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I started my journey last July/August.:confused2: I did the 3 month diet and exercise plan only to basically be turned down by my insurance company saying that I wasn't fat enough. So I added 3 more monthes of physician supervised diet and exercise and resubmitted everything, plus with a written appeal letter. My problem in the eyes of my insurance company is that besides being overweight, I have no major health problems like, diabetes, sleep apenea, high blood pressure etc. I'm really freakin healthy in that regard.:cursing: But I do have acid reflux/heartburn, pitting adema, knee surgery twice and thingsthat I pointed out were recognized by the National Health Institute. Today I got the call from my insurance company saying that they had taken another look at my file and said that they were approving my surgery for the Lap Band!!!:thumbup::drool: They were going to contact my doctor and they would call me to get things scheduled. I'm am sooo excited, it's finally becoming a reality. Anyone that has been denied by there insurance company, try again.:scared2: I read that alot of insurance companys sometimes will say no just because(theyre vicious basta*ds)but because they think that alot of people will just except that and not press it. Hopefully next time I'm back on, I'll know more. YAAAY ME!!!!!!!!!

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Hi,

I'm going through the same thing.... I'm 5'4 and 228 - not 233 which is what is needed for no co-morbities... After taking all this time to make up my mind I dont think I will be approved... I definitely can't self pay. What insurance company do you have?

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Don't give up, it took 3 years for bcbs to give me an approval, i just made my banding appt. for April 14. Good luck!

kelli mccafferty

Which BC do you have?

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Hi, BCBS POS New England

I'm so happy you finally got approval, but my God I can't wait 3 years! That's a long, long time!

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I have bc of Texas, and yes it took 3 years. First they said i was not fat enough, my bmi was only 38. Then they said i had not been fat enough long enough. Its been a long road and i even have 3 comorbid factors.

however, i finally have my approval :biggrin: and april 14 cannot come soon enough.

hopefully no one will have the same problems with insurance i had.

Good luck

Kelli:thumbup:

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I have Aetna PPO. And I live In Independence Missouri. I was surprised that my insurance even covered it, most do not. They cover 90% after my $250 deductible. I read an article in our local paper stating that most insurance companies automatically tell you know thinking that you will give up. So it's always a good thing to keep submitting things and pressing them. Sometimes they get tired and just give in also. Good Luck to everybody. Susan:shades_smile:

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I'm so happy for you. I just went to the doctor and asked about getting the lapband surgery. I have been a "big girl" all of my life and the doctor told me that I have to try to lose weight on my own..work out..blah blah. All the same stuff I've tried already numerous times. I am really depressed about it and I am just so tired of being the fat girl. Your story gives me hope that I might be able to get this surgery in the end...I just wish it'd happen sooner than later.

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    • LeighaTR

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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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