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Yes, I got APPROVED today. So hope for an October surgery is not dead.

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Wow, That was so fast!!! Congratulations! Still no word for me, patiently waiting.

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Well wish my luck next as I have my surgeon follow up this Friday and my opt um nurse said that once submitted I should have an answer in 15 days....

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Well wish my luck next as I have my surgeon follow up this Friday and my opt um nurse said that once submitted I should have an answer in 15 days....

Good Luck! It's been 15 days today for me.

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Well wish my luck next as I have my surgeon follow up this Friday and my opt um nurse said that once submitted I should have an answer in 15 days....

Good Luck! It's been 15 days today for me.

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Ooh yea. I am not going to count weekends or fridays... so I don't drive myself crazy. The dr office said be prepared for 30days... so we will see! I am more nervous because I've gain weight.

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It's official I'm submitted!

Submitted to insurance or they approved you and it was sent to your doctor?

I thought about emailing my Optum nurse today just to check in, but decided to wait until Wednesday. The waiting is the worst! I almost want to start researching the appeal process because I'm terrified that's what's coming (a denial).

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It's official I'm submitted!

Submitted to insurance or they approved you and it was sent to your doctor?

I thought about emailing my Optum nurse today just to check in, but decided to wait until Wednesday. The waiting is the worst! I almost want to start researching the appeal process because I'm terrified that's what's coming (a denial).

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No, they finally submitted everything today to my insurance company. She said it does not take long to get a responds for an approval, so I should here back soon. She states that they will give them the max of 30days but it's usually way quicker thn that because there coordinator works with only works with one person from uhc. So it makes turn aroubd time quick and easy

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It's official I'm submitted!

Submitted to insurance or they approved you and it was sent to your doctor?

I thought about emailing my Optum nurse today just to check in, but decided to wait until Wednesday. The waiting is the worst! I almost want to start researching the appeal process because I'm terrified that's what's coming (a denial).

Sent from my iPhone using the BariatricPal App

No, they finally submitted everything today to my insurance company. She said it does not take long to get a responds for an approval, so I should here back soon. She states that they will give them the max of 30days but it's usually way quicker thn that because there coordinator works with only works with one person from uhc. So it makes turn aroubd time quick and easy
Good Luck!!!

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Thanks, good luck to you... please update when u get news

I absolutely will!

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Still no word from UHC on if they'll approve (or deny) coverage for my surgery. It was submitted on Aug 14 so tomorrow is a month (30 days). October 26th is 30 business days, so I guess I'll have to hold out until then if nothing comes in from them on Monday.

My PCP took me off my cholesterol medicine since it's not helping (I've tried two kinds) and it's making my liver enzymes high. (Ultrasound and MORE blood work is ordered - just had blood work done last week and now I get to do it again) She's asking for authorization for Praluent, an injectable cholesterol lowering drug. The drug without insurance is $1,200/month or $14,400/year. It looks like it will run me around $140/month if they agree to cover it under my prescription plan.

I'm guessing the only silver lining for having to wait over a month for them to review is that if they happen to see that Praluent is being ordered, maybe they'll be more inclined to pay for a $12,000 surgery vs. paying $14,000/year for cholesterol medicine. Or perhaps it MAY help in an appeal if they deny surgery.

I'm trying to stay positive.

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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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
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