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Impatiently Waiting and Frustrated



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My surgeon sent in all the necessary documentation to my insurance the week of 11/9, last week my insurance said they never received it. I called the Dr's office, and they said they had spoken with someone from the insurance and that it was still with Medical review. So, yesterday I call the Dr's office to see if they've heard anything, and they said the insurance requested an additional form. Called the insurance and they said they had just received information from the dr for the first time on 11/23, however outpatient lapband does not require pre-auth. Well, I know that it does require it and know people at my job who've gone through the process and have the same surgeon and received preauthorization. I feel like I've waited forever while meeting all of the other requirements (6 months medically supervised diet, psych eval, nutritionist appointment). I just really want to know where I stand so that I can move forward in the process. I'm very frustrated at the moment. Any advice?

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I went through the same thing! Felt like I couldn't make any plans with my life until I had the surgery. Took me a total of 7 months to get approved but I did and as long as your doc sends it all in - you will be in good shape. I called the insurance company to check on mine nd they said they had requested something from the doc so I called the doc and they said NO - it was all sent. A few days later...I had my approval but the doc wouldn't ive me a date until they had the approval in writing from the insurance co. It is VERY hard to be patient but you have been going through the process a long time. When you started the 6 months - didn't it seem like that would be forever? Did for me so when it came time to submit to insurance I was sooooo happy. Still had the wait but I knew I was really in the home stretch and so are you!!

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Might want to call and check with them again. I had my paperwork submitted in July. In November (early) I had my husband call to find out why they were obviously denying me (since I had received NO information from them.) Apparently they approved me August 6 - yet did not inform me?? I finally got my paperwork two weeks ago from them and sure enough, it has an approval date of 8/6! I'm very aggrivated about it.

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Might want to call and check with them again. I had my paperwork submitted in July. In November (early) I had my husband call to find out why they were obviously denying me (since I had received NO information from them.) Apparently they approved me August 6 - yet did not inform me?? I finally got my paperwork two weeks ago from them and sure enough, it has an approval date of 8/6! I'm very aggrivated about it.

:w00t: Oh, that's just wrong! You could have been banded 3 months ago! I too am playing the waiting game. I called today about the status of my appeal and was told that a decision hasn't been made.

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Finally, I got my surgery date. 12/18/09. My Dr requires that I have a scope to see if I have a hiatal hernia. I'm having that on Monday, starting the 10 day pre op diet on Tuesday and then pre admission testing on Friday the 11th. I'm excited and yet now I'm nervous about the whole thing.

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    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
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    • Doughgurl

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      · 3 replies
      1. Phil Penn

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      2. Selina333

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      3. Doughgurl

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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

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      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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!

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