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Insurance Approval Jitters

doingitmyway

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tlyons72    43

tlyons72
Posted

I love that we have a forum to discuss these things! After what I've read, we're going to need each other....especially the first few weeks after surgery.

Is it bad that I'm already planning the clothes I'm going to buy once I loose the weight? I think my husband is dreading that. :rolleyes:

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lorless    67

lorless
Posted

I'm so relieved to see this topic. I'm not sure if I have any advice, but maybe knowing that others are in the same boat can help alleviate some tension. I have completed all of my pre-op directives and am waiting for insurance approval. I have NC-BCBS. Part of me is sure that I will be approved, but there is always that nagging doubt until I actually get the word on a surgery date. The anticipation seems to be the worst, and I feel like I can easily conquer the things that most people feel they struggle with, if I can just know that everything is a go and it WILL happen.

At this point, I have to keep reminding myself that it's out of my hands. I have no control over my insurance approval, except for the prerequisites which I have already completed. I have done my part. So, I know that what I am dealing with is pure anticipation.

Telling someone to "hang in there" is so cliché and sounds so weak. However, when you think about it, right now that's all we can do. The insurance approval is out of our hands and at this point we have no control over the outcome. We have done our part. So maybe the best thing we can do now is focus on those things we do have control over and continue to do our best at being the healthiest we can possibly be right now.

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biglady904    65

biglady904
Posted

I love that we have a forum to discuss these things! After what I've read, we're going to need each other....especially the first few weeks after surgery.

Is it bad that I'm already planning the clothes I'm going to buy once I loose the weight? I think my husband is dreading that. :rolleyes:

I'm doing the exact same!! I'm so excited

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tlyons72    43

tlyons72
Posted

Do you have your date yet or are you waiting with the rest of us?

I love that we have a forum to discuss these things! After what I've read, we're going to need each other....especially the first few weeks after surgery.

Is it bad that I'm already planning the clothes I'm going to buy once I loose the weight? I think my husband is dreading that. :rolleyes:



I'm doing the exact same!! I'm so excited


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Amurillo04    109

Amurillo04
Posted

Since you've all submitted your things in I have a question. Did you guys have to do a chest X-ray? I know all insurances are different but it seems like most people have to do one and it wasn't in my check list. I'm hoping my coordinator didn't miss that or something.

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tlyons72    43

tlyons72
Posted

The only thing I had to do was the 6 month diet which has been less than fun. I'm right on the cusp of being "morbidly obese" and so I was told that I had to loose a pound a month but not to go below a certain weight. I hit that weight, went below it, and had to eat to bounce back up. Now I'm 3 pounds more than I should be! I'm worried about that too.

To answer your question, I did not have to have the chest xray. My plan required the diet only.

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Amurillo04    109

Amurillo04
Posted

The only thing I had to do was the 6 month diet which has been less than fun. I'm right on the cusp of being "morbidly obese" and so I was told that I had to loose a pound a month but not to go below a certain weight. I hit that weight, went below it, and had to eat to bounce back up. Now I'm 3 pounds more than I should be! I'm worried about that too.

To answer your question, I did not have to have the chest xray. My plan required the diet only.

Thank you. I thought it was only me lol

When I started I was like 41 bmi but now I'm at 39. I however was told that the first weight is the one that's counted and my surgeon encouraged me to lose and not gain over my starting weight. I ended up on my last weigh in too be 3 pounds heavy then the weigh in before it but still under my starting weight so I feel your worry lol.

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biglady904    65

biglady904
Posted

Since you've all submitted your things in I have a question. Did you guys have to do a chest X-ray? I know all insurances are different but it seems like most people have to do one and it wasn't in my check list. I'm hoping my coordinator didn't miss that or something.

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I didn't I was suppose to but my surgeon said I didn't need it because I'm young I'm 27

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Amurillo04    109

Amurillo04
Posted

Congrats!!

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Kyn13    215

Kyn13
Posted

So I just got off the phone with my surgeons office and I'm seriously not thrilled. So I have to see him and the nutritionist but they are scheduling a month put :( so my appointment is July 21st. Which makes me sad cause I was hoping this would all go faster. So they lady told me that once I see the Dr he will give me a number of pounds to lose while we wait for insurance. And honestly hate this and am so mad cause in my six months I've struggled to lose 20 lbs. My mom went through the same office back in January and they told her to lose 30, and I'm so worried that I won't be able to do it. She told me they won't schedule my surgery until I do hit that goal. Ugh I hate this its making my tummy hurt.

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tlyons72    43

tlyons72
Posted

:D Woo hoo! Congrats! Keep us informed and let us know what date you start your life over!

I just got the call !!! I was approved !!!!!


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Shrinkinqtpi    202

Shrinkinqtpi
Posted

@@Kyn13

So sorry to hear about the speed bump in your path to healthier living. Remember, the speed bump is there to get insurance approval so you do not have to pay the $40k+ it will take to have the surgery. (BTW - remind me of this if my surgery approval does not come through!!!)

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • LeighaTR

      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

      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!
      · 2 replies
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      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

        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

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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