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AvMed Insurance

danied28

By danied28, in Insurance & Financing

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Casiblue71560    0

Casiblue71560
Posted

Bad news and good news. Today I was denied. BMI is 38.6 and avmed said that at that number I didn't qualify. I'm only on one bp med and to qualify I had to be on three or Have severe sleep apnea and diabetes. Having high cholesterol wasn't on the list or borderline diabetes. Dr was told that if my BMI was 40 I would be approved automatically. Was told that I actually may have to gain weight to qualify.I figured a few pounds ,about 20 ,considering ive dropped a few doing the pre op diet this week. I'm 5-8 and if I was shorter, at my current weight would qualify. So figured that I would see if I was still 5-8 since I'm older , had back surgery and haven't checked my height since forever. Low and behold I've shrunk about an inch and a half which qualifies me. Have appt at dr mon morning .keep your fingers crossed.

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danied28    0

danied28
Posted

Good morning,

to see the website with AvMed requirements I just google AvMed Weight loss surgery requirements and one of the first options that comes up is their requirements.

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danied28    0

danied28
Posted

Good morning Casiblue71560,

I am sorry to hear that you were denied. I am glad to here you still have a chance and hope that your doctors appointment goes well. Good Luck and get that approval. I will be sending all of my paperwork to my surgical coordinator today and all I will be pending is my nutritionist vist which is today and then the coordinator can submit everything to AvMed. Keeping fingers cross for the both of us.

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Casiblue71560    0

Casiblue71560
Posted

Hi,

Looked up the av med website and you're right. I am a nurse and had a co worker check my height. Sure enough I've shrunk. Spoke to the drs office and they told me it would change things. Wasn't sure if I should continue on the pre op diet or not . Decided not to. Defiantly not wanting to lose weight until after Monday.

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danied28    0

danied28
Posted

Wonderful. Now can they resubmit your paperwork and hopefully approve it this time? I have a question also. Would you consider Quick Weight Loss on the same lines as Weight Watchers and Curves?

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Casiblue71560    0

Casiblue71560
Posted

Hi,

Went to my Dr. This past Monday to get reweighed. Actually had to gain a few pounds and wore my heavy shoes. Found out yesterday that I'm approved !!!!

Surgery set for next Monday April 8th . Didn't expect it that fast but luckily I had discussed the probability of the surgery dates when I started this journey 6 mos ago with my job so it was approved.one week of the high Protein stuff then Clear Liquids next weekend. Signed consent and pre op tests scheduled for Thurs. gonna be a busy week.

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NewAshes    232

NewAshes
Posted

For once I'm actually glad my BMI is 47 so I have wiggle room to loose.

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danied28    0

danied28
Posted

Omg, I am so happy for you. My paperwork was submitted to insurance on Tuesday or Wednesday I am waiting for prayfully an approval.

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danied28    0

danied28
Posted

Hi' date='

Went to my Dr. This past Monday to get reweighed. Actually had to gain a few pounds and wore my heavy shoes. Found out yesterday that I'm approved !!!!

Surgery set for next Monday April 8th . Didn't expect it that fast but luckily I had discussed the probability of the surgery dates when I started this journey 6 mos ago with my job so it was approved.one week of the high Protein stuff then Clear Liquids next weekend. Signed consent and pre op tests scheduled for Thurs. gonna be a busy week.[/quote']

Wanted to check to see how you are doing. I hope all is well.

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Casiblue71560    0

Casiblue71560
Posted

I was sleeved on the 8th. First couple of days weren't fun but now feeling good. Having issue with low blood pressure since I stopped my bp meds. Will no longer be taking them. Currently on full liquids but given the ok to advance diet in a few days. 19 ponds gone since preop saw dr this am. Cleared to go back to work on monday

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danied28    0

danied28
Posted

I was sleeved on the 8th. First couple of days weren't fun but now feeling good. Having issue with low blood pressure since I stopped my bp meds. Will no longer be taking them. Currently on full liquids but given the ok to advance diet in a few days. 19 ponds gone since preop saw dr this am. Cleared to go back to work on monday

So happy everything went well and you are doing good. My surgery date is next Wednesday the 24th.

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

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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

        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

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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.
      · 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💪
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