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So my scheduled date is 4/25. I have GHI/Empire BCBS

I am actually having the surgery where I work. So i called the finance person today, and she told me she submitted the paperwork, just waiting to hear back from them. I have been doing the 6 months medically supervised visits, have done most of my pre-op testing. And it dawned on me...what if they deny me. I know my mom would be ecstatic b/c she doesn't want me to do it. But I have been mentally psyching myself up to do this and i am READY.

I am 33 y/o, starting weight of 343lbs now at about 318lbs, I have GERD, moderate to high cholesterol and joint pain, but no serious medical complications ( diabetes, etc) What is the likelihood that I can be denied. HELPPPPPPPP :(

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It all depends on the requirements set by your insurance... If you meet all of the criteria, then there shouldn't be any issues... Each plan is different based on what the EMPLOYER has chosen... So in most cases, a plan will not be the same from person to person unless it's the same employer or a specific type of insurance plan that most companies do not have except mom and pop businesses... Sounds like you already have everything in order... ;)

Good luck!!

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You sound like everything will be all good. Make sure you do all your surgeon says to. It is just nerve wracking waiting for the approval. I called my doctor's office many times to check and make sure they didn't forget about me cause I was paranoid!

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And you know what- everything has a time and purpose- so if you are denied- there was a reason! But if you are accepted which by what you have said - you meet all requirements- why would they deny you? Keep your focus about you and aim for your goals!!

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I know exactly how you feel... I'm at the end of my 3 month supervised visits and will be submitting paperwork to insurance on the 11th. I have that same state of panic like you! "What if I get denied?" However, my patient advocate at my surgeon's office is so sweet and a go-getter and she told me if they give her any push back about approving me, she's gonna open a can of Whoop Ass on them and make sure it gets approved. She assured me that I meet all the requirements for insurance that should be no reason for a denial or even any push back.... She has assured me and my state of panic that everything will be ok and I'll get the approval!! My tentive surgery is 4/26!

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I was denied briefly as one piece of paperwork hadn't been included in the final packet sent off to Cigna. I had a mini-stroke, but it was faxed and all was well in a couple of days. Sounds like you're normal----anxiously waiting! Good luck!

Thanks everyone...i guess i am just obsessing over everything and anything that can go wrong. Will keep u guys posted

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well today, amidst the chaos of JCAHO (my fellow healthcare workers know about this), and day one of my liquid diet. (talk about a double whammy) rolleyes.gif i found out i was APPROVED ohmy.gifbiggrin.gif

So i have the worst headache ever...but i am happy, nervous, scared and anxious all rolled into one....oh yeah add nauseous

but April 11th is the day!

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well today, amidst the chaos of JCAHO (my fellow healthcare workers know about this), and day one of my liquid diet. (talk about a double whammy) rolleyes.gif i found out i was APPROVED ohmy.gifbiggrin.gif

So i have the worst headache ever...but i am happy, nervous, scared and anxious all rolled into one....oh yeah add nauseous

but April 11th is the day!

CONGRATS! I know how relieved you must feel! I was just approved last week and I felt the same way!

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So my scheduled date is 4/25. I have GHI/Empire BCBS

I am actually having the surgery where I work. So i called the finance person today, and she told me she submitted the paperwork, just waiting to hear back from them. I have been doing the 6 months medically supervised visits, have done most of my pre-op testing. And it dawned on me...what if they deny me. I know my mom would be ecstatic b/c she doesn't want me to do it. But I have been mentally psyching myself up to do this and i am READY.

I am 33 y/o, starting weight of 343lbs now at about 318lbs, I have GERD, moderate to high cholesterol and joint pain, but no serious medical complications ( diabetes, etc) What is the likelihood that I can be denied. HELPPPPPPPP :(

It's going to be ok,if you have done all the hoop jumping and met the requirements and you'll be approved. Waiting is the hardest part, keeping fingers crossed for you!

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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

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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. 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.

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        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.

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