khelm32
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Everything posted by khelm32
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Found out two weeks ago that the insurance denied it saying that it was a cosmetic procedure and I didn't fall in the guidelines despite the fact my BMI was 39.8 and I have asthma. I have appealed it and my nurse advocate has been trying to get in touch with the medical director at the insurance. We are still waiting.....
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I went ahead and submitted the paper work for the appeal process. I'm hoping I will hear something soon....all this waiting makes me feel like I'm in limbo.
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Well we heard back after a month on Tuesday and it was denied because my BMI wad 39.8 instead of 40. My nurse said she has never had an ins deny because of that especially since I also have asthma. She has already appealed it and is supposed to be talking to the medical director at the ins. I am trying to stay positive but am feeling discouraged.
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Thanks for encouragement!
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I met with the surgeon about 2 weeks ago. They submitted everything to the insurance and now I'm just waiting to get the approval. Anyone else in the same boat?
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Well we heard back after a month yesterday and it was denied because my BMI wad 39.8 instead of 40. My nurse said she has never had an ins deny because of that especially since I also have asthma. She has already appealed it and is supposed to be talking to the medical director at the ins. I am trying to stay positive but am feeling discouraged.
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Best Protein Shakes
khelm32 replied to fashionstylist's topic in PRE-Operation Weight Loss Surgery Q&A
Yes that is the name. It does have a website but you can't purchase from there. It does show a list of retailers. I got a can of the double chocolate today. I'll let you know how it tastes. -
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Best Protein Shakes
khelm32 replied to fashionstylist's topic in PRE-Operation Weight Loss Surgery Q&A
I've been checking out the designer whey powders. The have similar nutritional info as the unjury but use stevia instead for the sweetener. They are also a lot cheaper. Has anyone tried this brand? -
Best Protein Shakes
khelm32 replied to fashionstylist's topic in PRE-Operation Weight Loss Surgery Q&A
So far I like the vanilla & chocolate splendor. -
I met with my surgeon the first week of June and am still waiting for the insurance approval. I have united healthcare too. I'm guessing they are ones to drag their feet. I'm going to follow up again on Monday! I'm ready to do this, but can't w/o the ins. approval.
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I have been wondering the same thing. I look forward to others insights.
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Best Protein Shakes
khelm32 replied to fashionstylist's topic in PRE-Operation Weight Loss Surgery Q&A
My doc recommended the Unjury and provided samples. I like this brand a lot, only thing is you have to order online. -
Date set: July 11th - any other July banders?
khelm32 replied to aviva1979's topic in PRE-Operation Weight Loss Surgery Q&A
I met with the surgeon last week and they submitted everything to the insurance. If everything goes well, I am anticipating a July surgery date. That's my birthday month, so I'm saying that will be my birthday present -
I met with my surgeon last week. He is so nice and attentive. Everything should be submitted to the insurance this week. I hoping for a quick response!
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I had my psych eval last week. I have an appt with the surgeon on June 6th.
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I have my psych eval tomorrow. I believe after that is complete they will schedule my other appts. I'll post an update after my appt tomorrow.
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I met with the bariatric team yesterday at the hospital I will be getting the lapband procedure done. I am still awaiting insurance approval, but for now, the nurse put me on 1200 calorie diet, 30 min a day exercise plan. Whenever my procedure is scheduled, I will be put on a stricter diet a week prior to the procedure, but I'm not going to focus on that right now. So I'm buckling down and trying to stick to the plan, as I know this will make for an easier transition after the procedure. This is a lifestyle change and the lapband is only a tool to assist with weightloss. There will be many changes I will have to make along the way for me to be successful, so here I go.
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I met with the bariatric team yesterday at the hospital I will be getting the lapband procedure done. I am still awaiting insurance approval, but for now, the nurse put me on 1200 calorie diet, 30 min a day exercise plan. Whenever my procedure is scheduled, I will be put on a stricter diet a week prior to the procedure, but I'm not going to focus on that right now. So I'm buckling down and trying to stick to the plan, as I know this will make for an easier transition after the procedu...
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Could of had a May Surgery date...
khelm32 replied to moorecr's topic in PRE-Operation Weight Loss Surgery Q&A
Perhaps you should talk to some other surgeons. I talked to 3 different ones before I made my decision. I heard about the sleeve from them all, but the one thing that stuck with me regarding the sleeve is that it's a newer procedure so they don't have a lot of long term data on it yet, and it's a more drastic procedure that requires cutting & removing a portion of your stomach, and it isn't reversible. The surgeon I went with didn't recommend the sleeve over the Lapband for those same reasons which made sense to me. This is a big decision so you should wait until you are ready and feel at ease with the program/doc that you decide to go with. Good Luck, keep us posted! -
New To The Journey and Saying HI!
khelm32 replied to AnonyMouse's topic in PRE-Operation Weight Loss Surgery Q&A
Welcome and congrats! I am waiting for approval now. I found this site not too long ago. I am currently reading the book they mention on the site. I recommend. It pretty much covers everything and is an easy read. -
Received Approval Yesterday!
khelm32 replied to ksaug21's topic in PRE-Operation Weight Loss Surgery Q&A
Congrats! My surgeon had said he likes to have people stay overnight to make sure things are ok before sending them home. I think I would stay if I had the option though. Keep us updated! -
I have my appt for the psych evaluation scheduled & an appt with my surgeons nurse coordinators to go over their program. Hoping everything goes well.
