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Misty- thank you for the information. I will most certainly put a folder/binder together.

Wow, July 15th isn't that far away. Congrats!!! What surgery are you having and what criteria did your insurance have? I have UHC choice plus so I'm hoping the three month program will be sufficient and not have to do the six months. I would get the surgery today if I could.

How long has your process taken?

I started my process 1/13/14. I had Molina. They made me do 6 mo program. Caresource is 9 mos. So check with the number for client services on the back of ur card for their requirements. And a tip I had to find on my own....open enrollment is coming up for insurance!! I changed mine to better suite surgery. :) Even tho it took 6 mos...it has been a journey. It is a great program with lots of info coming ur way. (Reason for suggesting the binder) I got tons of handouts....that I still refer back to.

I am so excited to be in the home stretch now....headed to the losers bench in a matter of a week!!! :) so excited!!! Please let me know if I can help with ur journey in the future.....its great to have info and a helping hand along the way!!!

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Good for you and congratulations. Please keep us posted on your progress.

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Misty- I have United health care thru my husband work. I also have to do six months but I have been seeing a diet doctor every other month for the last fourteen so I'm hoping insurance will allow that as some of my time. Regardless I have to go thru my surgeons program for three months.

I made my notebook up last night and started writing down some questions I have. Also received my health packet from clinic and filled it out yesterday. Hoping and praying they can get me in sooner than my scheduled appointment. The sooner the better.

I'm so excited for you and thank you for your support. Good luck to you!!

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Misty- I have United health care thru my husband work. I also have to do six months but I have been seeing a diet doctor every other month for the last fourteen so I'm hoping insurance will allow that as some of my time. Regardless I have to go thru my surgeons program for three months.

I made my notebook up last night and started writing down some questions I have. Also received my health packet from clinic and filled it out yesterday. Hoping and praying they can get me in sooner than my scheduled appointment. The sooner the better.

I'm so excited for you and thank you for your support. Good luck to you!!

Ty so much! If u have any questions.....hit me up. I have learned so much with dr custars team. Theyre brilliant.

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Thank you. I can't wait to meet all of them!!!

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I started my process 1/13/14. I had Molina. They made me do 6 mo program. Caresource is 9 mos. So check with the number for client services on the back of ur card for their requirements. And a tip I had to find on my own....open enrollment is coming up for insurance!! I changed mine to better suite surgery. :) Even tho it took 6 mos...it has been a journey. It is a great program with lots of info coming ur way. (Reason for suggesting the binder) I got tons of handouts....that I still refer back to. I am so excited to be in the home stretch now....headed to the losers bench in a matter of a week!!! :) so excited!!! Please let me know if I can help with ur journey in the future.....its great to have info and a helping hand along the way!!!

So good to see someone with Molina got approved! Did you have any comorbidies? I don't have any but I've been overweight for 20 years and have a bmi of 56. I'm really sticking to my pre op diet and doing everything my drs office is telling me, but I'm still so worried I'm doing all of this just for a denial.

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If Molina covers it and your are doing all the requirements then I don't see why they would deny you.

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I'm hoping to get the RNY in early October. I'm having my surgery at Riverside in Columbus with Dr. Rana. I'm really loving the program so far. Everyone is so supportive and they call you back super quick. :)

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So good to see someone with Molina got approved! Did you have any comorbidies? I don't have any but I've been overweight for 20 years and have a bmi of 56. I'm really sticking to my pre op diet and doing everything my drs office is telling me, but I'm still so worried I'm doing all of this just for a denial.

I did have comorbities. But.....I also had a bmi of 36. I think its anything over 40 they cover. I had to have a list of my morbidities and add to my bmi cause it wasnt high enuff.....but I also have 3 lung diseases and require alot of steroids. Dont sweat molina..... pqm is really good about getting it all approved. She would tell u if she couldnt do it

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I am in cleveland I have caresource now but come oct I plan on switching to molina ( bmi 44) no comorbities. Don't really have a pcp but been going to a dr for a diet program past 2 months. How can I go about finding a bariatric dr and can I start my 6 months with caresource now and switch at open enrollment

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I would check with Molina and see what the qualifications are. If you have to do six months then yes I would start now and make sure it's doctor monitored or it won't count.

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You can google bariatric doctors in your area but you may need a specialist referral depending on your insurance.i would do my own research before I decided on a doctor. Check credentials and ask lots of questions.

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I am in cleveland I have caresource now but come oct I plan on switching to molina ( bmi 44) no comorbities. Don't really have a pcp but been going to a dr for a diet program past 2 months. How can I go about finding a bariatric dr and can I start my 6 months with caresource now and switch at open enrollment

What hospital are you planning on going to? I am a patient at the cleveland clinic and I have dr Schauer and him and his team are amazing!!! Let me know if you need any advice!!

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I am in cleveland I have caresource now but come oct I plan on switching to molina ( bmi 44) no comorbities. Don't really have a pcp but been going to a dr for a diet program past 2 months. How can I go about finding a bariatric dr and can I start my 6 months with caresource now and switch at open enrollment

I am in Cleveland too. I had caresource but the diet is 9months and it's impossible for them to approve. I'm at St. vincent charity hospital and can't rant and rave enough about them. I LOVE their team and feel so comfortable there. Look into a seminar!

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So good to see someone with Molina got approved! Did you have any comorbidies? I don't have any but I've been overweight for 20 years and have a bmi of 56. I'm really sticking to my pre op diet and doing everything my drs office is telling me, but I'm still so worried I'm doing all of this just for a denial.

Molinas requirements are 3 comorbidities and a bmi of 30+ or a bmi over 50 and comorbidities no longer matter. You have to do 6 mo program. That consists of:

1. Classes (about 6-9 classes)

2. Psych eval

3. Nutritional appts (2)

4. Meet excersize coach and get measurements.

5. 6 mos of weigh ins

6. Submit to insurance and they have (by law...2 weeks.)

I hope this helps. I had molina and got approved. Surgery is Tues. :) Let me know if u have any questions.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      1. This update has no replies.
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