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Called MSI for coverage....Need your advice



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Hello,

LIke all of you said I called MSI as my Family Coverage with Blue Cross does not cover LapBand surgery.

I called and the Registration Dept said they dont give the information so she transfered me to the people who done the approval and I spoke with Debbie.When I got in touch with her she asked for my health card information and number.I explained to her if the lap band is covered if your doctor is suggesting it.

___> as soon as I said lap band she said" Well every situation is different and it depends on the person.I asked what information needs to be put in teh letter and she said the doctor would know that information. I asked what approval is based on)comorbities or health conditions) And she said every condition is different only the worker getting teh file can make a decision.....

I dont know what to think.......Where can one find out what Nova Scotia MSI thinks are reasons enough. What has to be put in the letter the doctor sends..??

If I apply now and MSI will pay for everything but the surgery and I dont have the money for the Lap Band itsself how long is the quote that they will pay the procedure itself for??

Thanks,

mlm

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I am from Nova Scotia and the Nova Scotia government would not help me with Lapband. They told me that I could apply for vertical sleeve and gastric bypass as they are the only surgeries paid for by the Nova Scotia government. Then they told me it would take 18 months to 2 years to get approval after receiving the recommendation from your Family Doctor. If you do get approved there is a 3-4 year waiting list unless you are a diabetic. I could not wait 5 years to change my health so I applied for a loan and flew to Toronto and paid for my own surgery. If you found out something different I would love to know what you found out about Nova Scotia covering Lapband surgery because I have a huge bill that needs paid back and if the government has changed their mind I want some help!!!

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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.
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