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Got my call today! And YAY! I was DENIED BUT I'm Happy!



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So last week when I called my insurance to check the status of my case that was still in review I found out that I got submitted for the Lap Band and not the sleeve. I changed my mind since the first dr appt in 9/13 and I thought that my final decision would be when I get approved and meet with the surgeon. So I didn't know they use the 1st set of notes from the first meet and submit for a specific surgery and not just for weight loss surgery overall. So the hospital called and tried to change the procedure but UHC said they need a new letter and notes. So I made a Oct 7th appointment to meet with Dr.Bagloo and talk and decide on the sleeve so they can open a new case.

So the case manager calls me today and told me that I was denied JUST due to the fact I need a new letter stating I want the sleeve and also by time I go to my appointment my psych evaluation will be expired. I had it 10/7/13 and my appointment is 10/7/14 lol. The lady said I can just get an amendment to the first one but the Dr I first saw moved. So I need a new one. So when she told me that was the only thing stopping me from getting approved I was so happy!! lol ONE because I didn't want the wls that was first submitted and SECOND its a easy fix and after I get the new letters I will get approved! So got a new psychiatrist appointment 10/2/14.

A week from today I will be in Costa Rica with a less worried mind!

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That's good to hear. Enjoy your trip.

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A@@OhSoNique week from today I will be in Costa Rica with a less worried mind!

@@OhSoNique

glad things worked out for you in the end :)

i am one happy, satisfied customer with the sleeve for the past 2.5 years :)

best of luck next month :)

speedy recovery :)

kathy

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Thank you guys!! <3

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Yay!

Now let's talk about Costa Rica. You going to the beach, the jungles and Arenal volcano or the cities? I wanted to honeymoon there, but money. Boo.

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Yay! Now let's talk about Costa Rica. You going to the beach, the jungles and Arenal volcano or the cities? I wanted to honeymoon there, but money. Boo.

I want to go to the volcanos!! Idk if my sorority want to lol, yes I have plans to be in the pool and beach every day! Lol we actually got a good deal, booked thru bookit.com. They have a payment plan option. I leave on thurs so when I get back I'll fill u in!

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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💪
      · 0 replies
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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!!
      · 0 replies
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    • bellaamey

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