nh20013
Gastric Sleeve Patients-
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Everything posted by nh20013
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Sleeved in Mexico by Dr. Alvarez
nh20013 replied to sbarbiegirl's topic in Mexico & Self-Pay Weight Loss Surgery
If you don't mind me asking how much was it with dr Alvarez? I've done some research on him heard really good things not to mention its convenient I'm in the Dallas area -
Hey did u submit a 2 yr weight history?
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Sorry about that I hit send too early...lol ... Anyway was saying finished on 8/16 only to get denied on 8/29 and I'm still at it submitted my appeal on he 7th and confirmed this morning the have received it!!! Now it's time to pray for a yes!!!!
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I'm right there with you guys too ... I started te process in may was so excited when I finished my 90 day period which was 8/16
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You should have your sleep study results the very next day... They emailed my results the very next day.. I submitted my appeal on the 7th
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Congrats how exciting!
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Those who have dealt with a denial- what was the reason for the denial?
nh20013 replied to Superfluous's topic in Insurance & Financing
Congrats elhudge! -
Those who have dealt with a denial- what was the reason for the denial?
nh20013 replied to Superfluous's topic in Insurance & Financing
I was denied for not having the 2yr history they require I was under 40 with no comorbids ... I am now at a 41 with HPT and sleep apnea ... I just submitted my appeal papers OMG I am so nervous please send your positive vibes my way!!!! -
That is so me I need to know because I'm trying to set up my vacation for it I had vacation set up for august thinking that it would have gone through but gave that up now I'm on pins and needles waiting and hoping this appeal goes through!
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Congrats!! Such a relief I bet!!!!
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Have you heard back ?
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Turns out I did have it had to do a second sleep study with the CPAP ... Wish the surgeons office would have suggested I do it before my denial ... Trust me I know it's frustrating I completed my 90 day period on 8/16 and was so excited thought I would be sleeved by now.
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Yes they did a peer to peer and it was denied too... Just from the different post I've read I wrote my own letter, also had my PCP write a LMN and submitting my sleep study results .... If anyone else has any suggestions please let me know I am going to submit tomorrow!!
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I know how you feel I am submitting my appeal tomorrow and will have to start all over with the waiting game hopefully the review of an appeal doesn't take as long!
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I hear you! Me too my deductible and OOP are met for the year!
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Yeah I had never thought of doing a sleep study let alone think I had apnea but when I got denied at a 41 bmi with high blood pressure I figured I would have the study done much to my surprise I have severe sleep apnea too not sure how many times in one hour I stopped breathing ... Hopefully I will get my approval lose this weight and not have to worry about it.
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I just literally got back this morning from sleep study #2 ... OMG that Cpap was horrible but I rode it out all night! As soon as I get the results I'm submitting the paper work for my appeal! Hopefully this will do the trick!
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I was wondering the same thing ... I am so nervous! Please let me know if you get approved!!
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Your way ahead of the game if you already have a surgery date! That's awesome.. My sleep study was done at a sleep center I would have never thought of having a sleep study if it wasn't for this procedure.im hoping to submit my appeal again by 10/5 ... I so want to get this surgery this month or November. I would definitely call with a sleep study they have your results the next day.
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The first sleep study that is done is just to see if you have sleep apnea or some kind of sleep disorder depending on the results if you have severe sleep apnea they do a study withe the CPAP machine and I'm all for it the more severe the better my chances of an approval I'm hoping! Since I don't have the 2 year history they require.
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Sleeved in Mexico by Dr. Alvarez
nh20013 replied to sbarbiegirl's topic in Mexico & Self-Pay Weight Loss Surgery
I hear excellent things about Dr Alvarez if I had the money I would be there yesterday! ???? -
Wow I didn't think they could deny a sleep study.. I never thought I had sleep apnea turns out I have severe sleep apnea... Hope you can get your study!
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Sounds like we r all in the same boat! I have my second sleep study on 10/1.. Your absolutely right it should not be this stressful! I feel like my life is on hold....uggghh
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I have Aetna my paperwork was submitted 8/16 I was denied 8/29 I was under 40 the past 2 yrs but over 35 no comorbids... Even though I'm at 40 now with hypertension and on meds they denied me... I am appealing went and had a sleep study turns out I have sleep apnea they want me to have second sleep study with CPAP waiting on that to submit my appeal, I too like patty said wrote a letter speaking on my struggle along with a LMN from PCP. Hopefully when I submit all of that they will reconsider! Gonna pray,, they do.
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I meant they require you to either be at 40 bmi for 2 yrs or 35-40 with comorbids... I only had 35-40 with no comorbids so I was denied ????