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Band Removal Approved; BYPASS DENIED!

Bobbe Schu

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armywife79    123

armywife79
Posted

Hey PinkP, I'm so glad to hear your on your way and your not going to be hassled by insurance anymore! I wish I had known about the advocates much earlier on in my situation too but, they really came through in a big way for me! I would use them again in a heartbeat if I ever get another denial. You never know what I may need down the road. If I ever ask for revision I have the feeling I would be in the same boat again. When it comes to WLS, these companies seem to have no issues being out right discriminatory towards us. Lindstrom is really involved with lobbying for new laws regarding our surgical needs. Since obesity is such a nation wide issue, they really do need to amend the laws. Bobbe, let us all know how it goes, I have my fingers crossed for you!

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Cdominguez    26

Cdominguez
Posted

I did the Dr's Diet for 6 months and was approved the program is called Dr's diet hope they have it in your state good luck! ????

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Bobbe Schu    53

Bobbe Schu
Posted

Still waiting. Appeal was filed with UHC 10 days ago. The waiting is KILLING me.

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armywife79    123

armywife79
Posted

I know! They have 30 days to reply and the sure do take the 30! At least your in the home stretch!

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Bobbe Schu    53

Bobbe Schu
Posted

That's exactly what Kelley told me this morning. They really like to make one suffer!

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Pinkgirl1234    761

Pinkgirl1234
Posted

Whenever you feel a flare up see your dr.....document everything.

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Bobbe Schu    53

Bobbe Schu
Posted

DENIED AGAIN! ANOTHER APPEAL! Kelley wasn't surprised. It seems my records were reviewed by a PLASTIC SURGEON!!! Duh!!!

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betrthnever    107

betrthnever
Posted

Bobbi, is this with the weight loss advocates?

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Bobbe Schu    53

Bobbe Schu
Posted (edited)

Bobbi, is this with the weight loss advocates?

Yes. But now we move to the next step. I will not give up, nor will the Lindstroms! So happy to have them in my corner. Without them I would not have pursued this--wouldn't have known I had the choice.

Edited by Bobbe Schu

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betrthnever    107

betrthnever
Posted

I was just approved!! I'm so happy!

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betrthnever    107

betrthnever
Posted

Bobbi, is this with the weight loss advocates?

Yes. But now we move to the next step. I will not give up, nor will the Lindstroms! So happy to have them in my corner. Without them I would not have pursued this--wouldn't have known I had the choice.

maybe its the third time is a charm thing. I wouldn't give up either. I was prepared to contact the Lindstrom group if I wasn't approved.

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Bobbe Schu    53

Bobbe Schu
Posted

Bobbi, is this with the weight loss advocates?

Yes. But now we move to the next step. I will not give up, nor will the Lindstroms! So happy to have them in my corner. Without them I would not have pursued this--wouldn't have known I had the choice.
maybe its the third time is a charm thing. I wouldn't give up either. I was prepared to contact the Lindstrom group if I wasn't approved.
Congratulations! I am so very happy for you! Do you have a date yet?

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Pinkgirl1234    761

Pinkgirl1234
Posted

This is ridiculous!What is your insurance again?

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betrthnever    107

betrthnever
Posted

Bobbi, is this with the weight loss advocates?

Yes. But now we move to the next step. I will not give up, nor will the Lindstroms! So happy to have them in my corner. Without them I would not have pursued this--wouldn't have known I had the choice.
maybe its the third time is a charm thing. I wouldn't give up either. I was prepared to contact the Lindstrom group if I wasn't approved.
Congratulations! I am so very happy for you! Do you have a date yet?

Not yet...I have to talk it over with my SO tonight. We are getting married in December and I'm a little worried about how the surgery might effect my wedding (or how I might feel at my wedding time)

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amaral1407    11

amaral1407
Posted

Hello

I was denied at first for the sleeve revision but was approved for the lapband removal for not having 6 months of nutrional visits. My doctor did a peer to peer conference with the insurance and was approved immediately. I had surgery on 08/31. He sent in all the information on first surgery had the 6 months of nutrional visits and that everytime I went to get a fill or unfill I spoke to nutrionist. Hope that helps!!!! Not sure why people have to hire and advocate cause this is what we are paying our doctors to do. Or at least I found an amazing Bariatric team that did all the leg work for me

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Go To Topic Listing Gastric Bypass Surgery Forums

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    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 0 replies
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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.
      · 1 reply
      1. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      1. This update has no replies.

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