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Insurance decision tomorrow



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Tomorrow the decision will be made on the gasteic sleeve request. We submitted 10/10, regence bcbs of oregon waited 13 days to review and tell me the drs notes were specific enough of when the 6 month diet started, then surgeons office took a week to send the new information in. Anyway. I'm so nervous. I'm scared. I literally dont know what I'll do if I dont get approved. I cannot lose weight at all. I est under 20 grams of carbs a day for 5 years with no loss. Just stay the same. Please pray for an approval for me :)

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🙏🙏🙏👼🙏🙏Rachel- may the response only be good!

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2 hours ago, OlRachel said:

Tomorrow the decision will be made on the gasteic sleeve request. We submitted 10/10, regence bcbs of oregon waited 13 days to review and tell me the drs notes were specific enough of when the 6 month diet started, then surgeons office took a week to send the new information in. Anyway. I'm so nervous. I'm scared. I literally dont know what I'll do if I dont get approved. I cannot lose weight at all. I est under 20 grams of carbs a day for 5 years with no loss. Just stay the same. Please pray for an approval for me :)

Please let me know what happens! I'm in your boat. Waiting for insurance to approve and nervous!

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I'm so sorry, that sucks! Keep appealing.... good luck!

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It was denied!!!! Every hoop jumped through and denied. They will send me a letter telling me why and I can appeal.
Definitely appeal! I was initially denied as well. I met every condition in their policy and did a medically supervised diet for two YEARS. Lost 10% of my body weight. My surgeon's office appealed for me, and my primary care doctor wrote a letter about the denial. They finally overturned their denial. Sometimes I think they just want to make people give up and go away, to save money. Keep fighting!!!

Sent from my moto g(6) play using BariatricPal mobile app

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Hey you are still going to have a victory! Hospitals and Insurances, a "pox" on both of them. My local hospital has a bad habit, not submitting claims promptly, I had one bili come back on me, I could prove my insurance provider had pre-approved the procedure, they just didn't submit for 2 years. Luckily I had original paperwork, one of the few toms being Queen hoarder of the Western 🌎helped!

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1 hour ago, Hrsnjs said:

Definitely appeal! I was initially denied as well. I met every condition in their policy and did a medically supervised diet for two YEARS. Lost 10% of my body weight. My surgeon's office appealed for me, and my primary care doctor wrote a letter about the denial. They finally overturned their denial. Sometimes I think they just want to make people give up and go away, to save money. Keep fighting!!!

Sent from my moto g(6) play using BariatricPal mobile app

Do you happen to have the letter your dr sent? Sadly my dr knows nothing about insurance so I have to tell her everything to write lol. My surgeons office doesnt even know I have a denial yet. I'm sitting her fuming and especially not knowing they're reason! Sadly it's most like because of my drs crappy chart notes :(

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Do you happen to have the letter your dr sent? Sadly my dr knows nothing about insurance so I have to tell her everything to write lol. My surgeons office doesnt even know I have a denial yet. I'm sitting her fuming and especially not knowing they're reason! Sadly it's most like because of my drs crappy chart notes [emoji20]
I probably do have it! I'll find it and share. For some reason the private message function doesn't work for me on this BP app...email me hrsnjs@gmail.com with your email info. I'll try to find it tomorrow and email it to you. I'm not sure it will help but it's worth a shot!!

Sent from my moto g(6) play using BariatricPal mobile app

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    • 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

      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

        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. 💗

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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.
      · 1 reply
      1. 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

      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
      1. This update has no replies.
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