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Beautifulandbeyond , I called the surgeon office and the coordinator finally submitted my paperwork today . I also have UHC and heard within two days they make a decision . Good luck to you , hopefully we both get approved by Tuesday !!

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I know exactly how you feel . I been in this process since March 2012. Lets keep our fingers crossed!!!

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I'm herewith you all, waiting for approval....

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Guest

I am a Triwest patient. I still have 3 months to go before they submit all of my information.

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I have one more month before my stuff is submitted, so I'm looking at prob another 2 1/2 months before I actually HAVE surgery. Meh.....

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I have to do a 3 month diet and thought they would accept weight watchers but no because it was not supervised. That was in oct. I completed that yesterday and they should be resubmitting this week. I was also denied because didn't have all info n letter required from my PCP got that also. So question is does anyone know how long it takes when it gets sent back? Is it a new submittal or a appeal or what? The coordinator had left for the day yesterday so I have to wait until Monday to find out. So much want approval this week do I can hopefully have surgery in February! Worried my insurance may change 1 march. Currently have GWH Cigna!

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I'm APPROVED!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! FINALLY!!! :wub:

Now waiting for the surgery scheduler to call, but she said that might be a few days.

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Congrats Firelle!

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Congrats Firelle!

I just called ins today and they stated to call back Wed. Apparently the date provided to them is for next week!!! Hoping to hear something in the next 48 hrs so I can begin final prep. **biting nails**

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Good luck guys...sounds like my story...lol..waiting forrrreeeevvvveeerrrr for the da*n insurance... well today was my lucky day... March 6th baby!!!! Losers bench...make some room. :)

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Thanks guys! Congrats Pammie!!

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Hey beautyandbeyond, I called my insurance today and they said they didn't see any paperwork on my file regarding the surgery . I didn't call the surgical coordinator because I was going to curse out. It already been two weeks n she has not submitted the paperwork . Tomorrow I will give her a call . How about you ?

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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