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Frustrated with my insurance.

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PM82

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So I just got a call this morning from my surgeons office. She wanted to tell me that she just spoke with my insurance and I have to meet some medical criteria before my insurance can consider (you notice how she said consider not approve or deny) me getting the LAP-BAND® surgery. I was so upset because I called my insurance twice to verify everything and they never told me that I had to go through a 6mos nutritional program and other testings (I knew about the testings but they were asking for other tests I'm like dang you want to check my a** too..lol sorry that was too much):P:mad:!! Uuuugggghhhh so irritated with them right now. So now I have to go through this nutritional program and now I'm worried that after I do all of this they'll deny me :) :mad:UUUUGGGGGHHH!!!! But don't worry I'm not giving up I've gotten this far and I'm not turning back so I'll do it all :lol:!! Health insurances are so funny they do everything in there power to not pay for your health care services, its like they want you to be close to death before they decide to pay for something:mad2:. But I will keep on keeping on and I wont let this bring me down. You know what let me stop right now I wouldn't be in this predicament if I hadn't of let myself get so big like this.:):smile: I'll still move forward with my plans/goals just wanted to get this off of my chest before I start my day at work, everyone have an awesome day and thanks for letting me vent..lol :tt2::P. I feel so much better.

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Good-luck stay strong it will be worth it, I am also waiting on my ins. but I know it will be worth the wait & the hoops we have to jump through.

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It is unfortunate that they didn't inform you by phone. All insurances (I believe) have the 4-6 month requirement and even the doctor's office knows this.The good news is the six months will fly by quickly and the doctor's office knows exactly how to document and even appeal if necessary to get you approved. I knw how you feel. You contemplate surgery for months or even years and when you finally make up your mind....bam, it feels lie a road block hits. Don't get yourself too frustrated... you'll be in bandland before you know it.

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So true jmunks2000 and inhardemon I've been thinking about this for years and just about 4mos ago I started thinking about it seriously and then finally pushed myself to go to the seminar and consultation. So it does feel like a road block, but thanks so much for the encouraging words. And trust me I'm over it now, my blood pressure went up the roof but I calmed myself down and now I'm just ready for the weekend to start...lol!!

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I had the 6 month wait too. I can tell you now that it's really worth it. You learn how to eat which makes it so much easier to stick to small amounts of food after banding. I was soo surprised how big proper portions actually are! (not to mention that I actually didn't have to have 2nds to be satisfied :) ) Good luck and stay positive!!

Tina

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