Health insurance

[caseyrenee83 5]

Now, with the RNY there was no way I could've gone back in 5 days. Had my first post op today and they were a bit upset that I went back after 2 weeks. I have a sit down desk job but it took me a week and a half to be able to drive due to the pulling on my 5 incisions. I have hit a small bump in my journey with fluids. I'm a month out and have what they call a stricture. I'm having my 2nd endoscopy this Friday to stretch my esophagus. I'm so dehydrated and anything I swallow feels like it's stuck in my chest. I actually vomited for the first time yesterday. This all didn't start until 2 weeks after surgery. If it's gonna happen it's usually around 4-6 weeks I've been told. But one day at a time. I had my surgery through wake forest baptist health in North Carolina and they wouldn't schedule my surgery until BCBS approved it. I'm sure you'll be just fine.

The 2 days before surgery was a piece of cake. I was on Clear liquids for a week after surgery and sugar free popcicles were my saving grace. Hello was great too. Then I moved on to puréed foods after that week but only got a few good days before the stricture happened. The interesting thing is I now could care less about food. My stomach no longer growls. It's interesting to feel the changes.

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I am sorry to hear of the stricture. I am hopeful that the endoscopy to stretch your esophagus will help give you the relief that you need. As soon as you are up to it, please keep me posted on how the endoscopy went and if things are better for you.

Thank you. 12:30 today. Hoping this does the trick

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[Racshelle 17]

Now, with the RNY there was no way I could've gone back in 5 days. Had my first post op today and they were a bit upset that I went back after 2 weeks. I have a sit down desk job but it took me a week and a half to be able to drive due to the pulling on my 5 incisions. I have hit a small bump in my journey with fluids. I'm a month out and have what they call a stricture. I'm having my 2nd endoscopy this Friday to stretch my esophagus. I'm so dehydrated and anything I swallow feels like it's stuck in my chest. I actually vomited for the first time yesterday. This all didn't start until 2 weeks after surgery. If it's gonna happen it's usually around 4-6 weeks I've been told. But one day at a time. I had my surgery through wake forest baptist health in North Carolina and they wouldn't schedule my surgery until BCBS approved it. I'm sure you'll be just fine.

The 2 days before surgery was a piece of cake. I was on Clear Liquids for a week after surgery and sugar free popcicles were my saving grace. Hello was great too. Then I moved on to puréed foods after that week but only got a few good days before the stricture happened. The interesting thing is I now could care less about food. My stomach no longer growls. It's interesting to feel the changes.

Sent from my iPhone using the BariatricPal App

I am sorry to hear of the stricture. I am hopeful that the endoscopy to stretch your esophagus will help give you the relief that you need. As soon as you are up to it, please keep me posted on how the endoscopy went and if things are better for you.

Thank you. 12:30 today. Hoping this does the trick

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Just checking on you, how are you feeling do you feel any relief? I hope so.

[kymsjourney 0]

I have Kaiser. I was required to take a 6 week class (last class is today). In 7-10 days I will get a call from the surgeons office to schedule my official consult and will schedule the surgery. I first went to see a nurse practitioner in the weight management and she approved me for the classes. So I guess I met the basic Kaiser requirements.

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I have Kaiser also. I was just approved last week. How long has your journey been?

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[Racshelle 17]

Now, with the RNY there was no way I could've gone back in 5 days. Had my first post op today and they were a bit upset that I went back after 2 weeks. I have a sit down desk job but it took me a week and a half to be able to drive due to the pulling on my 5 incisions. I have hit a small bump in my journey with fluids. I'm a month out and have what they call a stricture. I'm having my 2nd endoscopy this Friday to stretch my esophagus. I'm so dehydrated and anything I swallow feels like it's stuck in my chest. I actually vomited for the first time yesterday. This all didn't start until 2 weeks after surgery. If it's gonna happen it's usually around 4-6 weeks I've been told. But one day at a time. I had my surgery through wake forest baptist health in North Carolina and they wouldn't schedule my surgery until BCBS approved it. I'm sure you'll be just fine.

The 2 days before surgery was a piece of cake. I was on clear liquids for a week after surgery and sugar free popcicles were my saving grace. Hello was great too. Then I moved on to puréed foods after that week but only got a few good days before the stricture happened. The interesting thing is I now could care less about food. My stomach no longer growls. It's interesting to feel the changes.

Sent from my iPhone using the BariatricPal App

I am sorry to hear of the stricture. I am hopeful that the endoscopy to stretch your esophagus will help give you the relief that you need. As soon as you are up to it, please keep me posted on how the endoscopy went and if things are better for you.

Thank you. 12:30 today. Hoping this does the trick

Sent from my iPhone using the BariatricPal App

Just checking on you, how are you feeling do you feel any relief? I hope so.

How are you feeling today, did the procedure work? Wanted to let you know that I was approved by BCBSIL. Found out today, thank goodness. I completed my pre-op appointment today and am on the schedule for gastric bypass on this Wednesday at 12:30 afternoon. Went out and bought sugar free popsicles, wylers sugar free singles, Apple juice, white grape juice, chicken broth. Tomorrow is the clear liquid diet, so I will have those items and I have to do a bowel prep. Not looking forward to the bowel prep...... Glad things are moving on.

Appointment with Dr. Macik on October 4th, submission to insurance 10/10/16, BCBSIL/Teamcare approval 10/24/16, surgery 10/26/16. I thank God for his blessings.

[AstroGuy 54]

On 10/20/2016 at 5:49 PM, Slim and Trim said:

I have United Healthcare I'm waiting 6 months. Ugh

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I also have United Healthcare and I also have the "six month waiting period". The insurance person at the Dr. Office told me they never have to wait the six months especially if you have a documented history of a medically supervised diet program. With your post I am getting nervous. I have one more requirement to get (pulmonary eval) and that happens next week. The way she explained it to me is that if the insurance balks at the approval, the doctor mentions something along the lines of "Fine but if the patient keels over from a heart attack they are coming after you!" She said that usually solves it.

Also remember that the doctor and hospital are very motivated to do the surgery, e.g. $$$. Now I am not saying the doctor would recommend a surgery of this magnitude just to get the money but the once he says it is a good fit and you pass all the medical requirements the hospital wants it done as soon as possible. Use them to get it approved faster. My hospital has a "patient advocate" department. You might contact them.

[Mickie0130 61]

Health insurance is based on the plan your employer picks or you are paying for. There is no standard for wls coverage. That is why you hear people with the same insurance company but one covers the surgery and the other doesn't. It's based on the plan not the insurance company. I don't think people understand this. Employers pick what plans they provide to their employees. They are not cookie cutter.

[Sierra51390 2]

I have united health care I just have to pass the physc exam and meet bmi requirement, however my surgeons office has about a million things to do lol