Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Kinda losing my mind thanks to insurance....



Recommended Posts

This is somewhat of a rant I suppose but ughhh I don't know what else to do .... I live in CT and am on the states insurance because I qualified and my job insurance does not cover WLS at all. Since I started with the state insurance I have received letters stating I no longer qualify so I go through the process of calling, speaking with someone, correcting what is usually there mistake on my paper work for them to tell me I'm good, I qualify again and am covered... just for 2 months to pass and I get another letter stating I no longer qualify.... And the process starts again. I started this journey in March and this has happened 4x since then. I have a heart attack each time thinking OMG if I lose this insurance I will never be able to have this surgery. I got another letter stating I no longer qualify last week, again I called fixed the income level they screwed up requalified but I am terrified something is gonna go wrong and insurance will deny me. I am literally the most stressed out I have ever been over this! I have 1 more NUT visit & about 8lbs to lose before my paperwork will be submitted to insurance for approval which I am hoping will happen in August and I can be scheduled for a Sept surgery. I have worked soooo hard to get to this point and it is so scary to think at any moment insurance can change everything. Anyone else experiencing this anxiety?!? Or these kind of insurance issues?? Thanks for allowing me to vent ????

Edited by AmandaRo522

Share this post


Link to post
Share on other sites

My surgeons office had a big snafu with how they submitted my paperwork. Their insurance coordinator went on maternity leave and they dropped the ball in a major way. It all worked out in the end and I got my surgery. Hang in there and stay on top of things as much as you can. It WILL happen and you will look back on this from the other side. Good luck!!

Share this post


Link to post
Share on other sites

This must be such a stressful time for you, I really do hope its sorted out soon and you get it booked. We can't get it via insurance here in England, its either National Health Service or private. I was told I would have to wait 3 years to have it done on the NHS so I am going down the private route, which has been stress free. I can't imagine having to go through all of what you do to get the surgery !!

Hugs

Kate

Share this post


Link to post
Share on other sites

My process was long, but I never ran into the kind of snafus you did. And I'm so sorry you are experiencing them! Sometimes tackling insurance is like gearing up to bust through a brick wall, only to discover there's another one right behind it once you do.

I sure hope things improve for you. Good luck!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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

      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
      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. 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

      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
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×