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Moonshine is a liar



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Something I HATE, HATE, HATE about having to deal with insurance companies is that you can never get a straight answer out of them and they never give the same answer twice.

Take Moonshine. Moonshine is the CS rep who answered UHC's hotline the day I called to find out if WLS was excluded on my company's policy. Moonshine looked it up on her little computer ... or maybe she just pulled her answer out her ass ... and told me that it was.

But Moonshine was wrong.

So for the past three months that I've been thinking all I had to do was switch to UHC when Open Enrollment came along and I'd be fine for my surgery in the fall.

That's three months wasted. Three months I could have spent working with a surgeon to get my pre-op requirements out of the way as as self-pay patient. That's also three months that I spent making lifestyle changes in preparation for having a band that lead to me dropping below 40 BMI. If I'd been under a surgeon's care with my weight recorded at its highest, it wouldn't matter and all this weight would count towards the 10% that the surgeons in my area want you to lose before they operate.

I am not feeling very charitable towards Moonshine right now.

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I have them send out written confirmation of everything they say. UHC did that for me when they said it was covered. Any company that will not give you written confirmation, is not a good company.

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Oh no I am very sorry to hear that :smile2:

I try to make it a habit to make the call 2x to confirm that I get the same answers.. Even then sometimes it doesn't work.

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I tried calling 2x but the second time I didn't get an answer at all. (They were supposed to call me back. Ha!) So I asked the HR department, particularly the one who negotiates the contracts with the insurance companies.

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I am very sorry that they did this to you....insurance compnies suck and are generally the spawn of satan. However, don't hold it against Moonshine. She's probably just bitter because her parents named her Moonshine....wouldn't you be??

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I really had a hard time not laughing when she told me her name, to be honest. Maybe she sensed that.

Well, the good news is: I don't have to change my insurance. I really didn't want to as I really like the policy I have now.

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yay :cursing: that's good!

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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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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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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    • bellaamey

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