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Ugh. Will I ever get this surgery?!

So I have been going to this surgery center since August. My insurance gave me the runaround but I finally got it in writing what their criteria were etc...my last weigh in will be April 5 and then we can submit to insurance. My surgery center has a policy that they will not start you on the four week preop diet until you get insurance approval so best case scenario I can get it at the end of May. HOWEVEr, my surgeon was in a car accident and is off work for 6 weeks and is booked up until July. Now I just got notified that they are discontinuing my insurance at the end of May and putting me on a high deductible plan with HSA. I won't know until April 4th if it covers bariatric surgery :( I'm so frustrated because I have been driving over an hour each way 2-3 times a month since August for this thing and may not even get the surgery? Ugh

Sorry just had to vent

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  • Katrinakit
    Katrinakit

    Never mind! I think I am getting it may 16! Still waiting to see it in writing

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Ugh, that is horrible!! I would get on the phone ASAP and start contacting other surgical centers.. Explain your circumstances and see if they can get you right in and start the insurance approval immediately. You can transfer your records so as not to repeat your pretesting. It's worth a try. Good luck, whatever you decide. That seems horribly frustrating!

Sent from my Nexus 5X using the BariatricPal App

  • Author

The only other local place won't accept transfers like that but I am very determined to get this surgery. If I have to continue this stupid monthly weigh in thing until I can get on obamacare I will. Just annoyed if that is what I have to do.

  • 2 weeks later...
  • Author

Well I just spoke with the scheduler and it sounds like the earliest I can get the surgery is August and no guarantee the new plan will cover it because the plan doesn't even exist until June 1st. I'm so frustrated. I don't even feel like it is safe to get this surgery at the beginning of the fall because my job is so crazy in sept and October and i am not supposed to keep drinking water in the room where I work (and I work 11 hour shifts). Normally I can take a break and leave and go get water but during the fall The only guaranteed times I can drink are before work starts, at lunch (5 hours in), and after 7pm. I will try and throw in 2 additional breaks but no guarantee. If my pouch is not at least somewhat able to handle 4 oz of water at a time then I am kind of screwed. The whole reason I have been driving all the way to Greenville 2-3 times per month is because the one near my house led me to believe I couldn't get in until August. Looks like I should have saved the gas. I just hope I can get the surgery SOMEWHERE at some TIME now. So over this right now. And I am stuck sitting in on the same classes every month that I am required to attend in order to stay active with this program. I am sitting right now waiting for one to start that I feel like I could practically teach verbatim at this point. So frustrated. Don't know what else to say.

  • Author

Never mind! I think I am getting it may 16! Still waiting to see it in writing :P

Fingers and toes crossed that you get the date in writing soon.

  • Author

So the insurance wants us to resubmit with the new surgeon. Kind of silly since they are the same group but oh well. Nothing official yet but still hopeful!

  • Author

Ooooooo can't stand the waiting! I have been talking myself out of calling all day long. If I don't hear back by tomorrow morning I will call though because I need to know whether to go to the optifast class on Thursday

What state is Greenville in? I'm having surgery in Greenville NC.

  • 4 weeks later...

I feel this same way. I've been waiting for 3 years to get it done and I'm tired of waiting for gastric bypass. I've tried losing weight on my own but it just does not work. I just want to have gastric bypass done and over with so I could do my full lifestyle change/diet, weight maintenance, plastic surgery (for excess skin), skinny people clothes and finally feel happy along with feeling sexy.

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