the surgery my doctor had pointed out (sadly after insurance lapsed and I wasn't able to get the surgery) that if any of these things were an issue that was being over looked, the lap band would truly only be a temporary fix and would only bring more frustration. In all of this I did manage to find out my body does much better without certain dairy products.

What I'm saying is don't give up, something that is right for you is out there. Chin up!

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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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    • bellaamey

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