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Thanks Lucky

Like I said my coworkers got a huge kick out of it. Looks like it didn't delay anything and they are fixing that part.

UHC did call back and say that my packet was in "notification". I'm not sure what that is, sounds like perparing to let me or the Dr's office know the result. I'm on so many meds for heart, cholestrol and HBP the Dr. dosen't think I'll have a problem.

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My surgeon's office just called me they got verbal approval on Friday and we set my surgery up for 4/10.:party:

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If you have any joint problems (knee problems, osteoarthritis, etc.) that have been documented, those will help. My BMI was over 40 for YEARS and I have only one comorbidit (knee surgery) and none of the docs in my state (Tennessee) would approve the surgery; so, I finally became a self pay and went to Mexico for mine... Best decision I ever made for myself! Good luck!

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I go for my psyc exam Monday 06152009. I have to have my Thyroid out before my PCP will write the letter recommending me for surgery. I'm taking the meds to get my Thyroid under control so they can schedule my surgery. Should be able to have the Thyroid surgery in August. I'm trying to push to get the surgery before the end of the year due to a high deductable.. 2300 per year. ANY ATT United Health Care out there?

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I also have United Health Care.. 40 BMI and hypertension... I have hyperthyroid (taking meds) and acid reflux (taking meds). I have to have my thyroid out before my PCP will recommend me for surgery. My thyroid surgery is scheduled for August. I have already been to the nutritionalist, physical therapist. I have my psyc appointment on Monday. Lets keep in touch to see if we get approved. We might learn from each other... I have UHC through ATT and I'm from Bham Al.

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Has any one had any issues with United Healthcare not wanting to pay for the lap band? Hubby just had the surgery about 2 weeks ago and today we got a letter stating that they were not going to pay for the surgery. I'm kind of freaking out because before the surgery the Dr said this wouldn't be rejected so the thought of possibly having to pay for the surgery on our own never crossed our mind! We don't even have any idea of what the surgery costs. Anyone experience anything similar?

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Do you have your letter saying that they approved the surgery? Did they say what part of the bill they are not paying since there is a lot of bills with it? I wonder if someone used the wrong billing/procedure codes? I would ask for more details from UHC and then talk with all the doctors offices that deals with the billing and see what happens. Good Luck with things any questions just ask.

Chris

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My BMI is 37. I was scared I would not be approved because I didn't have any major co-morbities, such as diabetes or hypertension. My doctors office submitted with co-mobities of DJD(degenerative joint desease),GERD(reflux/heartburn),mild obstructive sleep apnea,depression, and cronic back pain. I called UHC 7 days after things were sumitted and YES!!!!! Iwas approved....just found out yesterday. Waiting for psychiatrist to turn in his report stating I'm mentally stable,and that's not a problem, I passed his little test....if he only knew!!! Just kidding,seriously,but any mom of 4 boys under the age of 7,you have to admit, IS slightly mental. But after he turns in his report,we can set the date.

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My BMI is 37. I was scared I would not be approved because I didn't have any major co-morbities, such as diabetes or hypertension. My doctors office submitted with co-mobities of DJD(degenerative joint desease),GERD(reflux/heartburn),mild obstructive sleep apnea,depression, and cronic back pain. I called UHC 7 days after things were sumitted and YES!!!!! Iwas approved....just found out yesterday. Waiting for psychiatrist to turn in his report stating I'm mentally stable,and that's not a problem, I passed his little test....if he only knew!!! Just kidding,seriously,but any mom of 4 boys under the age of 7,you have to admit, IS slightly mental. But after he turns in his report,we can set the date.

Cajummama you have given me hope!!!! im in the same predicament.

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congrats cajunmama, i got aproved couple of weeks ago too by uhc but my surgery is not unti sep 24, it seems like a long ways but it getting here and i am servous because i have to loose 17 pound and i am afraid not do it.

good luck

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Does UHC pay the bulk of the bills for a LAP-BAND®? How much could I expect to pay out of pocket? I'm sorry I'm new on my search for knowledge and I just want to make sure I take all the correct steps. :tongue:

Edited by samiott

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Does UHC pay the bulk of the bills for a LAP-BAND®®? How much could I expect to pay out of pocket? I'm sorry I'm new on my search for knowledge and I just want to make sure I take all the correct steps. :tongue:

It depends on the type of coverage you have. I have Choice Plus and everything was covered for my surgery.

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Thanks! I do have Choice Plus.

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Call your insurance company and ask if WLS is covered then ask them for the exact wording of the requirements. I have choice plus as well. If it's like mine, I can help you by telling you what I did...

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Call your insurance company and ask if WLS is covered then ask them for the exact wording of the requirements. I have choice plus as well. If it's like mine, I can help you by telling you what I did...

I called them but they said they can't tell me anything until my Dr sends in my paperwork. I'm sticking it in the mail to my Dr tomorrow morning. They said at first that it was not covered but then I asked about medical necessity and then they said my Dr had to send in a letter for the medical necessity which shouldn't be a problem. I have HBP, Cholesterol, BMI of 40 and I'm on Diabetic meds.

My Dr needs to look over my paperwork and let me know if he will do my surgery, then he sends my information off to UHC.

btw, I have UHC Choice plus also, did you have any problems getting it approved?

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    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
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    • LeighaTR

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    • 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!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

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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.
      · 1 reply
      1. 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

      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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