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Tricare Denial..REVERSED!!

JamieNP

By JamieNP, in Insurance & Financing

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KayleighsMommy    16

KayleighsMommy
Posted

I mentioned it before, but I would highly recommend little baby spoons. I am used to eating very fast and taking big bites, and this helps me out tremendously!

I agree with that 100%. You can get a pack of spoons and forks (8 piece) at Walmarts for a couple bucks. It is "throwaway". I use it all the time, the plastic is pretty durable, and just the right size!!! Other than restraunts, I have not used "adult sized" silverware (or anything metal :biggrin: LOL) in 4 months!!!!!..

julie

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JamieNP    20

JamieNP
Posted

They had a 5 pack of color tipped ones at Walmart. They match my Magic Bullet mugs...I'm such a girl!

WTG Maggie on your surgery date. Trust me..I know it seems like a long time but it will fly by. Take this time to mental prepare and "mourn" the fried mozzerella stix, the cheese dips and the Carmel Machiotto Cappuccinos. It will be easier post op!

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KarinaM    0

KarinaM
Posted

Nov.5th. at 10am is the date of my banding. I wanted it sooner but beggars cant be choosers. Maggie:shades_smile:

THAT'S WONDERFUL, Meggie. So happy for you. I wish I could get mine also before Dec 22nd when my parents come from Brasil,but I don't now if it will work. TriWest told me they now have a note saying they will conclude my appela by Nov 8th (it will be 60 days). hehehehe I guess we all know it will be a denial.Well.....

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sharmom    7

sharmom
Posted

I am so glad you got your approval. I am a wife of a retired army military man. My total cost was around 700.00

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JamieNP    20

JamieNP
Posted

Karina, after all of this, your blood pressure should be sky high! So, after 90 days don't you have to resubmit everything? If they deny it, then what?

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KarinaM    0

KarinaM
Posted

Karina, after all of this, your blood pressure should be sky high! So, after 90 days don't you have to resubmit everything? If they deny it, then what?

Great question. I have no idea, I think after this THAT'S it, nothenig else. I will have to deal with it.It really sucks they are taking so long they could just say NO so I can sleep again. The only day of the week I can relax it's saturday because I know they wil not be making any decision. From mon-fri I stress and call them all the time. On sunday I'm alreday waiting for their decision maybe on monday.

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Maggies    0

Maggies
Posted

Ya, just two weeks, but it seems so long. But I guess after it took me this long to get to this point I should'nt complain. I have to go do an ekg, chest xray and blood work tomorrow for preop.

sharmon, why did you have to pay the $700.00? I'm hoping I end up paying nothing??????? Howabout the rest of you, did you have to pay anything?

Jwrn, hopefully they will surprise you with an approval. Just get you out of your misery and let you know. Fingers are crossed.

Maggie:shades_smile:

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tomatogirl    0

tomatogirl
Posted

I did my EKG, chest x-ray, and bloodwork last week. Today I had my pre-op physical and tmw I go have my post-op nutrition class. Weeeee! The chest x-ray and the bloodwork were fine (of course), but the EKG sucked. I think everyone at Barquist saw my boobs. The girl who was doing it couldn't get one of the leads to read, so she had to call in the guy who worked with her, who had to bring in a female chaperone with him, then he couldn't get it, so they called in some doctor, who got it on the first try. Good thing I've hd a kid and all my modesty was left on the delivery table. :tongue2:

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Maggies    0

Maggies
Posted

Whoa, Im losing it. In my last post I meant Karina, Maybe they will surprise you with an approval. My brain is on overload. Maggie:shades_smile:

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Maggies    0

Maggies
Posted

Hello Penny, I will be thinking about you tomorrow. Good luck and let us know how your doing.:tongue2: Maggies:shades_smile:

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Maggies    0

Maggies
Posted

TomatoGirl do you have your surgery date yet? You may have said in an earlier post but I'm to lasy to look back.

Where is Restless? Hiding again, no doubt.

Maggie:shades_smile:

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JamieNP    20

JamieNP
Posted

Good luck penny!

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HelloPenny    0

HelloPenny
Posted

Thanks! We have to get up at 4:30am to be there on time and I had some stuff to do before I went to bed. And, now I have decided to just stay up. I figure I will get lots of rest tomorrow.

I'm tired. I'll let you guys know how it went tomorrow.

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Go To Topic Listing Insurance & Financing

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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
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    • 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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