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Just approved!

alsorl

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alsorl    0

alsorl
Posted

Hi there. I have been doing my research on this site since January. I decided to schedule an appt with the surgeon in Feb, had my psych eval and sleep study in March and finally was approved. My primary ins. United Healthcare denied the request because there is an exclusion in the contract, but.. my secondary, Tricare Prime came through for me like I expected they would. I have an appt next week for my second visit with the surgeon, and at that time we will set a surgery date.

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SilverBand    0

SilverBand
Posted

Wow! Things went so easily for you! I started about the same time. Did my information seminar at the end of January, saw my surgeon 2 weeks later. Then had to wait a month and a half for my first appt with the nutritionist. I have now found out that I have to see the nutritionist for six solid months and while I see her I have to get a sleep study done, see a psychiatriatrist and get some more documentation before they will even send anything to my insurance for approval. I am looking at the end of September/October before I get my surgery!

I am so frustrated! I want it done now and if I had the 21,000 dollars I would just schedule it on Monday! I have done all the research (for the past 4 months) and know that this is what I want to do.

Sorry for venting. I am very happy for you. I just wish it was that easy for me.:lol:

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kathystrick    3

kathystrick
Posted

It looks like they would have known to start your pre-op diet when you first started the pre-op stuff. Sorry you are having to deal with all of the frustrations. It will be worth it in the end though! Good luck!!

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Halbert    0

Halbert
Posted

I completely agree with the previous poster... don't get discouraged waiting on the approval. Aetna kept me on hold for 6 months. I had to follow a supervised program of diet and exercise for 3 months, then Aetna lost my paperwork!!!!

The last month before surgery I had almost given up and was back to laying around and eating too much. Then the call came that shook my world. "You've been approved!" I was shocked and worried... I had quit doing the things that would help with the surgery and recovery time.

Luckily it seems to be working out. I was banded on 4/15 and while I'm still feeling gross, the words of encouragement and the stories of others here give me hope and an anxious outlook to the future.

Hang in there!

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kathystrick    3

kathystrick
Posted

Congratulations on your band! Glad it finally happened for you and you are doing well. Keep us posted on your progress. Good luck!

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georgia girl    35

georgia girl
Posted

Hi there. I have been doing my research on this site since January. I decided to schedule an appt with the surgeon in Feb, had my psych eval and sleep study in March and finally was approved. My primary ins. United Healthcare denied the request because there is an exclusion in the contract, but.. my secondary, Tricare Prime came through for me like I expected they would. I have an appt next week for my second visit with the surgeon, and at that time we will set a surgery date.

Whoooo Hooooo!!! Congratulations!!!

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kathystrick    3

kathystrick
Posted

Hi Kathy: Any word yet on your approval from ins.?

Nope, nothing yet! :blush: I am starting to think I will be one of those people who wait months!!:sad:

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pennyt    14

pennyt
Posted

Nope, nothing yet! :blush: I am starting to think I will be one of those people who wait months!!:sad:

It's been almost three weeks, so I'd call the insurance company, if I were you. I've got my fingers crossed, hoping you'll find out this week!

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pennyt    14

pennyt
Posted

Congratulations on your approval! And congratulations to Kathy Strick! I hope you both get your surgery dates soon!

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Go To Topic Listing Tell Your Weight Loss Surgery Story

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    • LeighaTR

      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

      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!
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      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

        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

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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