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Nearing the end of my check list



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I just went for my endoscopy yesterday, I now only have two more nutrition appointments and I will get my surgery date. I am so excited but a little nervous that my insurance will not cover it because I have no major medical concerns, my bmi is just really high. I have united health care and their requirements are a bmi of 40 and over to be covered but you never can tell. Has anyone else not had any medical issues and were covered by insurance just for a high bmi?

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I didn't have medical issues either.. like you I was over 40 bmi I qualified. My ins covered everything. I have Kaiser Permanente Insurance. Best Wishes Tina

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so far when i called my insurance company they said everything was 100% covered. I have magnacare. I dont have any "traditional comorbidities" but i do suffer from Migraines and urinary incontinence.

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Ditto - high BMI, no co-morbidities. Covered.

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I had no health issues just a high BMI and everything was covered. I only had to pay the hospital co-pay. I have Amerihealth Insurance. Good Luck

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Thank you all so much. All of your words are very re-assuring. I am so so excited. For the most part I am a very positive person, the insurance issue just rests in te back of my mind because I tried to get my insurance to cover a weight loss pill and they wouldn't so I was a bit skeptical as to why they would cover a 15 thousand dollar operation. To hear this feedback gives me hope

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I didn't have medical issues either.. like you I was over 40 bmi I qualified. My ins covered everything. I have Kaiser Permanente Insurance. Best Wishes Tina

Hi my name is suzy and I was given the option for the gastric sleeve by my doctor, I have kaiser and I'm in southern Cali. Can you tell me what you need to get approved and if you paid anything out of pocket?

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Hi Suzy. I'm not too sure how your insurance works but I myself am still waiting for approval. I haven't had to pay for anything out of pocket and my medical has covered all the test required prior the surgery. I have two more nutrition appointments to go and I am golden for a date. I'm so excited. I've never wanted anything mor for myself in my entire life.

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Missy, I am keeping my fingers crossed for you. Now that they have officially acknowledged obesity as a disease, I think the approval process based on high BMI alone is going through much better now.

Sent from my iPad using VST

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Susan thank you so much. My surgeon is also confident that the medical insurance will covert the surgery and she says if not she will push harder to get it because I definitely qualify with a bmi of 50.

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Same here Bmi high but no medical problems all testing clear.Insurance covers everything.

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Do you mind me asking which insurance plan you have? How was surgery for you? How much weight have you lost?

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Susan thank you so much. My surgeon is also confident that the medical insurance will covert the surgery and she says if not she will push harder to get it because I definitely qualify with a bmi of 50.

Hope they cover you!!!! I also just had a high bmi of 58. I live in Massachusetts and have bc/bs. I was approved right away. I just have to pay deductible and copays. I'm scheduled for surgery August 12th. Good luck. Try having your doctor write a letter of medical necessity.

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I'm going to stop worrying and put it in gods hands. I want this so badly. I have my fingers crossed. Where about in Massachusetts are you? So happy you're covered! You start your amazing journey very soon and i wish you the best!!

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Also my doctor wrote about hypertension and diabetes runnin in my family in hoping that's a good enough reason for me not to mention my bmi. I did call te insurance company myself this am and they said that with the bmi and drs note I should be fine

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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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

        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

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
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