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Oh My GOSH!!!!!!!!!!!!

moonandstarzz

By moonandstarzz, in LAP-BAND Surgery Forums

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moonandstarzz    0

moonandstarzz
Posted

Ok little background. I had started preop diet back in december and finished in June. My surgeon sent soem info to my primary insurance Aetna. Well they said they wanted me to do a psych eval even though the clinical policy stated I didnt have to due to no past issues etc. Well I was going to go on the 22nd and was going to have to pay out of pocket $260 because my insurance wouldnt cover the doctor. Well I just got home and my phone started ringing. I answered and the lady asked for me I told her it was me. She said whom she was (she was the nurse/receptionist that sends the stuff off and i been talking to almost everyday lately) well she asked when my psych appt was. I told her tuesday and she said well I need you to cancel it. My heart sank I was like oh no and asked why, she said and I qoute "Your Approved" all I could get out was How. She said that she decided to send the stuff into insurance today and take a chance and she wrote a letter stating that I have never had any psych issues and that I was coming upon the time running out, and she said she got a approval almost immediately. Yall I am so freaking excited. She said the lady will review charts tomorrow and will call for my preop appt (if needed) and that I can have surgery as soon as my surgeon gets back which will be the 2nd week of august. Yall I am literally bouncing off the walls and so excited. I started to cry. I was so scared they would find a reason to deny me cause they have been such a pain in the butt lately but nope i got the approval. And they gave her a approval number and will be sending the letters out. God is truly awesome! I just got to praise him!!:):thumbup:;):thumbup::thumbup:

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BeverlyDiane    0

BeverlyDiane
Posted

Ok little background. I had started preop diet back in december and finished in June. My surgeon sent soem info to my primary insurance Aetna. Well they said they wanted me to do a psych eval even though the clinical policy stated I didnt have to due to no past issues etc. Well I was going to go on the 22nd and was going to have to pay out of pocket $260 because my insurance wouldnt cover the doctor. Well I just got home and my phone started ringing. I answered and the lady asked for me I told her it was me. She said whom she was (she was the nurse/receptionist that sends the stuff off and i been talking to almost everyday lately) well she asked when my psych appt was. I told her tuesday and she said well I need you to cancel it. My heart sank I was like oh no and asked why, she said and I qoute "Your Approved" all I could get out was How. She said that she decided to send the stuff into insurance today and take a chance and she wrote a letter stating that I have never had any psych issues and that I was coming upon the time running out, and she said she got a approval almost immediately. Yall I am so freaking excited. She said the lady will review charts tomorrow and will call for my preop appt (if needed) and that I can have surgery as soon as my surgeon gets back which will be the 2nd week of august. Yall I am literally bouncing off the walls and so excited. I started to cry. I was so scared they would find a reason to deny me cause they have been such a pain in the butt lately but nope i got the approval. And they gave her a approval number and will be sending the letters out. God is truly awesome! I just got to praise him!!:):thumbup:;):thumbup::thumbup:

I am so happy for you. I know this has been a long process. Now you can start thinking surgery and post-op. Congratulations.

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Sue Magoo    71

Sue Magoo
Posted

Yeah Nina!

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moonandstarzz    0

moonandstarzz
Posted

definetly a great feeling, i thought bout calling insurance to double check but i was afraid that if i did they would find something wrong and take the approval back.

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Claudine1975    0

Claudine1975
Posted

I amso happy for you Nina. I am sure a great stress has been lfted. I am glad you have that part behind you. Waiting for the insurance approval is the most agonizing thing I ever did - except give birth:tongue_smilie:

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LiveLoveLaugh    0

LiveLoveLaugh
Posted

Now take that $260.00 you just saved yourself by not needing that doctor's appointment and save it for new smaller clothes!!

Best to you..... Awesome, I'm so excited for you!!

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Go To Topic Listing LAP-BAND Surgery Forums

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    • Alisa_S

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      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

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      Officially here for a long time, not just a good time💪
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