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Anyone from NY HealthFirst insurance ..



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Hello, i wanted to know if you're from NY ? This is last month of my requirement journey. ( my around visit with my surgeon on June 4th ) what is to be expected that day ? I'm just so nervous.. Millions of thought racing through my head and no way of putting them on here lol.. I'm just a little worried about the approval. Everyone tells me not to worry I'll be fine.. But heck there's always a little preoccupation ... What do you think .. I have Healt First. My BMI is at 47.. I weigh 253.. I gained maybe 10 lbs since I started in December.. Which I doubt would be a problem being that I need to lose a little weight before surgery..,

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I think you will be just fine. I'm from NY and I work at a hospital. I tend to see a lot of patients that come in the morning for various surgeries including sleeve, lapband, and bypass. I've also seen many people with Health First and they all have approvals. Just remember, it's never set in stone if your insurance denies you. Your surgeon and his billing/precertification team just have to have the right push to fight for you. It could take a couple times but more likely than not the insurance will end up paying for it as long as you go through all their ridiculous requirements. As long as you did everything you were supposed to you will be fine! Also remember it benefits your insurance company as well. If you have a surgery to assist you with losing weight it also prevents you from other serious chronic conditions. This means that your insurance company would have to pay more in the long run if you didn't lose weight. They may be tough but they def aren't stupid and insurance companies love to save every penny they can get.

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It just taunts me and I sleep on this every night. Thinking that there's an approval thing here.. I just hate that they would make people go through all this and then be denied.. I'm scared of that!!! I've done everything already. I just have the psych next week and I'm done... Super nervous about that !!!!!!! ????????????????????????????????????

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<p><span style="font-family:Arial, 'sans-serif';color:#222222;font-size:10.5pt;">I think you will be just fine. I'm from NY and I work at a hospital. I tend to see a lot of patients that come in the morning for various surgeries including sleeve, lapband, and bypass. I've also seen many people with Health First and they all have approvals. Just remember, it's never set in stone if your insurance denies you. Your surgeon and his billing/precertification team just have to have the right push to fight for you. It could take a couple times but more likely than not the insurance will end up paying for it as long as you go through all their ridiculous requirements. As long as you did everything you were supposed to you will be fine! Also remember it benefits your insurance company as well. If you have a surgery to assist you with losing weight it also prevents you from other serious chronic conditions. This means that your insurance company would have to pay more in the long run if you didn't lose weight. They may be tough but they def aren't stupid and insurance companies love to save every penny they can get.</span></p><p></p>

So you think I'll be approved ???

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Absolutely they have no reason to deny you! Stay positive. And like I said if they do don't worry!!! Just appeal and work through it! I'm in the same boat right now. I have one more NUT meeting and then I'm waiting for my approval. Good luck!!! Keep me updated and keep ur head up!

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Absolutely they have no reason to deny you! Stay positive. And like I said if they do don't worry!!! Just appeal and work through it! I'm in the same boat right now. I have one more NUT meeting and then I'm waiting for my approval. Good luck!!! Keep me updated and keep ur head up!

I'm so exacted. I just have the psych Eval yikes.. What if you gained weight though ? They never told me anything about losing it keeping that weight

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Absolutely they have no reason to deny you! Stay positive. And like I said if they do don't worry!!! Just appeal and work through it! I'm in the same boat right now. I have one more NUT meeting and then I'm waiting for my approval. Good luck!!! Keep me updated and keep ur head up!

If you'd like we can text ... ??

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If you want you can pm me on here. I don't use my cellphone often because of my work schedule

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Let me look!

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Hey everyone, I have emblem health, does anyone know if I'll be approved? I'm 25 years old, 270lbs 5'4, I've been over weight my whole life, did diets, went to the gym and nothing ever worked for me :( , I'm just praying that I can get this surgery and be healthy for my daughter, I want to live a long life and I really need this, I have an appt with my surgeon next week on the 29th, I'm nervous !!

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Hey everyone, I have emblem health, does anyone know if I'll be approved? I'm 25 years old, 270lbs 5'4, I've been over weight my whole life, did diets, went to the gym and nothing ever worked for me :( , I'm just praying that I can get this surgery and be healthy for my daughter, I want to live a long life and I really need this, I have an appt with my surgeon next week on the 29th, I'm nervous !!

I feel you'll be fine hun. When did you start this journey? I have HelthFirst NY .. I'm also hoping to be approved.. SUUUPERRR nervous.. What have you gotten done so far

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Yes I just started this journey, I went to the seminar and I have my 1st appt with my surgeon next week, hopefully it all goes good, I'm in the bronx by the way, my surgery will be done in montefiore Hospital, they are known for performing many weight lost surgeries, :)

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I feel you'll be fine hun. When did you start this journey? I have HelthFirst NY .. I'm also hoping to be approved.. SUUUPERRR nervous.. What have you gotten done so far

thanks

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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💪
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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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