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Time after referral

lili94

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lili94    0

lili94
Posted

I think each surgeon and each patient is different. There is also what the hospital will approve and what insurance would approve. Those are not always the same. Good luck and I hope they approve you.

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Are you sure they look at your highest weight and not current? Do you know how I could verify that before I go weigh in this week?

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lili94    0

lili94
Posted

They look at your highest weight in the last year

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Hey bekah7482 I have my appointment with the surgeon tomorrow and im so scared to say something that will get me denied. Any suggestions based on your experience on how to make this go well?

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lili94    0

lili94
Posted

Dont be worried. With me he just looked at my health history, asked about what kind of exercising I do, why I want to have surgery and gave me the chance to ask questions.

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I guess I'm just scared that because my bmi is only 40.2 she will tell me I'm "too healthy" to have the surgery....

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lili94    0

lili94
Posted

Just be ready to state your case.

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Yeah I read the binder the bariatric center gave me yesterday and I know why I think i should have the surgery. I just get really high anxiety in cases like that and then it's hard to talk and breathe lol. Pray for me :)

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BayougirlMrsS    3,933

BayougirlMrsS
Posted

@lili94 @victoriak419 @bekah7482 My suggestion to you all is to get definite answers and requirements from your insurance first. I had UHC at the time of my surgery and I was required to have a 40BMI. This was because I had no Co Morbids. I was lucky as I had my mentor Paula that I worked with to guide me. When I first started thinking about the LB Surgery my BMI was just under 40. But because I know already that I didn't have any other issues that I would not qualify. So before I even went to the seminar i put on 10lbs to make sure I was at the 40BMI. I know your thinking... Wow you gained weight to get the LB....Yes I did and I would do it again and again if i had to. I gained 10 to lose 100.

I also used my GYN visits to show a progression in weight over the years, my history from Weight watchers.

After I knew I had the weight I needed I signed up for the seminar. They gave me the packet to fill out and all the question I needed to call and ask my insurance. (which I know because Paul had told me) But I did call anyway. Made my appointment with the DR, got in, filled out all of his stuff, weighted in.... 230lbs 40bmi right on the nose. They set up all of my other appointments.... NUT, Pchy, Heart, Swallow, sleep ap...etc. After all were done, they compiled all my results and sent with a surgery date to my insurance all in one packet. They said the reason they do this is so they can't say they didn't get something... it's all together. I got a call in one week.

I Started looking into everything in Aug. First apt in Sept and was banded Nov 9, 2009.

So my suggestion to you all.... if you have not been diffidently approved by your insurance, DON'T lose a lbs especially if you are on the cusp of the 40bmi with out co morbids. As soon as you do get the approval, then you can if you need too.

My advice to you all..... Hope it helps

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Go To Topic Listing General Weight Loss Surgery Discussions

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    • Theweightisover2024🙌💪

      Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 2 replies
      1. NickelChip

        NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

      2. Theweightisover2024🙌💪

        Theweightisover2024🙌💪

        That sounds awesome. I'll have to check that out thanks!

    • BeanitoDiego

      BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
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    • Teriesa

      Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
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    • Clueless_girl

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      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
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