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Looking for a " Dear God let me get approved" Pal

Jacqbult

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Crystal88    85

Crystal88
Posted

Just checking in..

I'm so happy for those of you who have been approved! Good luck with your surgery and your journey after!

My PCC is still missing some blood work results, and THAT'S IT! I called the local hospital I got the lab work done at, and asked them to re-fax all of my results again. This is the ONLY thing that my surgeon needs; the results for everything else have been received, talk about frustrating! Grrr!!

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Mybestlife    16

Mybestlife
Posted

Hi - I am brand new to the forum. Can appreciate every fear..my request was submitted early September... got approved Monday - met with Surgeon Wednesday and surgery planned for 10/27. It's my birthday gift to myself.

I was so concerned my INS was going to make me do the whole 6 mos. supervised diet... and they didn't. And on top of that I just changed PCP's and my old PCP from 2006 to July of this year LOST MY MEDICAL RECORDS...(how does that happen). Was told I would have to get EOBs from my INS to PROVE I was her patient. UHGGGG - in spite of all that...I was approved. And I'm so glad.... I am nervous now that its hear about the changes...but I'm ready to DO THIS. Let's get it.

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Aribay1    198

Aribay1
Posted

I'm waiting for my pulmonary and cardiologist approval. My surgery is the 30 and my follow up appointments for clearance at the 30. I'm praying all is good and I'm good to go!

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healthygurl    17

healthygurl
Posted

I am waiting and also fear insurance denial. It probably won't happen but am I anxious because I want this so much for myself. Good luck to you on your journey! I am always free to chat with new friends :)

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rscaggs22    60

rscaggs22
Posted

I got my approval last week. I just need to get an EKG, an upper GI and labs done before surgery. Oh and a nutrition class for post OP dieting instructions. No surgery date yet tho. They said they'd be calling me this coming week or the next to give me that. Ugh...more waiting.

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ToccoraVSG    76

ToccoraVSG
Posted

I started a new job in April, which meant new insurance. I was very fearful about the approval process, got a call on Monday. You are Approved, I asked my assigned nurse how likely was approval. She said if you need it we want you to have it. I think most insurance companies look for their criteria and requirements to be met. You should be fine if that is all in place.

Plus your Dr. office wants you to get approved they are likely doing all they can and telling you the right things to do.

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Jacqbult    112

Jacqbult
Posted

Onephatmom, on 09 Oct 2014 - 12:36, said:

Congrats to all who've been approved. I go to my last appointments today and then starts my wait for approval. Im starting to have second thoughts about it. Did anyone have second thoughts? I think it's just fear of the unknown or failure.

Me too ! Everything has been submitted and NOW I am second guessing myself. I keep thinking what "if". I am driving myself crazy.

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Jacqbult    112

Jacqbult
Posted

My PCP faxed my surgeon's office and said I did not need a Stress test so everything is now at the Ins. company and I am waiting. Having shoulder surgery tomorrow so I will be drugged up for the next few days.....THAT will help me not obsess "did I get approved...did I get approved.....over and over again!" But like I posted above, I am now getting scared. It will be worth it RIGHT? Geeze, if it was not 8:47 Am, I would be pour myself a glass of wine just to calm my fat A** down!

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Aribay1    198

Aribay1
Posted

Me too ! Everything has been submitted and NOW I am second guessing myself. I keep thinking what "if". I am driving myself crazy.

Yeah! I keep calling to see if there any sooner appointments I want to know now! Lol I just want to be prepared for if I need to reschedule or not. I go for an anastasia interview wednesday.

Has anyone else have to do one?

What do I do

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annisa    31

annisa
Posted

Good luck with your surgery. Hope it all goes well!

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Crystal88    85

Crystal88
Posted

I spoke with my PCP earlier today and she said she is hoping to submit all of my paperwork to my insurance on Thursday! She was busy getting other peoples' prepared. I don't think it would be unreasonable to call her late Friday afternoon and see if she went through with it, is it??

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nbw1220    58

nbw1220
Posted

Called again today. Rep said today is my review date? Said may have answer tomorrow. Anxiously waiting.

Hey Onephattmom, Aetna did this to me too. Then they said it was going through appeal I was like no no it shouldn't be! Lol Apparently they thought that when I initially started the process I was putting in a claim and now I was appealing it. I had to explain we wanted a new claim and before we were just checking benefits, they put in a new one and then I was approved pretty quickly within 3-4 days. Just keep on it... you will have an answer soon!

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

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  • Recent Status Updates

    • KeeWee

      KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.

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