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5yr obesity history? Help

Shaye

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Shaye    6

Shaye
Posted

BMI over 40 with no comorbidities or BMI of 35 or more with comorbidities. Those are the guidelines I've seen pretty much everywhere.

Well, i will have a problem them . Mine is 32-39 with no corbidities.

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Shaye    6

Shaye
Posted

I knew this was too good to be true. I knew something would hold me back!! Ugh

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Shaye    6

Shaye
Posted

I called back to surgeons office and left a msg for the lady who deals with the insurance part to even see if i should pursue this since my bmi for 5yrs was 32-39 with no comorbidities. Ugh...pray for me! I could just cry right now!!!

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toylitpapr    50

toylitpapr
Posted

Aw Shaye...I'm so sorry. You never know what your insurance rep could have to say.

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sleevehopefull27    29

sleevehopefull27
Posted

I have been going through the same problems as you! I have been trying to get approved since 2010! I have uhc and you need 5 years of 40+ bmi.....if I were you I wouldn't waste your money doing all the testing the surgon will want you to do. I have wasted over 500 dollars so far and am starting all over again this year! I highly doubt you will get approved! I know it sucks! I finally have my 5 years this year and if they don't approve me this time I'm going to Mexico! If I were you I would look into Mexico too!

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Shaye    6

Shaye
Posted

I have been going through the same problems as you! I have been trying to get approved since 2010! I have uhc and you need 5 years of 40+ bmi.....if I were you I wouldn't waste your money doing all the testing the surgon will want you to do. I have wasted over 500 dollars so far and am starting all over again this year! I highly doubt you will get approved! I know it sucks! I finally have my 5 years this year and if they don't approve me this time I'm going to Mexico! If I were you I would look into Mexico too!

Oh great!!! I would perfer the supervised 6mo pre op diet. This sucks!!! I dont have 4,000+ to go to mexico or i would. uhc paid 100% of my labs and EKG, not sure about the nut and phsyc, and physical therapist...those are set up for next week. But ya, if im gonna get declined why waste everyones time! And why wont uhc tell me what they want so i dont waste their money on unneeded appts. Surgeons office never called back...of course, im sure they want the business! I dont get it, i was over 200lbs all 5yrs.. Sorry i didnt have diabeties or sleepapnea or anything else but i also dont want them and im tired of yo yo dieting and nothing working! Soooooooo mad right now!!!!!! I knew my luck wasnt this good!!

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sleevehopefull27    29

sleevehopefull27
Posted

Oh great!!! I would perfer the supervised 6mo pre op diet. This sucks!!! I dont have 4' date='000+ to go to Mexico or i would. uhc paid 100% of my labs and EKG, not sure about the nut and phsyc, and physical therapist...those are set up for next week. But ya, if im gonna get declined why waste everyones time! And why wont uhc tell me what they want so i dont waste their money on unneeded appts. Surgeons office never called back...of course, im sure they want the business! I dont get it, i was over 200lbs all 5yrs.. Sorry i didnt have diabeties or sleepapnea or anything else but i also dont want them and im tired of yo yo dieting and nothing working! Soooooooo mad right now!!!!!! I knew my luck wasnt this good!![/quote']

I know! I hate trying to talk to uhc....as soon as you say wls their tone changes and they start talking down to you! Atleast that's how they are with me...

They did pay for my EKG'S (I've had 3 now) and labs but I have to pay 200.00 for the phsyc eval, again....and I think it was just my copay for the nut. I'm like you there is nothing else wrong with me other than my weight. It is so stupid that they don't help people before they have problems!

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Shaye    6

Shaye
Posted

I know! I hate trying to talk to uhc....as soon as you say wls their tone changes and they start talking down to you! Atleast that's how they are with me...

They did pay for my EKG'S (I've had 3 now) and labs but I have to pay 200.00 for the phsyc eval' date=' again....and I think it was just my copay for the nut. I'm like you there is nothing else wrong with me other than my weight. It is so stupid that they don't help people before they have problems![/quote']

Ya, and every plan is different so there are some people who have only been over weight for a few months or so and dont have to do anything but submit a request and in days theyre approved! Even if i have sleep apnea right now, i was never tested for it in the past 5 yrs so it still wouldnt help! Ugh! Im gonna shoot for it cus i heard sometimes it has to do with the surgeons request to the insurance too. Im also gonna send in pics of myself ( proving my weight) and im.also gonna write a letter ( what could it hurt) maybe i will get a nice rep who will approve me..lol im not reading too many denials about uhc so im gonna try like hell!!!! Good luck to you, and keep me posted! Ill keep updating too!!

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 0 replies
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    • Alisa_S

      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

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      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

        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.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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