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Oh my... Insurance submitted!!

SillyWillyMommy

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SillyWillyMommy    2

SillyWillyMommy
Posted

Eeeks... I'm so much more excited than I thought I would be... I am anticipating this SOO much... My doc just told me she submitted my case to the insurance company... and if I get approved, my date would be May 16th... However, she did mention that I shouldn't completely count on it, because they often get rejections on the first submission... but almost ALWAYS get approved the second time.

YAY!!!

:clap2: :clap2:

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musicalmomma    1

musicalmomma
Posted

Eeeks... I'm so much more excited than I thought I would be... I am anticipating this SOO much... My doc just told me she submitted my case to the insurance company... and if I get approved, my date would be May 16th... However, she did mention that I shouldn't completely count on it, because they often get rejections on the first submission... but almost ALWAYS get approved the second time.

YAY!!!

:clap2: :clap2:

I know exactly how you're feeling!!!! They sent my file in on the 13th and on the 23rd it was approved!!!! I couldn't believe it!!!! I don't get my date until the scheduling nurse calls me and they said that can take up to a week because there are 10 patients ahead of me. But Dang! It's a GREAT feeling!!!! Keep us posted!!!!!

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faithmd    14

faithmd
Posted

How awesome for everyone!!!

I just saw my PCP today and weighed in, and I'm below what my insurance company wanted me to be!!! WOOHOO!!!! So now I just wait for my PCP to send her office note with the proof of my new weight to the surgeon, and for them to fax it in to the insurance company. I've already talked to my case manager this morning and she says she'll be looking for it in the next couple of days. I was denied the first go-round because I hadn't lost enough weight, but I dropped almost 18# this month.

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faithmd    14

faithmd
Posted

Awww, thanks. But the last week or so all I've been eating is slimfast low-carb shakes and chopped fresh veggies and salads. So I'm sure to gain a little once I bump from my now nearly 800-900 calories a day back to my approx 1500-1700 a day. I had to make 335 by today, in order to get approved, so I had to do something drastic.

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SillyWillyMommy    2

SillyWillyMommy
Posted

Hey Thanks, Drew's Lou... and Faith.. it doesn't matter WHAT the motivation was.. you still rocked it, girl :-) Way to go... So, did you make it to your goal, 335?? I still totally cannot get how someone can tell someone that they are too big for weight loss surgery... That's like saying your cholesterol is too high to be treated. Duh.

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faithmd    14

faithmd
Posted

Hey Thanks, Drew's Lou... and Faith.. it doesn't matter WHAT the motivation was.. you still rocked it, girl :-) Way to go... So, did you make it to your goal, 335?? I still totally cannot get how someone can tell someone that they are too big for weight loss surgery... That's like saying your cholesterol is too high to be treated. Duh.

I was 330.4 when I stepped on the scale this morning at my PCP's. WooHoo!

I get the fact that the insurance company wants you to lose something on your MD supervised diet to show that you can follow orders, but... My ins co requires a 12 month MD program and 5% loss of your excess weight. Which for me would have been about 9#. My starting weight was 344, but over the course of the year I got sick and was off work and on meds that made me very sedentary for almost five months. Well, I gained lots of weight. My ins co said that the letter my cardiologist and the letter my PCP wrote (both saying that it wasn't my fault and that I am losing now that I'm fixed) were not convincing enough and that I had to lose all I gained, plus the original 9#. I had gained to 371, so I had to lose back to the 344, then the additional (original) 9#. I applied last month at 348 (down from the high of 371, but still up from the original 344) and was denied. So for the last week I have been drinking one or two SF low carb shakes or EASAdvantEdge drinks or Atkins drinks and eating salads and chopped veggies and 1/2 cup of cottage cheese a day. It wasn't awful, but I wanted to slather some A-1 sauce on the arm of anyone close to me and start gnawing. So now that I've "weighed in" and it's official, I'm heading to Outback! I'm on my way right now. Though I will not be having a potato, probably only one little piece of bread, if any, and no dessert. I just want a big slab of meat! :rolleyes:

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faithmd    14

faithmd
Posted

Okay, maybe a little of a Bloomin' Onion! But honestly I've changed my eating habits so much that the "bad stuff" doesn't really interest me anymore! (Never thought I'd say that!)

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SillyWillyMommy    2

SillyWillyMommy
Posted

I just called my insurance company........... and I've been approved!!!! I'll be having my surgery on May 16!! I am so excited, I am jumping up and down as we speak!!!!!!

....and congrats on meeting your goal, Faith!

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faithmd    14

faithmd
Posted

I just called my insurance company........... and I've been approved!!!! I'll be having my surgery on May 16!! I am so excited, I am jumping up and down as we speak!!!!!!

....and congrats on meeting your goal, Faith!

Thanks and...

:wow2: :) :welldone: :lol: :waytogo: WOOHOO!!!!!!!!

HOORAY!!!!!!

I can't wait to hear myself!

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MEW    0

MEW
Posted

CONGRATULATIONS to both Faith and SillyWilly!!!!

I'm just as excited for the both of you as I was for myself when I got my approval!!

(My surgery date is May 23!!)

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Alisa_S

      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

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.

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