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Got my denial letter from BCBS today :(

I knew it was coming but I can't help but feel upset. I am a revision candidate from the band to sleeve. They have approved my band to come out. That is a prayer answered in itself. I have had pain and complications for almost 5 years and 2 insurances have denied taking it out. I will be doing that in June. The letter said I have to have a Nut and Psych appt. which is normal. But the letter said that I need to PROVE that I followed my diet and exercise program after my first surgery. Which part? While the band was working I lost 32 pounds. A few month after surgery I had complications and got to where I couldn't eat at all so obviously I gained weight in starvation mode. That requirement is really open for them to say anything. I am a little scared now that this is not going to work out.... Sorry to be so negative, I'm usually so positive. But I am so fed up with these insurance companies not treating me as an individual case instead of the herd. I think I need a pep talk... On the bright side I've got the psych appt Friday and the nut appt next Tues so they can submit again next week with those and whatever the docs office decides will prove that I was compliant after my first surgery... Meanwhile I'll try not to freak out :o/

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No, it's the 16th. I didn't realize I typed the 26th. I edited it, don't want to jinx myself lol.

Oh that's still not too far! :D

  • Author

You have had it done already?

Nope I have a band that I am getting removed and being sleeved tomorrow. I have trouble absorbing Vitamins unrelated to WLS. My body is just weird. I had to have an Iron infusion almost two months ago bc my iron got so low.

I was commenting on why I chose the sleeve over gastric bypass. I don't want to have my intestines rerouted and have malnutrition problems more than you would have with the sleeve.

  • Author

Hi, i ad the sleeve surgery on 06-20, i'm in a lot of pain...

I am sorry. They say it gets better. Hang in there...

I have been reading various posting and found yours to be more personal. I had to have a MRI on my knee and found I have multiple tears. I have been told in the past that I should consider the surgery by a doctor. I guess I was more nervous because I would hear the negative stories about people not making it afterwards. I have my appointment with my primary doctor to see what she suggest. This time, I will obey the instruction and act on my Faith in God. I am 53 yrs old and want to live healthy life... I am sorry, I did not do this when my insurance approval me. I am encourage and want to feel better ....

  • Author

I have been reading various posting and found yours to be more personal. I had to have a MRI on my knee and found I have multiple tears. I have been told in the past that I should consider the surgery by a doctor. I guess I was more nervous because I would hear the negative stories about people not making it afterwards. I have my appointment with my primary doctor to see what she suggest. This time, I will obey the instruction and act on my Faith in God. I am 53 yrs old and want to live healthy life... I am sorry, I did not do this when my insurance approval me. I am encourage and want to feel better ....

I am sorry to hear about your knee. I hope that you and your doctor find the right option for you. Also, i do believe that everything is meant to be and has its timing. I was scared too because I already had the lapband fail. I also,started to get scared that I would not make it through the surgery but I tell you, everything fell into place so perfectly that I had to believe this was the right choice for me. There were so many things that all had to be perfect and they kept all happening. I told my husband that I felt I was meant to not be approved 3 years ago because I would have had the bypass and that surgery scared me and I already have problems with my Vitamin levels so I don't need the mal nutrition. I took it on faith that this was the right decision for me and I had my surgery on 6/25. I am not going to say that recovery is easy but I know that I will be able to live my life again and my back will get better and better as my weight decreases. Good luck and I will pray for you. Also, if you have any questions feel free to message me, I would be more than happy to answer them for you.

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