Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Will this happen? I pray so.



Recommended Posts

:thumbup: Hi, my name is Peyton.

After a couple years tossing this LapBand in the air around. Today I took the first step to get solid information and hopefull the 1st step.

The lady at the center was going to call my insurance and see what they say and what I needed to do or get information wise for my insurance.

My BMI is borderline , 36-38. I am a size 16. 223 lbs , 5'6"

:blushing:I am so nervous and WORRIED confused.gif that the insurance will say NO. I really do fear it confused.gif. Send me some good vibes could

Share this post


Link to post
Share on other sites

You can call the number on the back of your ins card and ask them if it's covered in your policy and what their requirements are.

Many ins. co. require a BMI of 35 WITH 2 co morbidities, like diabetes, sleep apnea, HBP, high cholesterol etc.

Without co morbidities, generally they require a BMI of 40.

some require a six month supervised diet before they approve etc.

so just call and ask them! Tell them you're considering weight loss surgery and want to know if your policy covers it. If they say yes, then ask what is required for approval.

Good Luck.

Share this post


Link to post
Share on other sites

Do you have any co-mobidities? Diabetes, High Cholesterol, High Blood pressure, arthritis? that would probably help in getting the approval.

My BMI is 37-38 and I didn't get approve (shame on you, blueshield~!)

But i'm gonna get the Lapband done anyway. I'll pay for it out of my pocket (ouch!)

Share this post


Link to post
Share on other sites

I'm 5'6"....beginning weight of 229...BMI was 37. UHC denied me for surgery b/c no co-morbidities.... SOOOOO, I am a self-pay! Had surgery done on 1/17/08...down 32 lbs so far. All I can say is if you REALLY want this surgery, it's the best money you'll ever spend. If you only want it if insurance will cover it....then I hate for you to get your hopes up.

Share this post


Link to post
Share on other sites

I'm 5'6"....beginning weight of 229...BMI was 37. UHC denied me for surgery b/c no co-morbidities.... SOOOOO, I am a self-pay! Had surgery done on 1/17/08...down 32 lbs so far. All I can say is if you REALLY want this surgery, it's the best money you'll ever spend. If you only want it if insurance will cover it....then I hate for you to get your hopes up.

Tween...

Well, that is where I am sitting with thought. I have been diagnosed with sleep Apnea. I also have high blood pressure & polyscytic ovary syndrome. So sadly, this is all in my favor. I don't have 16,000 for this surgery, this I know :smile: So, for now it's my fingers crossed. The lady at the seminar sounded very hopeful about it because of the co-morbidities. <sigh> We shall see

Share this post


Link to post
Share on other sites

I hope you can get insurance to cover it but if not, don't let that stop you.

If you want it, make it happen.

Share this post


Link to post
Share on other sites

Tween...

Well, that is where I am sitting with thought. I have been diagnosed with sleep Apnea. I also have high blood pressure & polyscytic ovary syndrome. So sadly, this is all in my favor. I don't have 16,000 for this surgery, this I know :smile: So, for now it's my fingers crossed. The lady at the seminar sounded very hopeful about it because of the co-morbidities. <sigh> We shall see

Not that I'm happy to hear that you do have co-morbidities.....but YAY, it sounds like you should get this surgery covered. My self pay price was $9990....so it is being offered here in the US for much lower prices...thankfully. Good luck with your band journey and keep us posted.

~Stacey

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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.
      · 0 replies
      1. This update has no replies.
    • 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.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×