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PLEASE HELP!

SamanthaWoodruff

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SamanthaWoodruff    0

SamanthaWoodruff
Posted

I was denied surgery through blue cross blue shield of tennessee.. I had to have a 5 year weight history and at the time i didnt have insurance only when medically neccessary well i had documentation of the five year weights but some were listed as stated weights... what an i do or what should i say on the appeal letter??? I am so sevestated i dont know what to do... any advice? do you think they mighjt accept these weights after i appeal? PLEASE HELP I AM SO DEVESTATED I FEEL LIKE MY HEALTH WILL DETERIATE WITHOUT THIS SURGERY!!!

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Bobbe Schu    53

Bobbe Schu
Posted

I would contact Lindstrom Obesity Advocacy. You can google them for contact information! They're amazing!

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perk4756    259

perk4756
Posted

Hopefully you get this bypassed and approved

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SamanthaWoodruff    0

SamanthaWoodruff
Posted

Thank you I'm trying trust me and praying really hard it just sucks because I have the weights but because they are er visits they all say stated or estimated weight so I just don't know how it's going to work... I wrote an appeal as did my pcp I just hope it helps

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Bobbe Schu    53

Bobbe Schu
Posted

Once again, I would remind all to contact Lindstrom Obesity Advocacy if you need to appeal. Even my bariatric surgeon's office recommends them to patient's needing assistance. The website is wlsappeals.com. Their success rate in getting denials overturned is phenomenal and their rates are so reasonable with your initial call being FREE! Trust me folks--it's totally worth the time to speak to them! Walter Lindstrom is a bariatric patient himself and has been doing this since 1996. He KNOWS how to do this!!!!

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Bobbe Schu    53

Bobbe Schu
Posted (edited)

Thank you I have emailed them and am waiting for a call back :)

Awesome!!! You WON'T be sorry!!! Feel free to use my name -- Bobbe Schuster

Edited by Mrs. Schu

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Bobbe Schu    53

Bobbe Schu
Posted

Walter Lindstrom filed my appeal yesterday after finally receiving all of my medical records. So now we wait to see what happens. Fingers crossed for reversal of the denial! Really anxious!

I must say I am in awe over the appeal letter. It is truly amazing! If you need help with your appeal, Lindstrom Obesity Advocacy is the only way to go. I never could have written anything this powerful!

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perk4756    259

perk4756
Posted

Bobbe schu I pray you get approval. Fingers crossed!

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Bobbe Schu    53

Bobbe Schu
Posted

Bobbe schu I pray you get approval. Fingers crossed!

You're so sweet! Thank you so much for thinking of me! Praying too!

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Bobbe Schu    53

Bobbe Schu
Posted

Bobbe schu I pray you get approval. Fingers crossed!

Well denied again, so we appeal again! Lindstrom's were not surprised. Said this is exactly what was expected. Appears my appeal was reviewed by a PLASTIC SURGEON and admittedly agreed that band removal was necessary. So if removal was approved and my original surgery passed all criterion, why not approve the NEEDED revision?!!!! Stinks! But I press on!

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

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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!
      · 1 reply
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

    • 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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