dell

Hi, Guess Yall Are Tired Of Hearing From Me!!!! But Called My Insurance Carrier Today.. Said That They Have Recieved The 46 Pages Of Paperwork From The Lap Band Coordinator. They Tell Me I Have An Exclusion On My Insurance About Lap Band Surgery. Even If I Have Paperwork. Theytalked Like It Wouldn't Be Reviewed. I Haven't Recieved A Denial Letter. I Don't Know What To Do!!!! Very Upset About This.. Maybe Somebody Can Help Me As Far As This Goes And Tell Me What To Do .... Appreciate All Of Yalls Help. Hope And Pray Somebody Will Help Me. Hope To Hear From Yall Soon. Love , Dell

Thanks for the post. I will look into that. Will let you know. Until then hope to hear from you.. Have a nice day... lOVE, DELL

:hurt I hadn't thought that it would be so hard on me, this time around trying to lose weight. After being turned down by my insurance company. Did call Dr. Maese's office and let his office know about it. Said they would try and do the best they could for me, as far as an appeal. But I know it wont be happening for me. After all I've looked into as far as my insurance goes. After you appeal it, it still won't happen. I want to look at this objectively, but I cant!!! I started back at Curves. But I'm alot bigger this time around. First few days was extremly hard. I mostly blame myself for all the weight . Maybe things will get better for me in the long run. But how in the world can I deal with this letdown in my life? Just letting this off my chest helps. I guess things are meant to be. I just will do the best I can. Cant afford to do any more than what I'm doing. In th mean time I wish yall fellow band people joy, peace and happiness . God keep you. Love you Dell

done all what was asked for as far as BLUECROSS/BLUESHIELD ask for. my lap band coordinator is suppose to be sending the paperwork to them.... i am 277lbs now. cry most of the time. hope i can get this done. does anybody know DR. RICHARD ANDERSON thats with dallas.... TO EACH OF YOU THAT HAS HAD THIS SURGERY..... GOD BLESS YOU AND KEEP YOU. YOUR VERY LUCKY. KEEP THE WEIGHT OFF. maybe i will get approved for this.

Bubblesstina, Happy you getting the surgery. Enjoy the ride. I'll be thinking of you on that day. Let me know how you come out. Until then I wish you joy peace and happiness. love, dell

:cry I'LL SUCCEED, DEAR, THANK YOU FOR THE REPLY TO MY POST. I',M JUST WAITING FOR THE DENIAL LETTER, WHICH I SURE WILL COME. I'M GOING TO LOOK INTO ALOT OF THIS ALEX AND YOU ARE ADVISNG ME TO DO. BUT I HOPE YOU GET YOURS. LET ME KNOW HOW IT COMES OUT ABOUT THE APPEAL. thank you, yours truly, dell

Sandie 1958, Thank you much for the reply. I guess I do stay a liitle on edge now. You are a very sweet person. I'm going to call my lap band coordinator Monday. Maybe she will know what to do or help in some way. Well I start back at Curves. That's just going to be worser for me. But I will strive on and do what I can until somthing is approved or not approved for me. hope to hear again from you. love your friend, dell

Bubblesstina, I am so happy you got approved. ENJOY THE RIDE. You will be happy and content when it is all over with. let us know when your surgery date is scheduled. I will be thinking of you Hope to hear from you soon, Love, dell

Sandi 1958, Than you very much for the reply to my post and the thought. T have BLUE CROSS/BLUE SHIELD OF TEXAS (health select) though Mexia State School where I work. I really think I'm going to get turned down. Because I called them and was rudely told that they don't cover weight loss surgery even if you have done all that you are to do as far as asking for it medically. The best I can do is appeal it and hope to get it approved eventually. Sandi I have heard from alot of people through this forum and believe everyone seems to care about this whole process. I love each and everyone of yall. Someday I HOPE TO MEET SOME OF YALL. Again thank you and have a nice day or night and know that you are being thought of. Love, DEll

Bubblestina, Got your reply to my post, glad I'm not the only person that has went to Dr.Maese. He is a very caring person. Mine is going through Dr. Richard S. Anderson of Dallas. Wasn't the sleep test fun!!!! I hated that... My insurance is Blue Cross/Blue shield of Texas (HEALTH SELECT) through the Mexia State School where I work. I hope you get approved. I wish that we could get some type of petition going against these Insurance people to make them pay for this type of surgery. But I don't think that will work. In the long run they would come out better. Maybe it will work out in the long run. Hope to hear from you soon/ Thanks for the reply. Have a nice day or night. Love, dell

okiejudy, sometimes you have to do things to see how they play out. The more information you have , maybe you will be ok'ed for the surgery. I've done it all and hope to be ok'ed for the surgery. if I'm not I will appeal and do everything to get it done. okiejudy, I wish you the best of luck. hope to hear from you soon. love, dell

Hello Everyone, I'm really happy for all of you that have recently been approved for lap band surgery. Called my lap band coordinator today in Dallas. She says it takes about 60 days to hear from your insurance. Is this correct??? Ladies I'm worried that it won't happen for me. Meantime, I'm getting bigger waiting for this to happen . GOD I NEED A BREAK IN MY LIFE. Sometimes I feel like everyone is getting what they want except me. I don't mean any disrespect. It is just really tough on me now. I feel this is what I really need in my life now. Maybe someone or anyone could give me some advice. I WOULD APPRECIATE IT GREATLY!!! Have a nice day or night. love, dell

Makena, Got your message today. Sounds like me and you been through the same things. I know how you feel. I just hope we get approved!!! Sometimes I wonder if it is all worth it??? We are just putting more money into this having the test done. YOU GO ON AND HAVE IT HONEY!!!! I don't blame you a bit. I'm going to call Monday and see if they even have summited my paperwork. Wonder about that too. Let me know about you .. HAVE A GREAT DAY. LOVE, DELL

TAMBONSJO, THANKS ALOT FOR THE REPLY. HAVEN'T HEARD ANYTHING YET.. MAYBE SOON. IF I DON'T GET IN SOON. I'LL TRY AND GET ANOTHER REFERRAL FROM MY DOCTOR TO SEE ANOTHER ONE. HOPE YOU ARE OK TOO HELPS HEARING FROM PEOPLE LIKE YOU.. HAVE A GREAT DAY OR NIGHT TRUELLY YOURS DELL

TAMBONZJO: THANKS FOR THE REPLY.. I HOPE YOU DO WELL. PROUD OF YOU. THERE IS MORE THAN 50 PEOPLE WORKING AT THE MEXIA STATE SCHOOL. I ASSURE YOU THAT. BUT I FEEL WAHTEVER HAPPENS WILL. MAYBE THERE WILL BE A BREAK FOR ME SOMEWHERE. BUT JUST KNOW I WILL BE THINKING OF YOU. LOVE DELL

Feel2Young2B40 reply:THANK YOU FOR SENDING ME A MESSAGE.... I DON'T THINK MY INSURANCE PAYS FOR THIS. I'VE GOT AN EXCLUSION ON MINE I'VE HEARD. BUT MY DOCTOR SAID TRY... WHEN MY LAP BAND CONSULTATION WAS DONE. DR. MAESE SAID IF THEY DID TURN ME DOWN. HE WOULD APPEAL FOR ME. I'VE HEARD FROM SOME ENCOURAGING PEOPLE AS FOR AS THIS FORUM GOES .. THANK YOU ALL VERY MUCH. I LOVE EACH AND EVERYONE OF YALL EVEN THOUGH I HAVEN'T MET ANYONE. SEEMS LIKE YALL UNDERSTAND MORE THAN MY OWN FAMILY DOES. HOPE YOUR OK. HOPE TO HEAR FORM YOU SOON lOVE DELL

Iluvharleys. Thank you for the thoughts. good luck with your ongoing weight loss. Proud of you... Hope they let me have this ... Have a great day and god bless you.... love ,dell

Thank you for the thought. This is a wait I hope will happen. But if it don'T I will do something else to try and lose the weight. But God bless you and keep you.. Love, Dell

New Hope, Thanks for the reply.... I need to lose as much as I can to feel better than I do. Being overweight is tough. But I am not ashamed of it. Just would like to lose it for me and the person that the worries about me the most. Charlie, the man I live, with for 15 years. He is so worried about my health. But he never makes fun of me or anything. He is about 132lbs or 131. All I can do is the best I can. Again thank you very much. If you know of anything else. LET ME KNOW lOVE , DELL

paula, I am not sure. This is my first time trying to have something done... God.all I do is eat. I am 277lbs now. At one point in my life I was 165lbs and I felt great. But now all I can be is give out. Never been this big. Maybe something will happen for me as for as the insurance goes. Been to two or three diet doctors over the years since 1992 or 1993. Found out being on diet pills if not good for you in the long run. Paula you are doing great. Keep in touch. E-mail me if you want at dellm@glade.net THANKS ALOT. lOVE, DELL

Penni60 , appreciate you giving me a reply.. I'm going to call thelap band coordinator soon. I"ve just had the last test (PHYSIC EVALUATION) on the 17th of this month. just keep hoping like i do. I DO APPRECIATE YOU VERY MUCH. Oh! I live in Tehuacana Texas , about a 2 hrs drive from Dallas.... hugs..... dell

My first posting..... I am trying to get lap band... I have blue cross/blue shield health select. But where I work, it has a exclusion on this matter. My doctor has had me do a sleep test. I have high chol. but not diabetes. Is there is a easier way to get this approved. I did see a lap band doctor. He has referred me to the doctor who would be doing it. But that is far as it has went, they did call me yesterday, wanted me to fax them more paper work..... IF ANYONE can tell me what else to do I would greatly appreciate it..... Have a nice day and god bless you..

Tanya, Good Luck!!!!! Hope everything goes alright for you... I"m going through the process of trying to get this done for myself.. Having a little trouble...