jvsimon416
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Everything posted by jvsimon416
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Anyone from Raleigh, NC? Or October RYN?
jvsimon416 replied to NC Girl's topic in PRE-Operation Weight Loss Surgery Q&A
My 6th month will be around sept 5 or first week of september...so im hoping that i get my pre auth approved around mid september and do my liquid diet for 2 weeks...so really im praying and hoping that my surgery will be early around octoberish too -
Anyone from Raleigh, NC? Or October RYN?
jvsimon416 replied to NC Girl's topic in PRE-Operation Weight Loss Surgery Q&A
Ya im trying to be positive...we r also looking for a house and this waiting thingy made things easier for me and faster cuz im more pre occupied with house hunting....lol as a matter of fact i havent been here in this blog for a long time cuz i didnt wanna remind my self of the "waiting game" but since u replied to the link where i posted, i got an email notification and got excited knowing that someone near me is also doing it!... So if ur insurance does not require the 6months, y wait for october?...u should be able to do all other requirements in a month? And gitt-err-dunn!???? -
Anyone from Raleigh, NC? Or October RYN?
jvsimon416 replied to NC Girl's topic in PRE-Operation Weight Loss Surgery Q&A
Oh wow u and ur hubby huh!...thats really awesome!...good for yall! -
Anyone from Raleigh, NC? Or October RYN?
jvsimon416 replied to NC Girl's topic in PRE-Operation Weight Loss Surgery Q&A
Ya sucks for me????..at my 2nd visit my dr submitted the pre auth and after 2 weeks my auth was denied for "contract exclusion"...when i called my insurance they said its that 6 month thingy...i have sleep apnea and DT2...this waiting is killing me..,i tried to get it out of my mind but i cant help it but to be more stress about it...sigh???? -
Anyone from Raleigh, NC? Or October RYN?
jvsimon416 replied to NC Girl's topic in PRE-Operation Weight Loss Surgery Q&A
Wow im happy for u that u already have a date!...i betcha ur excited???? -
Anyone from Raleigh, NC? Or October RYN?
jvsimon416 replied to NC Girl's topic in PRE-Operation Weight Loss Surgery Q&A
R u doing gastric or sleeve?...and does ur insurance have a 6month wait? -
Anyone from Raleigh, NC? Or October RYN?
jvsimon416 replied to NC Girl's topic in PRE-Operation Weight Loss Surgery Q&A
I c...r u going to cary wakemed?...i was gonna go there but changed my mind cuz rex was closer to me -
Anyone from Raleigh, NC? Or October RYN?
jvsimon416 replied to NC Girl's topic in PRE-Operation Weight Loss Surgery Q&A
Hi raptor witch???? -
Anyone from Raleigh, NC? Or October RYN?
jvsimon416 replied to NC Girl's topic in PRE-Operation Weight Loss Surgery Q&A
Hi im from raleigh nc...i dont have a surgery date yet...ughh my bcbs insurance requires a 6 month supervised weight in thingy and im on my 4th month...i still have 2 more months to go and i guess i will find out whats next for me after i completed my 6th month!..does anyone goes to rex bariatric specialist here?...or dr sharp? -
Poll: insurance acceptance/denial
jvsimon416 replied to bangbangbarbie's topic in PRE-Operation Weight Loss Surgery Q&A
I have bcbs of florida but i live in raleigh nc...im 217lbs, very short only 5'1/2" and my bmi is 41.7 and was recently diagnosed with type 2 diabetes and sleep apnea...im worried my insurance will not approve me?..,im done with all the requirements and not sure whats next?...will the surgeons office will call me if im approve or not? -
Totally understand now
jvsimon416 replied to mal0712's topic in PRE-Operation Weight Loss Surgery Q&A
Congrats! -
Just starting process
jvsimon416 replied to Maggiebee's topic in PRE-Operation Weight Loss Surgery Q&A
on my consultation day i weighed 217 and im 5'1/2" tall and my bmi was 41.7.....i was on top of all the requirements thats on my "to do list" that the surgeons office gave me and they actually gave me 1 month to finish all the stuff like the sleep study, labs, psych eval etc...then after a month i was scheduled to meet with my surgeon again and he reviewed all my stuff/records and he was like wow youve done all ur appointments so now we are going to create a folder for u and it takes 6-8 weeks to get the auth from insurance...my surgeon also said that an endoscopy report is missing in my folder, medical clearance and 5 yr weight history....ok i had an endoscopy done like 4 yrs ago and he told me thats fine and they dont need to do another one just the records....i also told him im worried that i dont really have a record of my 5yr weight history cuz i havent seen my pcp....surgeon said just get wather i can...i didnt like my pcp back then cuz o was already heavy and i requested a b12 shot for energy just for me to get a kick to go to the gym and she said i dont need it and that my b12 levels were fine so i was like ughh....so when i started this journey like march 26,2015, l actually change my pcp and this pcp was actually the one that evaluated my sleep study result....anyways, the surgeon coordinator called me two days ago and told me that all they are missing from my folder was the medical clearance from my pcp and that was taken care yesterday...so whats next for me?...is this now where they submit everything to insurance for approval?....ughh this is torture....as i keep reading others testimonies regarding insurance denials, this is really giving me anxiety and it worries me to death that i will be denied too... -
Have my date
jvsimon416 replied to Karen Hoeppner Torrey's topic in PRE-Operation Weight Loss Surgery Q&A
Oh wow thats awesowm-im happy for u... -
Insurance Timeline to Approval
jvsimon416 replied to VSG_Hopeful's topic in PRE-Operation Weight Loss Surgery Q&A
This is my concern too and im really nervous cuz im scared that my insurance will deny me...i have bcbs of florida and it says one of the requirements was a 5yrs weight history and i havent seen my pcp for the past 4 yrs...but i ket gaining and gaining weight and 2 months ago i just woke up and said im tired of my weight and i need to do something and so i went to the process and was done with all d requirement...but im worried that it will deny me for no weight history...i also changed pcp and i was recently diagnosed with type 2 diabetes and sleep apnea and my bmi on my first consultation day was 41 something....the waiting is torture and im really scared that my insurance will not approve it...ughh pls advise?..,,anyone????? -
I am still looking for a surgery buddy. May 20th!
jvsimon416 replied to SkinnyDown's topic in PRE-Operation Weight Loss Surgery Q&A
I need a buddy too -
Omg im sooo worried too...ive done all the requirements and now im really worried if my insurance will approve my surgery....i havent seen my pcp for like 5yrs but i kept gaining and gaining weight...ive seen ppol at work that did the surgery but they are so private and seems like they dont wanna talk about it....but anyways, they encourage me to go for it and one day like in the beginning of march 2015, i just woke up and said i need to start this so i went on a seminar which is the first step of the progr and was basically done 2 weeks ago with all the requirements...now i think the surgery coordinator is now working on getting my auth....ughhh im nervous cuz my insurance might deny it cuz i have no records of being obese that i was gaining weight for the last 4 yrs cuz i havent been to my pcp.....now i changed pcp and i was diagnosed with type 2 diabetes and sleep apnea and my bmi is like 41 somethings.....ughh i really want this surgery and i know it wil really help me alot to change my life for better
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Anyone from Raleigh, NC? Or October RYN?
jvsimon416 replied to NC Girl's topic in PRE-Operation Weight Loss Surgery Q&A
Hi My name is simon and im also from raleigh nc and im also doing or considering the gastric bypass....ive done all requirements but um sooo worried that my insurance will deny my auth?...any advise o how long you guys waited or what was the process?...i know it also depends on ur insurance...i just wanna talk to someone... -
Have my date
jvsimon416 replied to Karen Hoeppner Torrey's topic in PRE-Operation Weight Loss Surgery Q&A
Wow congrats to all that has a date already...ive done all the requirements, psych eval, sleep study, nutritionist visits but im soo worried that my insurance will deny my auth....i really dont have a five year weight history but all i know is i kept gaining and gaining weight...and now i was just recently diagnosed with sleep apnea and type 2 diabetes....my bmi is 41 something....its nerve racking..,can anyone pls advise me with anything or how long did u guys wait?..,i mean i know that it depends on insurance but i have bcbs...