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Completely Devastated



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So I just got switched from my parents insurance to a new insurance through my employer since im 26 now and I have been making doctors appts going to seminars to have the gastric sleeve. My heart was set on this and I thought for sure no problem my insurance would pay for this i have high blood and many other problems. I had a 4 hour doctors appt set for next week to make my round of appts since my doctor has most everything in house. So i call my insurance this morning and ask about coverage and told me No they DO NOT cover it whatsoever... Im completely devastated and have had my heart set on this for awhile now, there is no way! i could do self pay...So needless to say does anyone know of any other options?! can i get obamacare insurance as a secondary? will they pay? i know they cover it in maryland but idk if they will cover it as a second insurance and that seems a little expensive to pay for 2 monthly premiums idk if i could ever afford that :'( im so upset this ruined everything

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Is continuing on your parents insurance with COBRA an option? The rate would be high, but much less than the surgery.

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Read post recently posted,.. States that will cover baractric surgery with obamacare..posted by bobheist 40 min ago.

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Carlotta- i seen the post but sometimes a secondary insurance wont cover something if the first one doesnt

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This article says you can get insurance through an exchange even if your employer offers you insurance:

http://www.npr.org/2...op-for-coverage

Whether that means you have to completely give up your insurance from your job and just have the ACA exchange insurance, I don't know. You might want to get in touch with an insurance navigator or insurance agent for your state to talk details.

The article does point out that the exchange insurance will probably be more expensive for you, since your employer won't be contributing anything. You'd have to weigh which is more expensive: buying your own insurance, or self-paying for a sleeve. Good luck!

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I was devastated too when my insurance said NO to the sleeve but yes to RNY. I have a failed band right now and wanted to convert to the sleeve per my Dr. I never really wanted RNY but since they are still looking into the sleeve and won't pay for it now, I may have a long, long wait before they will reconsider paying for it. In my case, due to health reasons I'm considering by-pass. I am a low weight, so I am concerned. Will your insurance pay for RNY?

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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!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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