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Blog 35981

A blog by hollyncharm

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whats the difference???

so my insurance has three requirements before they will cover the surgery 1.)BMI 40+ 2.)morbidly obese for the last 5 years and 3.)21 years of age and above. since I'm only 19 and have no medical reason YET my DR told me today that she will not recommend me for it but she send them a letter saying that i have requested it. now how is that any different from me saying it? if the insurance company requires a Dr recommendations then why bother to send a recommendation from me??? I'm not a doctor!!!! well in the mean time I'm drinking more water than i ever have, I'm buying a bodybugg and i started parking really far away from where ever it is I'm going. i figure thats better than nothing

June 26, 2008

4

wishing i had a better DR

so i asked the rep at my insurance co all the questions i was suppose to and i got really excited cause it does cover lap band and i am eligible but its for people 21 and over. I'm only 19. i hate that!!!! I'm only 19!!!! aw so she told me that if my Dr write them telling them that i have been obese for the past 5 years and such and that i cant wait i must have it now then i can but my Dr sucks and he wont do it. my Dr's office is like a clinic, they rush you in and around and back out and don't even bother with your name. I'm pretty sure he isn't going to understand and isn't going to let me do it. i feel so let down. i really don't know what to do. i have had my heart set on this and now i don't know what to do.

June 24, 2008

7

off subject. guess handbags for sale!!!!

im so excited i went and picked out two REALLY nice guess handbags to sell on ebay. i love these bags. they are so elagent looking and they make me feel like im important when i try them on so i know who ever buys them will love them. they are both leather-ish. one is black and the other is white. if you are interested at all please go check them out!!!!! eBay Seller: charmynme: Women's Accessories, Handbags, Clothing, Shoes Accessories items on eBay.com :tt2::shades_smile::thumbup::tt1::tt1::tt1::tt1::thumbup::w00t:

July 7, 2008

1

seminar today

i have really grown to love this site. there are about 5 people that i really like and take interest in their journey. i check the blogs every day and comment and some times they comment back. its nice. thanks to so many of you really giving me great advise i hope to leave the seminar tomorrow with great confidence that i will be approved. you all have given me encouragement so that i want to keep trying and your successes make me want it for myself, your advise leads me in the direction that i need to go and i just wanted to tell you all thank you for everything. keep your fingers crossed for me. my Dr is a butt head and wont approve it but lets hope the bariatric specialist will.

June 30, 2008

4

Seminar recap

i was half an hour late. there were three buildings and my directions told me plaza III west garage so thats where i went. that wasn't it. so i went to the next one. plaza II that wasn't it either but i didn't know how to get to the other building or even where it was so some nice older guy helped me out. i got there half an hour into it but no one seemed to mind. i was hoping to go in there and the Dr tell me, "well of course i will send the insurance company my approval!!" but instead they told us a million things that i already knew and sadly he made it seem like bypass that the best option. it made me sad. after about an hour of great grandmas asking the same questions over and over i had to leave. i had a migraine and i could have answered their questions myself. the Dr's assistant noticed me looking at the clock and come and asked me if i need to go. i told her yes but i have a question to ask. she looked at me funny cause this was the time that we were suppose to ask the Dr things but mine wasn't about the surgery. so i asked her. she told me that there isn't really anyway to get around the age limit but if i can prove that i am in a mature state of mind about this then i can probably get approved. she recommended the psych eval. so in about an hour i am going to call and set it up. i hope.

July 2, 2008

4

1 month sooner!!! yea!

so after reading what so many other people have done with scheduling things with Dr's i decided to call the place that is doing my sleep study and see if they had something sooner. they did!!!! so instead of JULY 28th i now have one in 11 days. whoot. well it isn't the "sleep study" its the consultation for it but either way things are moving faster. in a way this kinda scares me cause i don't feel like I'm ready to have a real result but i guess i have spent enough time hobbling about being morbidly obese.

June 12, 2008

8

i heart nortons!!!!

so a girl at work told me that i need to go through a center of excellence or ill never get it covered my my insurance. so i called my local center of excellence (Norton hospital) and the girl set me up with a seminar with Dr Shena and told me where to get the question packet for the insurance company. she told me not to call it weight loss surgery, call it correcting morbid obesity. she was really surprised that my Dr didn't do more considering my BMI is 43. i know that isn't THAT high but she acted really surprised. anyway i just printed off the question sheet and I'm going to call them when i get home and go over it. i haven't read any of it yet but it was 20 pages long and i fill it out as they answer the questions. I'm really excited. i have the sleep study consult Monday i and i don't know if i still need that or not. i mean i don't have the money to be paying on things i don't have to have. ya know???

June 20, 2008

4

possible sleep study....scared

so my dr's office hasnt been of any help. impretty sure i might have sleep apnea so i want to get a sleep study done cause i want o get the surgery and loose the wieght and look great for next summer but i cant get the ball rolling until my insurence aproves it. sleep apnea runs in my family big time and i have problems sleeping so im going to get it checked out. i didnt want to do this but i will i have to (one) cause i cant sleep and i feel super tired all the time and (two) cause i want lapband!!!!! gah!!! so i just need to ger it started.

June 2, 2008

5

how'd you all know?

so it has been like 9mo since i have been on here, but you all have managed to remember me and just when i have been thinking about sugery again. how strange

January 31, 2009

1

ahhh i did it!

first step was call the insurance company. did it! second: the insurance company requires documentation from my DR saying that i can have the surgery. called the DR MADE THE APPOINTMENT!!!! whoot for me. i have guts...yay. ok so next I'm going to a seminar on the 6th which is 3 days after my Dr's appointment. i feel pretty confident that my Dr will help me out. I'm right on the line for my BMI but he is funny about weight. i went in for a spider bite once and he never even looked at it he spent the entire appointment telling me that I'm over weight and what kind of health problems I'm going to have. so i know he will be happy to hear that there will be one less fatty in his office.

April 14, 2008

2

date for sleep study!

yep they set a date but its isnt for 2 more month. well the consultation isnt for 2 more month i dont know how long it will take after that. that is only for the hospital down the stret from me so i might try the next closes one i think they can take me now but i have to take off of work cause they only do consultations during the day. i dont know how much it will cost or if my insurance covers it so i might have to wait the 2 or so months. i am trying to get set up with realestate classes and get put on birth control (prefereble implanon) and all of this will cost about $2000 and i dont have that kind of money. so wish me luck. by the way if you af wanting to switch birth controls or are just looking for one that wont make you gain weight impanon is great! its a small stick like thing that they inject (implant) into your arm and it last for 3 years. i want it but even with my insurance its still $750 because i havent met my deductible yet.

June 4, 2008

2

Irony is a bitch

I met both my deductibles and could have gotten the surgery for 20% of the total cost and my fills would have been free but the decided to fire me for making an accidental mistake. It was there fault I made it too. I was just starting the long process when they let me go so now im trying to make it on my own. And on top of it all about a month before I was fired I was told I am insulin resistant. Now I cant afford my meds but the one really good thing that came out of all of this I got a membership to the YMCA for $11.40 a month and have been toning up and getting in better shape. I feel really good! Norton’s had a thing on tv tonight about insulin resistance and what to do about it and so far im going really well but my biggest enemy has been my eating. I want to all the time and salads don’t cut it I want heavy cheesy meaty stuff. The thing from Norton’s said that having too much insulin will do that to you. It will make you hungry all the time and make you want food high in carbs, so im glad it all makes sense but it sucks that I have to work twice as hard to loose weight because no matter what I do I will stay hungry so I guess ill have to get better self control and try and be even more active.

December 21, 2009

1

2 times tuesday!!! no wait today is monday..oops

so today i have my sleep study consult. i don't know if I'm going to have the sleep study or not. i also am calling the insurance co. to day to ask them the questions in the packet that Norton's gave me. the answer to that will let me know if i still need to try with the sleep study or not. I'm nervous. the whole thing that has freaked me out the most was the surgery part but i feel better about it now. about 4 days ago my best friend called me from the hospital. she was admitted for emergency surgery. she was having pains in her side/abdomen. she had flipped her index!!!! anyway back to how this relates to me. so she calls me the next day and she sounds fine. she sounded groggy from the anesthesia but other than that she sounded fine then she called me a day later and she was out shopping. i know you can have out patient surgery but i guess i still thought it would put my life on hold but she had 4 incisions and was out shopping 2 days later. that made me feel better. and she is doing fine now BTW. on another note not lap band related, I'm starting classes to get my real estate license in about 2/3 weeks. I'm really excited but a little stressed. i still have to get it approved with work and get a small loan to cover the cost, buy me books and enroll. and I'm trying to do all of that and the lap band stuff at the same time. wow i feel important. wish me luck!!!

June 23, 2008

2

teeth brushing reality kick

so i was brushing my teeth last night and looking in the mirror and all of a sudden it just hit me, "i could be having surgery:whatchutalkingabout ..." and i got so scared. i have been ok with the idea for about a week or so but last night it just felt like i have been repressing the reality. but now this morning I'm in between about it. yea its surgery and I'm scared but it doesn't stop at the surgery. the surgery is my first step to many awesome things so like everything else life changing the first step is the scariest but ya have to take it. but yea i just thought id tell you about that. i wander what brushing my teeth had to do with anything?

April 16, 2008

2

battle of the offices

so i had my assesment and they wanted me to come pick up the letter and mail it to my health insurance company. my health insurance company will only take it if it is directly from the Drs office. the IC wont give the the fax number so i have to give the DR office the phone number to call and get the fax number. the Drs office said that they dont do that stuff becuase they are too busy. i begged and she said that she will try to do it monday. im going to call back on monday and see if it went down or not. this is stupid. if it isnt their job than whos is it? the Drs office doesnt think they IC will take it cause i dont have dibeties, high blood pressure, or sleep apnia(that we know of) but my body mass index is 42. its low..... so i dont know i mean i could have sleep apnia my aut grandma and dad have/had it so its possible but im going to try this first and if they dont take it ill make an apointment.

May 16, 2008

3

I need some one my age to talk to about this

ok so i am SUPER afraid of doctors and like 5 times more afraid of them cutting my skin and bing inside of a part of my body that they shouldnt..... this is how i keep looking at it. I'm so scared but I'm over 100lbs over weight and i need to do something for myself and getting over this fear would be a great thing to do for me....but its so hard. i have talked to a few people and they keep saying it wasn't that bad having a baby was worse......that is exactly what i don't want to here i want to talk to some one my age who has not had a baby and i want them to tell me everything not just a summery of how it was.... i mean like.."well i put the robe on and they wheeled me down to surgery......they put the mask on my face...i had a dream about blah blah blah and then i was soar for 3 days!" something like that.....cause i am horrified of a cut, injury, and anything painful. i cant even watch it in cartoons. please help!

April 10, 2008

6

done in just 4 appointments????

so as you may know i have gone back and forth on this whole thing. my Dr said that the insurance wouldn't cover it. people at work says it covered theirs, Dr take over 4 weeks to fax a paper and still hasn't done it, then says i need a sleep study. she schedules me a sleep study for 2 months away. i wait a few weeks and move it closer. i was really thrilled but then i thought, "this is stupid why am i going on that quacks opinion when their are people at work who has had it paid for????" so i talked to one of those people and she told me to go to a center of excellence. she went st Joseph (or something) in Lexington and the whole proses took 4 appointments. i want it to get going but all this time dragging it out gives me time to think about it. i guess it would be better if i just dove into I'm getting scared cause i have to wait and so it feels like it will never happen and when i think that it will it freaks me out. i do know that i really have to do something about my weight now. if i keep waiting then I'm going to have so bad health problems. I'm 19 and my back is so bad i cant walk around after about or so cause i have to lie down. it feels like I'm folding in half back wards i hate it!!! any way my whole point of writing this is to tell you all that i may be rerouting myself on a better path to banding.

June 16, 2008

1

insurance????

ok so i dont understand insurance lingo but im gathering that as long as the DR carries the insurance then it covers 80%. i dont know how much the surgery costs to begin with so i dont know how much to save.....? but at lease they cover whoot!

April 14, 2008

1

Dr.s apointment verdict

i had my approval appointment and the only thing she told me was that i will probably get turned down unless i have sleep apnia. i told her that it sucked i had to pay for her to tell me that. she agreed. my aunt, dad and grandma had sleep apnia and i have some of the symptoms so I'm not SUPER worried about it but i am a little. they typed me a letter to send to the insurance company saying that i have a BMI of 41 but i dont know if it will work or not. i dont want to do the sleep study but i will if the letter doesn't work.

May 7, 2008

1

whoot for you all

ok so i have sent the past two days reading as much as i can about peoples experiances andhow the surgery works and my mintal soaz about dr.s cutting my skin is about gone. im getting excited. im seeing comercials and thinking...im gunna look like that! so i tried contacting my insurance company to see how much they cover but the otomated answere thing gave me the run-around then disconected so il going to try some more monday! wish me luck! ps: help me stick to this. i tend to make excuses and then crap out of stuff and never do it. i am bad with half doing things. my thing right now would be that im moving and blah blah blah but help me stay on track! i always need that! thanks

April 11, 2008

1

ahhh i did it!

first step was call the insurance company. did it! second: the insurance company requires documentaion from my DR saying taht i can have the surgery. called the DR MADE THE APPOINTMENT!!!!

April 14, 2008

1

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