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Is this unusual? re: insurance approval



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I have been researching the lapband for a while now and signed up online for a seminar that is this Wednesday. The doctor's site had an online application too so I filled that out. I gave them my insurance info, told them about all of my prior attempts at loss and about my current health issues. I did this about 2 weeks ago.

This past Friday I got a call from the office telling me I had been approved and they could schedule my pre-op visit. I freaked out! I mean, I haven't even been to the seminar yet. I am really still in a information gathering stage! It was weird to me that they would already have an approval before I ever even saw the doctor!

I fully expected it to take months before I would get an approval. I have lurked here and have read of other struggles with their insurance companies. I am excited about the seminar and learning more about the procedure but at the same time the reality of it is scary!

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That's incrediable! I didn't sleep for two weeks waiting for my approval, and i know there are others that have waited far longer. I had to go through 8 months of medical crap and a psychotherapist even before they would submit a letter to insurance. If you go for it, lucky lucky you.

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It's not unheard of - but definitely not the average!! My insurance was really quick in the pre-auth too.. it took a few tries for them to actually receive the fax, (the doc sent it to the wrong number a few times).. but once they got it, they approved me in like 48 hours - I was amazed! No diet documentation was needed either - I couldn't believe it!! The stuff that slowed me down was getting my psych, nutrition, and medical evaluations.

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This past Friday I got a call from the office telling me I had been approved and they could schedule my pre-op visit. I freaked out! I mean, I haven't even been to the seminar yet. I am really still in a information gathering stage! It was weird to me that they would already have an approval before I ever even saw the doctor!
What would concern me about this is that they're taking everything word of mouth, and insurance companies don't work word of mouth, they work paperwork. So I wonder exactly what they submitted to your insurance company considereding they didn't even have one piece of medical record that had your weight or confirmed BMI on it.

Are you sure you're approved through insurance for the surgery? They may have just meant you're approved for a consultation, or for the seminar maybe if they consider it an office visit or something.

To me, it would be completely unheard of to be approved for surgery with no medical records or documentation at all, just anecdotal informatuon submitted via the patient online.

Definitely be cautious with this.

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my office does the insurance approval while you are waiting on going to a seminar. Once you are approved they schedule you for a pre-op visit and you go to a class on the lap band from there. I was denied the same day :lol: I had to self pay so it is a blessing if you are approved by insurance.

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<p>That's terrific,</p> <p> </p> <p>I have to wait a total of six months and document everything along the way.</p> <p> </p> <p>I'm scheduled to be banded in October if all goes well.</p> <p> </p> <p>Best of Luck !!!!</p> <p> </p> <p>Let us know how your doing.</p>

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This is unusual from what I have been seeing. The surgeons office could only confirmation that my insurance didn't totally exclude paying for WLS before I submitted all kinds of information. I have been denied but am going to appeal the denial. If this is for real, and you decide go forward best wishes to you. You have been spared a bunch of hassle.

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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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      https://alluniqueguide.com/java-burn-coffee-reviews/
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