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I got my denial but...



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I don't know if ya'll remember me stating that MY company was the one that would deny me for lapband. I went ahead and had the doctor send my information into the insurance company, ready for a fight on my hands, several appeals and to get my lapband by June. Well things have changed! I got my denial, but the good news is they denied be because of the 6 month supervised weight loss plan! First off everything probably wasn't sent in til March 10th and the doctor got a faxed denial back by today that's only ten days give or take a day. But it means that if I do the 6 months weightloss they will approve me so I hope! I had wanted to do this over the summer, but if I can get it done at the end of the year and have insurance pay for it instead of going self-pay I'm willing to do that!

Just wanted to share with everyone....

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Wishing you good luck on your six mo. pre-op. Also, sending you good luck for approval by your ins. company

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There is light at the end of the tunnel for you bradleybanana...go figure there are always hoops to jump through! Try and use this time to practice the behavior modifications and exercise ( if you don't). Then you'll be setting yourself up for success! Good Luck...I'm waiting to approval too!

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I am with you. Hopefully you get approved as soon as you finish your 6 month weight loss program.

I am on the same boat with BCBS TX, they request a 6 month supervised weight loss porgram and I am exited to say that I am on 5th month, however it has been difficult to loose weight as I am always hungry, but at the same time I haven't gain any weight. I am sustaining it.

Don't give up your hope and keep in touch.

Regards

Vicky

Waiting to be banded

5/6 weight Loss program

Currently 202

BMI 36.1

Goal 130

Diabetes II, Infertility, amenorreah, sleep apnea, Hypothiroidism, PCOS.

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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
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