Kooky1

My hope is to reach 150. It would be nice to reach 135. However, that would be the lowest that I would feel comfortable with.

I have an answer. The bariatric case manager said that she did not think any revision surgeries would be covered; however, any emergency treatment should be covered.

Woohoo! It looks like my insurance may cover any follow-up care. "Related Care Following Bariatric Surgery If you did not receive your surgery under UMP coverage, the plan covers medically necessary follow-up care or complications post bariatric surgery only if: 1. Your surgery was covered by another health plan or you would have met UMP criteria at the time of your surgery. You or your provider must submit medical records to UMP to show that you would have met UMP criteria. 2. The procedure performed was one of those covered by UMP (Roux-en-Y, sleeve gastrectomy, or laparoscopic adjustable gastric banding). If you do not meet the criteria above, followup care (including lap band fills) or complications after bariatric surgery are not covered. If your care was covered by UMP or meets criteria above, all care for complications or reoperation must meet UMP criteria and medical policy. Panniculectomy (removal of loose skin) is covered following bariatric surgery for a medical condition only when specific medical criteria are met. Most panniculectomies are considered cosmetic and are not covered." The only clarification I would like is whether criteria means simply meeting the BMI requirement or if they mean the six month dieting plan requirement.

My insurance requires me to fill out a paper form with my doctor. That will take two or three weeks because of her schedule. Then from the date they receive that form, I have a six month diet plan. After that six month period is over, they will re-evaluate then send me for psych eval and other tests. This period will be between another month to six months. The average is two months. So I am looking at 7-8 months.

I am praying that my taste for water does not change. Since I was a child, I used to drink large glasses of water because I just enjoyed the taste of water.

Thank you both for your responses. I greatly appreciate your information. I don't know why but I was thinking that I would hear more from people telling me to wait for the insurance to cover it. I do not want to wait a year for the surgery. But, I'll make sure to have more information about post-surgery care before I make a final decision.

Thank you, Former_VBG. My doctor is cautioning me to be patient about the process. But, I am tired of waiting and thinking that with time, things will change. I am ready to make change happen for myself. Thanks again.

I thought with the ACA that any appointments after the surgery would fall under pre-existing condition coverage. As my doctor phrased, it would be an elective surgery if I chose to self-pay and the new pre-existing condition change does not apply to elective surgery. I will call my insurance office and ask about elective surgery in general.

I am going to put it all out there. At the age of 4 or 5, I was the victim of serious sexual trauma. Years later, at the ages of 10-12, I was fairly developed and had a body of a girl years older. As a result, at the age of 10-12, I began getting approached by older teens and men. In my mind, I was still very much a child plus I had had this traumatic experience when I was younger. I didn't like the added attention. I didn't like having men yelling at me on the street. I didn't like men or older teens making sexual comments about me. I started to hide and I found that extra weight allowed the best protection. food became a comfort and a way to escape for me. By the time I was in high school, I was overweight but still quite athletic. I participated in high school sports and activities but when it came down to dating, I never did that. I never wanted to feel like a sexual being. Although I would be asked out, I never said yes. This went on until my mid-twenties when my sexual awareness finally clicked on. By that time, I had already missed so many opportunities that other women had experienced (in the dating world). That made me even sadder so I turned back to my constant companion--food. I have been through counseling for the sexual abuse. I have talked to my doctor about my experiences and how it has affected me. I know that I will probably spend the rest of my life dealing with that trauma. But, I am tired of allowing my weight to shield me from so many great experiences in the world, including love and sex. So, I am going to take advantage of this tool. I firmly believe that it will help me rid myself of my constant need to hide. It's just one component in many things that I will need to do, but I think it's time to say goodbye to this particular friend.

Hello everyone! I am starting the process and looking to learn more about my options. I am glad to join this forum and thread!