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Local practice cant accept mx patients?

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  • They would welcome me at the support group. *nods* You know what you guys? I was having reservations yesterday, and today - after three long months of anticipating February(tax money). I didn't und

  • Diamondeyed
    Diamondeyed

    AmyT as long as you have peace about your decision that is all that matters! Six months will fly by, and the good thing also is that you are educated about the surgery. So congratulations on peace! :

  • Amy, You know your mind AND your situation better than any of us. I'm glad that you feel good with your decision. I am looking forward to following your journey! You add value to this forum with yo

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I would definitely do what's necessary if my insurance covered it and I was close to the BMI.

I could argue all day long though about the "no doctor would touch you" issue. That mentality assumes that nobody would ever move after their surgery . . another state .. another country, etc.

Trust me I understand! I am planning to going to MX but the ONLY reason is because I feel like my insurance is going to deny because i don't have a 3 year weight history because I never went to the Dr. However, I am still doing all my requirements like my 6 month diet and all the other classes that i need to do. We are going to submit and see what happens and even try a peer to peer but I refuse to wait another year. So I have my back up plan just in case.

So yes I think you need to do your insurance requirements and at least try to get it approved then if it don't work you can always go to MX.

They would welcome me at the support group. *nods*

You know what you guys? I was having reservations yesterday' date=' and today - after three long months of anticipating February(tax money). I didn't understand why I was having these feelings after wanting this do bad for so long. I prayed about it and asked for a sign. Anything, to let me know of I'm on the right path.

At first I was mad at this lady for what I thought was bursting my bubble. After talking I dh about it, with our financial situation, this really is a no brainer. I'm going to Persue (sp) the 6 month insurance route. Man how I wish it was 3 though. Darn it. Lol. I can't believe how calm and at peace I am with this. I feel like I've waited forever and now I'm ok with waiting 6 more months, what? The fact that its a center of excellence helps too, and the surgeon gets good reviews here. :)

Bad thing about it is that I have been eating healthy for about a month now and have lost a little bit of weight. This puts me at a lower BMI them 40 and now I have to gain the weight back. Hopefully I can get my appointments very quickly, that way I can get back to losing very soon. I am super depressed when my pants are super tight and I'm cellulite city, so gaining has me in the dumps. :( not 6000.00 worth though.

[/quote']

I was in your shoes before I found out the insurance company would not pay for me anyway. I purchased 10 pounds of ankle weights(5 pounds for each ankle) to wear around my ankles under my blue jeans so my IBM would be high enough. Just make sure after the nurse weighs you and then puts u in the room that u take them off And put them in a big purse before the doctor comes in. Just in case he wants to check your ankles for swelling. LOL I also had to gain about 30 pounds plus the 10 pounds of ankle weights to even qualify. I also attended six months of meetings before I found out the insurance would not pay. I hated that I gained the 30 pounds and that was a waste but I can't say that the meetings were a waste . I learned tons and tons of great information in the support meetings.

  • Author

I was in your shoes before I found out the insurance company would not pay for me anyway. I purchased 10 pounds of ankle weights(5 pounds for each ankle) to wear around my ankles under my blue jeans so my IBM would be high enough. Just make sure after the nurse weighs you and then puts u in the room that u take them off And put them in a big purse before the doctor comes in. Just in case he wants to check your ankles for swelling. LOL I also had to gain about 30 pounds plus the 10 pounds of ankle weights to even qualify. I also attended six months of meetings before I found out the insurance would not pay. I hated that I gained the 30 pounds and that was a waste but I can't say that the meetings were a waste . I learned tons and tons of great information in the support meetings.

She said that they've NEVER had a denial. (Hm) Think she's spoon feeding me?

  • Author
If you plan allows for WLS then these centers will do what needs to be done to get you approved they want the money..

I see your point. They must be really good at what they do. Honestly, and I don't judge anyone that does, but I'm a terrible liar and couldn't do the weights. Maybe if I eat a LOT of Chinese before I go to my weigh in, with lots of junk the week before, maybe I'll gain enough and can hurry up and lose it. I want to gain Water weight more than actual fat though. Sigh. What a weird place to be in, NEEDING to gain. Feels gross.

Other good news, dh says I can get a treadmill. Any suggestions?

I was a little under 40 bmi at my first appointment and thought I needed to gain weight... I didn't, they took me ( I wish I would of known that before I ate like a pig)

  • Author

Lol

Can you explain "they took me"? The requirements is a bmi of 40 or 30+ with at least 2 co morbidities. I asked her today"so I need to gain?" And she said "yes, Unfortunately, we do sometimes suggest that patients gain a few pounds to qualify." Sigh

They suggested I gain a couple of pounds too, but they submitted the paper work with my original weight and I was accepted. And yes the insurance stated that you had to have 40 bmi or 35 two co morbid.

She said that they've NEVER had a denial. (Hm) Think she's spoon feeding me?

I had to pay for my own as the insurance Blue Cross Medicare wouldn't cover the sleeve. They would have paid for the gastric bypass which for me would of had more complications. Anyway, the insurance did say that they would have to treat me at the ER if I had complications. It ended up because I had to have my gall bladder removed as well as a hiatal hernia repaired that the hospital was covered.....

My sister goes to a bariatric clinic in the US and she was also told that she would have to wait 6 months. They completed all of her tests and she did all of her classes. So they scheduled her for surgery after 4 months. She does have the co morbidities so maybe that is why.

You know if this does not work, you always have a back up plan!

  • Author
If I had to fudge a couple of pounds I would drink a lot before' date=' eat salty and slouch slightly when having my height taken.[/quote']

On it!

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