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Long Process

Hey everyone. I started my lap band research back in January 2012. Wow it's been a whole year can't believe that. When I started I had issues with my husbands insurance not wanting to cover the band. I was told that I would have been able to appeal the insurance company and more than likely win the appeal. Well.... 2 weeks before my 1st appointment the drs office called me and said no matter how much appealing I would do the insurance wouldn't cover the cost. Omw. Talk about depression and being down. So.... I've picked my self up and went on and trying to save up money to pay for it out of pocket. Just recently my husbands company switched insurance companies and they cover the lap band. I'm so excited!!!! My consultation appointment is jan. 9. I give God all the praise and glory because he has met a need in my life. And He knew what I needed. I'm so thankful.

If you are having issues hang in there and hold out.

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What great news! Congrats! If I were you, I would start gathering any information your insurance may want for pre-approval now! The more you have prepared already, the faster you get approved!

  • Author

Yes I called the insurance company today and found out the great news. And then I called the dr to get the ball rolling. The insurance company gave me the details of what I needed to know and the qualifications for it. The only one I haven't done/kinda doing is the diet plan for 6 months :(. So......... Soon enough my time will be here. Patience is a game that I'm not good at but need to learn. Lol

Hooray! Sometimes these things are simply out of your hands and you have to wait it out. I was supposed to be banded in October of last year. Just before the surgery, Hurricane Sandy hit and the hospital was flooded. They didn't reopen until January and that's when the surgery took place. It was frustrating at the time but almost a year later, the delay had no impact.

Have you done any weight loss programs that you paid for/have proof of particpating in in the last year? Sometimes they will accept that as your 6 months of a weight-loss program. You may also look back in your records from previous doctor visits and see if weight loss was discussed. Good luck!

  • Author

I do have one from 2009-2010 it was when I was on Atkins and I only lost like 20 something Pounds and gained it all back plus a lot more ????. But I have been tracking on fitness pal for calories for the past month and that's from the drs to do. So I would only have 5 months to go. So maybe by my 24th bday I can have an approval ????

It has been a long process for me as well. I started my supervised weightloss plan with my doc dec 2012. I'm still waiting after submitting everything to the ins 7 months ago. Of course I had to go through the appeals process with ins and now my employer, who is self insured. If they still won't approve it, I'll have to look into self pay options. I really thought by this time this year I would be on my new journey.

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