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Just Found Out My Insurance Changes 2013



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Now they are saying its just a covered service. But it was ok before. I don't know what the heck they are doing there. GRRR

***its not a covered surgery

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Doesn't look like I will part of the family ; '( so sad, disappointed, and angry.

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Doesn't look like I will part of the family ; '( so sad' date=' disappointed, and angry.[/quote']

I'm so sorry can u do the bypass?

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Yeah I can but I do not want to go that route. My other primary(rheumatoid and primary) drs told me not to have that done. So my only other choice is lap band. I dont think that gives me enough help. I dont know...I'm so torn. I will be appealing for sure and see where it goes and possibly contacting a lawyer since they previously said It was an approved service.

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Yeah I can but I do not want to go that route. My other primary(rheumatoid and primary) drs told me not to have that done. So my only other choice is lap band. I dont think that gives me enough help. I dont know...I'm so torn. I will be appealing for sure and see where it goes and possibly contacting a lawyer since they previously said It was an approved service.

I'm glad to hear u haven't given up!!

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Thanks :)

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Just found out my insurance is changing 2013. And now WLS will not be covered at all!!! And my surgery was going to happen Jan/Feb. I sure hope I can have this WLS still since I started earlier this year 2012. Keeping my fingers and toes crossed. I will call my case manager at the insurance company on Monday. #stressing

This exactly why I did the WLS yesterday. Part of me would have preferred waiting longer, but our new insurance would not cover it in 2013

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Yeah I wish I had that option.

My complex case manager called me today and said my bypass was covered and I waa ready to go. I said uhhhh no I am not doing that.

So I told her how PISSED off I am and that I would take other measures. She asked me what those were and I said I am contacting our state dept of insurance to file a formal complaint against them and if needed I would be hiring a lawyer!

She was like...ohhhh dont do that! She said dont do anything until I can talk to my manager. She has until Friday and next Thursday I file the complaint. I REFUSE to take no for an answer. I'm very determined ..especially since it was their mistake. We will see how it goes

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Ok......so after threatning them to Dept of Insurance they have FINALLY put in approval for the sleeve!!!! About time! Now just waiting for a surgery date!!!!

So excited

**thanks for listening (:**

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I got my date yesterday!!!!! Feb 14th (which is also my husbands birthday)

Everything is a go. I asked them what happened and they said they changed the verbiage in my policy? So I think what happened was they just added it as they knew they messed up. Either way I am good with it. I also requested a copy of the new verbiage so I can show this to my "lawyer". My lawyer is a friend who is a paralegal who her boss/friend is a lawyer. I just want them to look it over for any hidden issues. Ins coordinator assures me there is not anything to worry about. Hmmmm no thanks give me a copy (:

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I got my date yesterday!!!!! Feb 14th (which is also my husbands birthday)

Everything is a go. I asked them what happened and they said they changed the verbiage in my policy? So I think what happened was they just added it as they knew they messed up. Either way I am good with it. I also requested a copy of the new verbiage so I can show this to my "lawyer". My lawyer is a friend who is a paralegal who her boss/friend is a lawyer. I just want them to look it over for any hidden issues. Ins coordinator assures me there is not anything to worry about. Hmmmm no thanks give me a copy (:

Good for you for fighting!! Congratulations on getting your date!

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Congrats. Thats a crazy story but glad it worked out!

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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.

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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

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      https://alluniqueguide.com/java-burn-coffee-reviews/
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