Nervous of not qualifying for surgery!

[Sassy in pink 19]

My fist appt with surgeon was December 5 and that was my consultation! I'm barely 40 BMI and no co-morbidly health problems except high cholesterol, I had a sleep study which it was negative because I didn't have any signs of sleep apnea and the reason why I didn't have any signs is because I didn't sleep all night! And the tech guy knew this! But the nurse from my surgeon send me to get all the pre-op test any ways. She said that I still qualify for WLS but I'm very NERVOUS of getting denied! I had my EKG test today and made and appt for my ultrasound for next Monday and I will call tomorrow for my NUT. and my psych evaluation appt. Everything is happiness so fast that it feels like is to good to be true! Plus the nurse put me in there schedule for surgery for March 7 so I'm very confuse!!!! If anybody had same or similar situation please help!!! I need some peace of mind!!

[Truckerchic 171]

What does your insurance require or are you self pay? I went thru my whole 6 month program ( that took 10 months) including having my date before my info was submitted to insurance, I knew I meet and fulfilled all their requirements but I was still a nervous wreck

[brownyq 1]

Good Morning Ms, Sassy Pink

It will happen b patient ,positive, and have faith. I was nerves too, but I had a truck load of things with my health. Good Luck keep the faith.

[Sassy in pink 19]

What does your insurance require or are you self pay? I went thru my whole 6 month program ( that took 10 months) including having my date before my info was submitted to insurance, I knew I meet and fulfilled all their requirements but I was still a nervous wreck

My insurance requires a BMI of 40 or 35+ with co-morbid problems and 3 moths of weight management and I think that's all. plus I gave them a BIG list of all supplements that I have taken for the past 24 years. This doctor is very good on his notations and I think that's a plus!!

[Sassy in pink 19]

Good Morning Ms, Sassy Pink It will happen b patient ,positive, and have faith. I was nerves too, but I had a truck load of things with my health. Good Luck keep the faith.

Thank you for the kind words! I have hope and a good feeling that I will be ok, but I will be relax once they tell me 'YOUR INSURANCE APPROVED YOU' thank you!

[Truckerchic 171]

Sounds like you meet your requirements so you should be ok but I totally understand how you feel I did not relax until I was knocked out, even sitting in pre op all ready to go I was waiting for someone to come up and say sorry denied...good luck and keep us posted!

[skinny_minnie_wannabe 30]

Hello!

I was in a similar situation. I have BCBS IL. I was under 40 BMI and didn't have the 35 BMI plus 2 "required" comorbidities such as hypertension, apnea, ect. I do have high cholesterol (which counted). My insurance company requires documentation that every form of treatment has been exhausted and hasn't worked. For example, you have hypertension and no treatment has been able to control it. You ONLY have to provide this if you are under 40 BMI. Needless to say, my insurance company would not allow a yes for predetermination because of this. I simply gained the weight. At first I wore weights and weighed in. A few weeks later I had gained the weight that was necessary and my BMI is 40.1. I received an automatic go-ahead. I'm not telling you that you will be denied. All insurance companies are different but this is a commonality for people that are under 40 BMI. Don't lose hope. There are "ways" to work with the system if need be. Good luck.

[savannah31548 10]

I feel you. I just went to my final appointment before they would submit me for insurance approval. I am doing the nervous/happy dance over here. You are not alone.

[Sassy in pink 19]

Hello! I was in a similar situation. I have BCBS IL. I was under 40 BMI and didn't have the 35 BMI plus 2 "required" comorbidities such as hypertension, apnea, ect. I do have high cholesterol (which counted). My insurance company requires documentation that every form of treatment has been exhausted and hasn't worked. For example, you have hypertension and no treatment has been able to control it. You ONLY have to provide this if you are under 40 BMI. Needless to say, my insurance company would not allow a yes for predetermination because of this. I simply gained the weight. At first I wore weights and weighed in. A few weeks later I had gained the weight that was necessary and my BMI is 40.1. I received an automatic go-ahead. I'm not telling you that you will be denied. All insurance companies are different but this is a commonality for people that are under 40 BMI. Don't lose hope. There are "ways" to work with the system if need be. Good luck.

Hi Skinny minnie I send you a PM last night! How are you doing with your journey? The nurse told me that they will use my first weight which makes me 40 BMI. Thanks for the hope giving me! But if I don't qualify then I will just appeal and hope for the best. Thanks!!!! :0)

[Sassy in pink 19]

I feel you. I just went to my final appointment before they would submit me for insurance approval. I am doing the nervous/happy dance over here. You are not alone.

Hang in there!! I'm sure you will be approve!! Let's us know when is your surgery date! Good luck Savanna!! :0)

[cutiepieinchi 158]

Hang in there lady! I hope you get your approval

[2cute2bbig 38]

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Edited February 3, 2014 by 2cute2bbig

[angiev8159 0]

When yih went for the dietary did they make toy lose weight?

[Sassy in pink 19]

When yih went for the dietary did they make toy lose weight?

Hi Angie!

I haven't been to the dietitian yet! I have an appt tomorrow, I will let you know tomorrow! Today I did my ultrasound today! They will fax the result tomorrow!