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I Get So Mad



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When I think about the people that have been denied this life saving surgery by insurance I get so mad.

I have been sitting here searching on this site those of you who have had financing experience. And then I just thought, that is just not right, if a person has insurance this should be covered. I am covered by three insurances and feel like I am probably in for the fight of my life to get the Lap Band paid for.

It just shouldn't be this hard.

If I went to the ER right now with a blocked artery, they would do heart bypass no question asked. This surgery could help me avoid needing one. I could go on. I know all of you know this.

I just am really upset and I am just at the beginning of the process. The PCP hasn't even sent in the referral. His nurse wasn't real helpful. SO I can already tell I will have to fight this all the way. And you know when you are in pain and you don't feel well sometimes it is hard to fight.

But then I just looked at my little step son, he is nine, he has cerbral palsey, and he needs me. He just came over and gave me the biggest kiss and hug. I have to fight for him.

He needs me, as well as my older boys and I have a two step daughters and three step grandchildren. My boys haven't made me a grandma yet. I have to be around for that. SO fight I will.

And a lot of praying.

just needed to vent.

vicki in indy

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I FOUGHT TO GET MY SURGERY APPROVED. I WAS DENIED ONCE. I GOT EXTREMLY SICK SO THEY DECIDED THAT I WOULD BE A GOOD CANADITE SINCE I WAS RUNNING UP TO MANY MEDICAL BILLS. THEY HAD TO RULE OUT THERE OPTIONS. KEEP FIGHTING. THATS WHAT I DID. :rambo :banana

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Hi Vicki,

It sounds like you have great motivation to get through the insurance obstacles. Keep your cool, keep your correspondence, and most of all, keep going! I'm positive that the time will come when banding is accepted and becomes the preferred bariatric surgery.

Good luck!!

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Good for you Vivki

I did not have theenergy to fight with my insurance comapny for months. I'd still be fighting them probably..5 months later

I would of not gotten approval due to the fact I had NO co morbitities with being overwieght. I basically was a healty fat person according to my PCP. He said I would pay hell trying to get approval since no high blood pressure, no sleep apnea, no diabetes, no joint pain or arthritis, no heart problems, no cholesterol problems just FAT!

5 months later after self paying I'm down over 50 lbs and have not one single regret that I had to self pay. I would do it again in a heartbeat, my surgoen is very well respected by other surgeons in the field of bariatrics through out the US and abroad he has preformed over 1500 band surgeries and his aftercare is phenomenal..I have been fortunate. Things are going well for me!

I wish you the best of Luck with your insurance companie(s)

I hope you dont have to fight too long!

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Thank you all,

I hope I can keep the energy to go through all thier hoops.

If there was anyway, and believe me I have thought of all of them, to self pay, I would be on a plane to Mexico as soon as possible. But bad credit and some recent financial problems would keep us from getting approved for any type of loan. So Insurance is my only option.

I keep buying those lottery tickets. If I were to win that is the first thing I would do. Schedule Surgery.

Vicki in Indy

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Vicki, I know it's very frustrating and tiring fighting with insurance carriers. In my case I had no other choices either--self-pay would have meant a trip to Mexico I couldn't take the time for and lots of debt I really didn't want to take on. That was plenty of motivation to keep on the insurance treadmill month after month.

I won! And you can too. And all that extra time gave me more time to read and think and really understand what banded life would be like for me. I don't regret any of it. Keep the faith, and let us know how you're doing!

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Again I thank you for all your encouragement.

I have to fight for this. It could possibly be the most important fight of my life.

vicki in indy

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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.

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