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Approved today

beautiful mariposa

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laurentayler    0

laurentayler
Posted

Congratulations!!!! How exciting!

what insurance do you have? when did they put in the request for approval?

I did my nutrition class today and have my Dr. talk on MOnday.

after monday they will write my letter of medical necessity and then I will be waiting on my approval!!!

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Mike S.    0

Mike S.
Posted

That's GREAT News!!! :)

I have the Insurance Co apporval, got my date...my banding date is 5/11/09...I'm going to be going on the semi-liquid diet in less than a week....

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TSB    1

TSB
Posted

CONGRATULATIONS, MARIPOSA!:w00t: The steps I have completed thus far are in my signature line. I go for a sleep study consultation on May 13. My second one-on-one w/ the nutritionist is May 18. Upper endoscopy is May 22. May 26 is my Psych eval. I imagine there may be an additional visit after my sleep study consult to do the actual sleep study. My surgeon will not submit for insurance until after all of the testing is done and he and his staff are satisfied I have met their requirements (i.e. non-smoker, no caffiene, adherence to a high Protein low-cal diet -- I am allowed 1200-1400 cal per day.) I will be some disappointed if after all of this the insurance denies me :)

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beautiful mariposa    1

beautiful mariposa
Posted

Thank you all for your quick replies and your Congrats...

Laurentayler: My insurance is Kanawha it is under the hospital I work for, They put in the request April 9th and I got the reply April 23rd so it has been 2 weeks. I see that every dr.'s office does things differently, I will get my surgery date on April 28th when I meet with the surgeon, and my EGD will be done on May 18th. The EGD is the last thing that I have to do, the only thing I am worried about is that the hospital has been laying off people and I don't want to one of those they lay off especially because I am so close to having my surgery done.

EVERYONE PRAY FOR ME!!

Mike: How Exciting!! I can't wait for my date. Keep in touch and let me know how everything goes.

TSB: I'll keep you in my prayers. We are going to be optimistic, you'll have your approval soon, I can't see you going through everything and it dosen't happen.

Tawandabee: Thanks girlie for all of your encouragment.

:crying::wub::):wub::):lol::thumbup::thumbup::wub::wub::wub::wub::tt1::tt1::tt1::wub::wub::wub:

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Jennifer75    0

Jennifer75
Posted

Congrautlations!! I was just approved as well, my date is May 13th. Sounds like you'll be part of the mayo Banditios too! Welcome!

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Eve411

      Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
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    • Clueless_girl

      Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
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    • KeeWee

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      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
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    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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