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I could seriously scream! DENIED



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omg! I can not believe my insurance company! They denied me stating there is not sufficient medical records showing I have been overweight for 3 years. Seriously??? I mean seriously. ugh. :angry: :angry:

Okay, my rant is over...

I will definitely be resubmitting and jumping through their hoops.

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I am so sorry! I am very excited that you are not giving up and will continue towards a better life. You can do this! Best of luck to you :)

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Oh no!! I'm still waiting on my insurance approval. I'm so nervous. What insurance do you have?

I have BC/BS of AL... hopefully I can get this fixed and get approved.

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I hear the Lindstrom patient advocacy group helps with appeals. http://wlsappeals.com/

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I am so sorry! I totally understand the frustration and how devastating it feels to be denied. About 7 years ago I had went through the whole program just to be denied 3 days before my surgery! Keep trying though and don't give up! I did give up for several years and went back to trying to lose weight on my own. This past January I deceided to try for surgery again (with a different insurance company). I made sure I was meticulous about playing by all of there rules. This past Friday I received final approval for my Sept 15th surgery! So don't give up! Find out exactly what they want from you, what kind of documentation they want, etc. and appeal, appeal, appeal! In the mean time, keep looking for support for your friends on here! We're here for you! Good luck!

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I'm sorry. I've been overweight for 34 years and my insurance said flat out NO. So I'm paying out of pocket. $26,000. But I'm tired of being obese and I'm worth it. I, too, and extremely frustrated that my insurance wouldn't cover it. To add insult to injury, I was going to gastric sleeve, but after being scoped last week, I was told that my hiatal heria was so big/bad that I'd have horrific acid reflux--worse than I have now--if I went with the sleeve. So my costs jumped from $23,500 to $26,000. That extra $2500 isn't in my budget but I'm going to put it on my AMEX and just make payments to pay it off. I absolutely have to do something about my weight.

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omg! I can not believe my insurance company! They denied me stating there is not sufficient medical records showing I have been overweight for 3 years. Seriously??? I mean seriously. ugh. :angry::angry:

Okay, my rant is over...

I will definitely be resubmitting and jumping through their hoops.

Mine said that too , and guess what: we forgot to submit my weight from 2014... Duh!!! Re submit with last years weight and viola!! Just make sure your doc submitted every single thing.

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im so sorry this is happening to you. just call your insurance and get in writing everything you need

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*Update**

So my surgeon's office called insurance and found out they accidentally left out a year of my charts showing that I was overweight. So now they have resubmitted and hopefully I will have good news here soon! Keeping my fingers crossed.

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*Update**

So my surgeon's office called insurance and found out they accidentally left out a year of my charts showing that I was overweight. So now they have resubmitted and hopefully I will have good news here soon! Keeping my fingers crossed.

That's it!! Yea! You're on your way to the big fat APPROVED!

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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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