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My sad tale of woe...



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Not really "woe" but a hurdle to clear.

I went through my 6 month weight loss program, got a sleep study, got a cardiac clearance, and generally jumped through all the hoops required of me.

On the very day I had my last weight loss appointment, I went to work after the appointment only to be told that my company would be switching providers in 30 days.

YIKES!

A quick look online showed that my new provider also covered gastric bypass.

After talking to my nurse navigator, we decided to wait the 30 days and then talk to new insurance company. my navigator hasn't been able to find out if I've met their requirements, so we just submitted a claim last week, figuring they'll let us know if we haven't met their criteria.

Keeping my fingers crossed. Hoping for the best but expecting I will have more hoops to jump through.

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I will keep my fingers crossed for you. How frustrating! I hope everything works out for you with this provider and thank goodness they cover it!

Good luck!

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keeping my fingers crossed for you too!! Same thing happened to me and it took nearly 8 months from start to surgery .. but don't give up hope. The extra time really does help!

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Something similar to mine. I have approval from my current insurance that came through last week after the six month diet, and a denial and appeal. but doc was off for the last two weeks of December and come January we will have a new insurance . So I will have to wait and see if the approval transfers.

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we heard back from the new insurance company last week. They want me to do their 10 week telephone course, and we'll resubmit once that is complete. Disappointing, but at least I see a clear path forward again.

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Okay, so after completing one telephone class for new insurance company - coopportunity - I go to work and boss tells me they just got word that coopportuity is bankrupt and our company will switch to United Healthcare on Feb 1.

I'm beginning to just enjoy the humor of all of this and have placed it all in God's hands.

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Hey Larry, maybe it's not such a bad thing as long as the plan covers the surgery. With united you need a 5 year weight history, 6 months supervised diet, PCP letter .etc. so if you already had that completed, your coordinator can just submit it for approval come feb. 1st. Skipping the 9 weeks of phone calls...

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Update: my new insurance thought the surgery doctor report, the nutritionist eval and the psychologist was too outdated for them. So I had to reschedule all of those (for today). I'm hoping that the 6 month supervised diet from last year won't be a problem now and resubmit everything (again).

Edited by AquariusDiva

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Hi Aquarias,

That's what I'm hoping. What is a PCP letter?

Larry

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UHC is the insurance I had last year, did everything, submitted and was denied. The doctors office appealed it and was approved. But bc of timing and new insurance, here I am a year layer - jumping through hoops. I will say that I have learned much from this site during that time.

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So... after I FINALLY got my new insurance card, submitted. They told my nurse it could take up to 2 months for approval. seven days later....BAM! Approved! Surgeons visit on 3/17

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I am so happy for you! I think I was holding my breath hoping not to hear a bad news update.

Congratulations and keep us posted on your progress!

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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!!
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    • bellaamey

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