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Kikib85

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Soyounique    35

Soyounique
Posted

It means you only have to wait 2 mths for your surgery! Insurance average wait time is 3-6 mths... You have go on a supervised diet and weigh in .... Meet with nutritionist.. ☺

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Kikib85    42

Kikib85
Posted

Thats good news. I set up my own aleep apnea test. I am worried insuranve wont approve. I am.31 220 BMI 36 or 37..I've researched all thw comorbities and I have osteoarthritis and severe anxiety and Depression. But all the sites have different comorbities.



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outlaw_3900    1

outlaw_3900
Posted

by any chance are you a soldier? alot of your symptoms are simular to mine

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Kikib85    42

Kikib85
Posted

by any chance are you a soldier? alot of your symptoms are simular to mine


No I am not. I just was referred byvmy doctor and really think this will be a good thing for me. I love qorking out but am unable too with thw extra weight because of chronic pain.



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outlaw_3900    1

outlaw_3900
Posted

ok just asking. I am 3 weeks post surgery (Jan 26) and i have lost 25 pounds so far. the hardest thing I find is this dam liquid diet. the pain gets better after a few days but other then that it's fine. I also have depression, anxiety and ptsd

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Kikib85    42

Kikib85
Posted

I have OCD from my severe anxiety or the other way around not sure how that works. I am in thw very beginning stages. So nervous and lost.



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outlaw_3900    1

outlaw_3900
Posted

what stage are you in? oh you waiting for yourent surgery date correct?

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sleevinpops    303

sleevinpops
Posted

Just got my first apt for a consultation. Dr office says my insurance only requires 2 months Nutrition Counceling. What does that mean?

Kim, go to your insurance website and they should have the requirements for wls approval there. You should also be able to ask your doctors office if the are familiar with ALL of the requirements by your insurance company.

Better to know before finding out last minute you missed something.

A friend of mine had a 6 month wait, went through the entire process and had to restart as on two of his supervised appointments were in the same mont. Insurance required 6 consecutive months. He was not too happy, but had to start over.

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Kikib85    42

Kikib85
Posted

Kim, go to your insurance website and they should have the requirements for wls approval there. You should also be able to ask your doctors office if the are familiar with ALL of the requirements by your insurance company.

Better to know before finding out last minute you missed something.

A friend of mine had a 6 month wait, went through the entire process and had to restart as on two of his supervised appointments were in the same mont. Insurance required 6 consecutive months. He was not too happy, but had to start over.

Dr office called to make my consult apt said insurance pays 100% and requires 2 months nutrition counceling. Not sure what that means.



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outlaw_3900    1

outlaw_3900
Posted

Kiki is this consultation the first time you see your surgeon? if so then all they is explain the procedure, ask you questions about your weight and what have you done previous to loose and then they tell you if you are accepted or not. at least that's how mine went

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Kikib85    42

Kikib85
Posted

Kiki is this consultation the first time you see your surgeon? if so then all they is explain the procedure, ask you questions about your weight and what have you done previous to loose and then they tell you if you are accepted or not. at least that's how mine went

Yes, this will be the very first time. And I have medical records of trying different approaches for weightloss.



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Oneyearout    43

Oneyearout
Posted

Kiki, I had to weight two months also for insurance. Visited with my doctor he told me to maintain for two month. I was close to being a diabetic, father passed away of heart problems, 3 half sibling were diabetics and none over weight. My doctors convinced my insurance that it was best to have surgery. 1 year out this month. Lost 100 lbs, jogging 4 miles a day, passed my goal weight and feeling wonderful. Best thing I ever did. Outlaw hope you are doing well. Know you can get thru this and will be better for it!!! Keep up the good work. Kikib85 keep us posted.


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Go To Topic Listing General Weight Loss Surgery Discussions

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    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.

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