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Letter of Medical Necessity



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Not far at all. I'm in that area all the time. You are ahead of me. I saw my PCP for the first time yesterday. Let's keep in touch!

Sorry I didn't respond right away, I just started working and my hours have been all over the place! I would definitely like to keep in touch!! As of yesterday I *still* haven't heard from my insurance so I have no idea if i've been approved or not. My mom (I am under her insurance) told me she would call first thing monday for me. It has been almost two weeks so hopefully i'll hear back either way soon!!

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Sorry I didn't respond right away, I just started working and my hours have been all over the place! I would definitely like to keep in touch!! As of yesterday I *still* haven't heard from my insurance so I have no idea if i've been approved or not. My mom (I am under her insurance) told me she would call first thing monday for me. It has been almost two weeks so hopefully i'll hear back either way soon!!

You have been very patient! I hope you have good news tomorrow. Keep us updated!!!! :-)

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I was APPROVED! YAY!!! I don't know when my surgery date is yet, but I was APPROVED!!!!!!!! WOO HOO. I called the insurance this morning and they confirmed it for me over the phone!

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Congratulations!

You guys have the best topic timing!!! I'm feeling so defeated today. I've been through 6 months of PSWL, psyche eval, my PCP sent a letter of medical necessity that sounded more like an obituary, I submitted a letter of my weight struggles that sounded more like a suicide note, and gave all of that data to my surgeon's insurance clerk. She called me today and asked "don't you have a 5 year weight loss history?" I gave her all that I could come up with which was a 5 year gynecologist weight loss history for 2001, 2002, 2003, 2004, 2005 and 2006 (also the PCP from March 2011) to me that shows that I have been consistently overweight since 2001 at least! She was looking for the last 5 consecutive years. she sounded as if I'm going to be denied because of that and said "Well I'll submit it and we'll have to just wait and see" hmpf!

I'm telling you if I don't get approved at this stage, I'm going to be so so so disappointed. What do you guys think? I should mention that I don't have Aetna, I'm in Indiana and have a local network called Physician's Health Plan.

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Congratulations!

You guys have the best topic timing!!! I'm feeling so defeated today. I've been through 6 months of PSWL, psyche eval, my PCP sent a letter of medical necessity that sounded more like an obituary, I submitted a letter of my weight struggles that sounded more like a suicide note, and gave all of that data to my surgeon's insurance clerk. She called me today and asked "don't you have a 5 year weight loss history?" I gave her all that I could come up with which was a 5 year gynecologist weight loss history for 2001, 2002, 2003, 2004, 2005 and 2006 (also the PCP from March 2011) to me that shows that I have been consistently overweight since 2001 at least! She was looking for the last 5 consecutive years. she sounded as if I'm going to be denied because of that and said "Well I'll submit it and we'll have to just wait and see" hmpf!

I'm telling you if I don't get approved at this stage, I'm going to be so so so disappointed. What do you guys think? I should mention that I don't have Aetna, I'm in Indiana and have a local network called Physician's Health Plan.

I can't say for sure because I am not familiar with your insurance, but I only had three years to show and I had to dig for those. I think you will be fine! My surgeon's office said the same thing to me "we'll submit and then wait and see". Good luck!

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I'm just going to try to be as patient as I can during the waiting period. Meanwhile, I'm really happy that your date came through! Congrats & good luck.

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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.
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      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.

        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.

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        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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