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Hi RestlessMonkey, Congrats on your approval. What can you do for a fatty liver to get it ready for surgery? Also, how does Tricare Standard work? Doesn't it cost more yearly and how about the deductibes? Any info would be greatly appreciated...Maggie:confused2:

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Hi Maggie!

Thanks! My liver...my surgeon has me on an atkins-type very severe diet of 2-3 100 cal Protein shakes a day, 64 ounces of Water (at least) and a palm-sized piece of lean chicken turkey or fish, and some green veggies daily. That is it. no butter, no ketchup no breading no oil....you get my drift! I did go nutso and chew a piece of sugar free gum last night but "confessed" it today and they said that was ok! LOL

Tricare standard will cost more than prime depending on how much you use it! We don't pay anything. We get our generic drugs fairly cheap (most are $3 per scrip). We have a $150 deductible we meet (it's just my husband and me, and we each must meet that deductible) and then

Tricare compensates at 80% and we pay 20%. Tricare has a $3000 catastrophic cap so once we've paid 3k out of pocket, tricare reimburses the rest (in any year, of course) at 100%.

Years we had little/no medical issues, tricare standard was cheaper. This year, prime would be cheaper but, as I've said, we don't care for the network doctor's prime restricts us to locally. It's a personal decision of course!

I do feel lucky (for the 1st time!) to have tricare, though, after reading some of the horror stories people here have shared!

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JWRN - I am soo sorry about that! Are you going to appeal it? I definately would, tell them they got your height wrong, lol. That should help! Seriously, keep on fighting...you deserve this!

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Oh, I WILL weigh the required amount...and maybe 3 lbs over for good measure. It just shocked me when the tricare rep read the denial to me over the phone and said what I needed to weigh to get approved.

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You GO Girl!! Dont let them get you down! Try the rolled up coin bit, I didnt think of that one...

How soon can you resubmit it? Does Tricare make you wait any certain amount of time? How long has it been since you first weighed in? I cant believe they are being so petty about 6 lbs!!

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JWRN...eat something fatty and disgustingly unhealthy for me, ok? :)

Good luck. Those turkeys!

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Oh, I WILL weigh the required amount...and maybe 3 lbs over for good measure. It just shocked me when the tricare rep read the denial to me over the phone and said what I needed to weigh to get approved.

Hi, just checked online and it was showing a code: ANC and I called and I was told I was denied and since the letter was not generated I have no idea WHY I was denied. I guess I will see if I can appeal or not.:)

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Did you talk to a human? They should tell you why you were denied.

Probably they same reason I was, considering we have about the same stats.

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I have this feeling that my approval is too good to be true and they will pull the rug out for some reason! I'm still in shock about it! Good luck you guys definitely fight for it!

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Carly, it's none of my business....but I am a curious Monkey...

why so long till your surgery?

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Well the city I'm in is the only one in Montana that does LapBand and there are only 3 dr.s here and mine is the most popular! I was pretty surprised too! But there is a chance I might be moved up, I hope!

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Thanks for your quick answer. I'd almost be willing to postpone, just to get to live in Montana! LOL Come on down here to Texas; mine was approved 8/5 and surgery scheduled for 8/11!

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Karina, are they still saying they don't have all the necessary paperwork? I would appeall as soon as possible. It sounds like Tricare is starting to deny a lot of people. Wish me luck tomorrow. It is a 2 1/2 hour drive each way so I hope I get some good news, but the way it sounds on here I may need more than luck. Karina, keep trying, you will get it in the end.

maggie:thumbup:

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I just moved FROM San Antonio to Montana!! HAHAHA! Needless to say I'm happy where I'm at! I have a chance that it might be moved up no biggie time will fly! I have time to get mentally prepare for surgery and get in all my favorite bad for you foods! HAHAHA!

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LOL DH and I are moving west in a couple of years. I don't know if we'll make it as far north as Montana, but we will do love it up there!

And you're right; time will fly.

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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.
      · 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.

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    • 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!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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