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queenborg

Gastric Sleeve Patients
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Everything posted by queenborg

  1. queenborg

    Decisions , Decisions

    A lady I knew was 38 bmi and was lucky enough not to have co-morbidities but of course that meant her surgery wasn't covered. She wore ankle weights under trousers. Not recommending it but just saying its silly that theres this magic cut off for 40 than say 37 For me - I got them to measure my height again and i had always put myself as 5 ft 5 when it turns out I'm just over 5 ft 3. Makes a huge difference in your BMI. We always tend to think we are taller and weigh less than we do. In WLS doesnt pay to do either! Best of luck - I'm hoping to do my VSG in March Please God after baby comes in January. Hopefully UHC will still be approving it then
  2. queenborg

    My Appeal Draft W/references

    Best of luck! I had 5 appeals with UHC this year and was denied (even though they had previously approved 5 folks in Cisco who had the exact same operation and two in same year. I even had obesity law involved and hoping to go back next year and appeal again after baby is born (near end of appeal found out expecting!) Word on street is a new director and they are stopping them by using the experimental approach. Also because there isnt a specific medical code given to VSG yet they are using that as a block out for any prior surgeries done. Hopefully the American Association will put out a new policy this year. Word from my lawyers is hoping for a medical code too and once thats approved be easier process. I'm like you - approved for all others but need VSG for health reasons as dont have a spleen and anemia. Happy to share letters my team did with you offline if you want as well - I had 32 pages of abstracts as well but love the ones you included too Kindest Regards Sinead sinead@chroi.com

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