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bmi history!!!



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OK, I have been on this yo-yo for years! I have had a bmi over 40 then lose a little weight and it would go down, only to gain it back months later. I have done the pills/shots/ combo., Nutrisystem, Atkins, Phentermine, Merida, and Xenical, but I don't have 5 consecutive years worth of 40+ documentation! I am now at a 42 BMI.

Here's my question. I have been diagnosed with HBP. I have fascitis in my feet and cannot walk for exercise without agrrovating it, and I'm pretty sure I have sleep apenea, though I've not been diagnosed. Do you think my insurance will approve without the documented history of a 40 BMI?

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It depends really. I was denied by Horizon with two diagnosed co-morbidities: HBP and sleep Apnea. I submitted everything anyway, and so far they've paid for my first fill, 40% of the anesthesia bill, and my doctor fee and hospital bill are pending.

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I have the same problem with the history. I have about 8years worth but I am missing one year to complete a full five. I to can't exercise because of my foot. All I can tell you is if you have pictures with dates on them you can use those. Otherwise submit what you do have and pray really hard!

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I am having almost the same problem I have records from 2002-2005 missing 2006 but have 2007 so my Dr. office told me to write a letter explaining why I don't have 2006 so far I have not heard anything yet I have UHC insurance. I called them they said they're trying to make sure you did not gain the weight in 1 year just to get the lapband so any five years is OK it can be split up but I'll let you guys know what happens:kiss2:

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Tomecia that is great news!!! I was worried. I have records from when I was 21 and was really big. Bigger than than I am now! But you just gave me lots of hope!!! Thank you!

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Hi, I have essentially a very similar history & I submitted to United Health Care POS and I was approved! I haven't set my surgery date, but will do that on Friday 11-9-07! YEAH!

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motocross how long sis it take for you to get your approval ? I have uhc choice plus, my info was submitted yesterday

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Motocrossgirly did you also write a letter stating that you missing certain year? and if you did can you provide a sample letter?

thanks

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Wow! I have UHC too and I was told that they are the "easiest" to approve!! I have also had weight issues for at least 5 years but never got to a BMI which was high enough to qualify for surgery! The nurse in charge of submitting the request for approval told me that if my BMI changed to come back in. I am guessing that was her way of saying gain some, SO now I am 10lbs from a 40 BMI sched, for my Psyc eval. on the 19th!! that would suck to do all this and have them say No because I "SUDDENLY" shot up to a 40BMI! Please let me know what happens!

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Hi, I never wrote a letter explaining the missing year (it was related to a move from CA to GA); but, instead I provided an additional previous year, ex.. instead of 2002 through 2007 I did 2001, 2002, 2003, skip 2004, 2005, 2006, 2007.

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      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.
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      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.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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