band2RNY

I know.. how many people are having surgery on the 10th? lol

Ok. I wonder if anyone has had this experience with FEPB. I'm having lap band revision to sleeve or RNY. I call the insurance company on Wednesday of last week and the guy said I was approved. All excited... didn't rush into anything until the next day. I get a call from my doctors office Friday saying that they need more documentation ( 3 month diet plan, psych eval, etc.) I never had to have all this when I had my lap band in 2010 so I was fuming because I already purchased airline tickets for family members to come down to Texas for surgery. I called the insurance and they sent out two letters. One that is approving the procedure for lap band removal. The 2nd letter is coded for the sleeve/rny and it says before they can look at it need the 3 month diet, etc. So, I call... and I told the lady what happened and she had referred it to the person that sent the letters out to look at it. She called me back and I explained to her basically you are approving one surgery and you are pretty much going to force me into doing two surgeries. She was so persistent on the documentation telling me over and over they need that. I asked her do you even look at the cost of two surgeries and does that justify me not having to do the 3 month, diet. etc. She said they do but that they still need the documentation????? Has anyone gotten through this problem without having to jump through hoops?

I'm going to look into these! My friend at work that sits behind me had gastric and found a good one at GNC that is almost 30 dollars for a case of 12. She is going to bring me one to try. I just bought the Optifast on amazon for 100 dollars for 27 of them! I know by experience they work and they taste really good.... but if there is a cheaper option i'm going with that! Thanks y'all

yeah, which i still have time to do but i'm hoping someone tells me something that I can use now or after all this is submitted just in case they try and pull something once everything is submitted... I've thought about appealing it but i don't know....

Yes, I did 1 month prior to lap band. I'm not doing it this time, I was struggling last night for real. lol I need to lose 10 lbs by Dec 2nd. So, hopefully I can do the liquid 2 1/2 weeks before surgery date and still lose the 10 lbs for insurance approval. I may just be getting the band removed on the 10th if my insurance gives me probs.

Ok. I wonder if anyone has had this experience with FEPB. I'm having lap band revision to sleeve or RNY. I call the insurance company on Wednesday of last week and the guy said I was approved. All excited... didn't rush into anything until the next day. I get a call from my doctors office Friday saying that they need more documentation ( 3 month diet plan, psych eval, etc.) I never had to have all this when I had my lap band in 2010 so I was fuming because I already purchased airline tickets for family members to come down to Texas for surgery. I called the insurance and they sent out two letters. One that is approving the procedure for lap band removal. The 2nd letter is coded for the sleeve/rny and it says before they can look at it need the 3 month diet, etc. So, I call... and I told the lady what happened and she had referred it to the person that sent the letters out to look at it. She called me back and I explained to her basically you are approving one surgery and you are pretty much going to force me into doing two surgeries. She was so persistent on the documentation telling me over and over they need that. I asked her do you even look at the cost of two surgeries and does that justify me not having to do the 3 month, diet. etc. She said they do but that they still need the documentation????? Has anyone gotten through this problem without having to jump through hoops?

Also going to go by walgreens before work and pick up some big cans of Arizona tea... they have some awesome 0 calorie ones. . Half lemonade half tea

Xx

Today is my first day on diet. I bought ready made shakes optifast brand. ... ive had the powders in the past but I need to ready made cause of my schedule. I just cut up half sandwich bags of carrots, bell pepper, and tomato for work if I get a craving for something crunchy. And also one boiled egg and two shakes. Work should be fine but when I get off at 12 will be when the battle starts lol ill prob just have a shake after work and an egg and take something to knock my ass out lol

I just did research and I want a for sure slam dunk so this battle can finally be over. Sleeve is not reversible and I believe rny is. Plus I want more malabsorbtion that rny gives. I just did not want to go through another revision surgery as I'm having to do with this band. You will be fine. .. no worries. I was terrified of this and now I'm sorta at peace with it. It is tough and im sure many understand. Just think about how much better you will feel with no complications.

i had a bomb dropped on me yesterday. I called insurance Wednesday, the guy said I was approved. I waited a day and booked flights for fam to come here for surgery. Then yesterday, I get a call from docs office that they want 3 month diet and a psych eval. So I call my insurance 3 times trying to sway them and I was pretty close but it didn't work. They sent out two letters... one approving my lap band removal but for the gastric they want more documentation. My disagreement with them was, why would you approve one and not the other? It's cheaper to do both in one surgery. And, I told her if I don't get approved for RNY in time for my Dec 10th surgery date and of course i'm going to get approved eventually even if after the Dec 10th.... You already approved me for the removal of lap band, and you are then forcing me to do two surgeries. Do you look at the cost of that? Can't you justify it to the company for the cost? She said they do look at cost but they still need the documentation for RNY. So, I had to rush to my doc this morning so he could document more.... and then I have to go in Dec 2nd for another visit and then they will submit again to insurance. Either way i'm having surgery on the 10th even if it's to remove the lap band. My insurance can eat the cost of it.... lol

I've had my surgery date for about 3 weeks now, December 10th. My doctors office submitted paperwork to my insurance this week on Monday and I called the next day and was approved! So easy.... I feel so glad that it went through so smooth like that with no pre-reqs. I go to the hospital on the 11th to have all the testing I guess. Pre op appt is two weeks before surgery. Wonder what is in store for me on pre-op diet. Last time for the lap band I had to do one month all liquids. I did really good though so hopefully this will be a piece of cake.

Waco, Texas

that is my date I just found out today!

I changed my date from Nov 5th to December 3rd so I could be off work during the holidays! I'm excited and ready to get this over with!

i changed my surgery to dec 3rd from nov 5th. Waiting on insurance and doctor approval. Nerve racking! I'm not as nervous as I was before thinking about all of this. I'm just ready to get it all over with!

I might have to change my date due to this furlough stuff :-( going to wait through this week and see what happens.... if no budget is passed will prob change to december... the plus side to that is I will get off work for christmas and new years :-)

when is your surgery?

I'm just curious..what are all the labs and stuff you have to do before surgery? Also, my past lap band surgery I was on liquids for a month (protein shakes, broth, etc.) I guess I find out two weeks before surgery what my doc wants me to do as far as diet. But, I want to be proactive and start this weekend. I wonder if doing the Protein Shakes, broth, and if I'm dying maybe boil and egg or two to kinda have something REAL to eat? Are eggs bad?

What kind of labs did you have done? My doc already scheduled surgery on 11/5 but I guess I find out about the labs on my follow-up appt on 10/25.

I wasn't sure if I had it or not but before having my band put in I had to do liquids only for a month to shrink my liver as much as possible. My surgeon appt isn't under 10/25 for the surgery and my surgery is scheduled for 11/5. But, i'm about to start pretty soon on liquids only on my own because I know what is about to come lol

im in the same boat but slippage 2 years ago... total unfill...gained all the 60lbs I lost back plus 20 more. No other complications. Ive thought about pushing my date back... let me know when you get approved. Maybe change mine...