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Lexigurl82

Gastric Sleeve Patients
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Everything posted by Lexigurl82

  1. Lexigurl82

    Appeals

    Lexigurl82 replied to Chylyn7's topic in Insurance & Financing

    I have been bugging my insurance company every 2-3 days for an update on whether I've been approved or not....don't feel bad about calling them. keep calling until you get a response.
  2. Lexigurl82
    same here...I keep calling my insurance every 2-3 days asking for status on whether I have been approved or not. The surgeon's office said they will call me with an update but I just can't wait lol. Be optimistic and hope for the best
  3. Lexigurl82

    Cigna insurance and weight gain

    Lexigurl82 replied to destiny_77's topic in PRE-Operation Weight Loss Surgery Q&A

    It depends on your insurance... Aetna says not to gain weight but people have been approved even with weight gain. I need a letter of medical necessity from my pcp too but before the pcp will write the letter I have to come in for blood work. Best of luck to you and call Cigna or go online to see if weight gain is an issue. Don't give up!
  4. Lexigurl82

    Gas pain post op

    Lexigurl82 replied to adventurebound's topic in Tell Your Weight Loss Surgery Story

    Walk walk and walk...also drink peppermint tea
  5. Lexigurl82
    I'm not in CA but I've never heard of anyone needing a pap or a mammogram for weight loss surgery... did Medi-Cal tell you that? I needed a chest xray, EKG, pulmonary function test, psych exam and 3 months of dietician /nutritionist visits and 4 visits with my surgeon... good luck!
  6. Lexigurl82
    Yes a lot of people have been nervous prior to surgery. Just know that you will be in great hands surrounded by medical professionals whose best interest is do perform a successful surgery for you. Best wishes to you!
  7. Lexigurl82

    Dr referral

    Lexigurl82 replied to collinsmix's topic in Insurance & Financing

    every insurance is different, therefore the requirements will be different. I work in insurance and I only dealt with Medi-Cal a handful of times. I would suggest calling medi-cal and ask what the requirements are. That way, when it's time to submit everything to medi-cal, you'll be covered. Good luck!
  8. Lexigurl82
    I wish surgeons would stop doing the liquid pre-op. my surgeon doesn't require it. He said 2 weeks before the surgery I'll be put on a low carb-high Protein diet. And it produces the same results that a liquid diet would. I don't think severe diarrhea is normal. Try calling the surgeon to see what he/she suggests. Make sure you drink as much Fluid as possible since you are losing electrolytes because of the diarrhea.
  9. Lexigurl82

    Struggling

    Lexigurl82 replied to jessicamanus23's topic in PRE-Operation Weight Loss Surgery Q&A

    I would say talk to your surgeon and explain the dilemma to him. I told my surgeon that I wanted to take no longer than a week off from work and he agreed I could go back to work in less than a week because I also have a sit down job. Talk nice but firm and let him know that you have to work in order to pay your bills. Also, see if your employer allows "PTO donation". At my previous job, we were able to give our PTO to a fellow employee up to 4 increments at a time. How much time are you looking to be away from work?
  10. Lexigurl82

    Waiting for approval

    Lexigurl82 replied to tinaearl69's topic in PRE-Operation Weight Loss Surgery Q&A

    good luck! I am waiting for an approval too
  11. Lexigurl82

    When do you get a date

    Lexigurl82 replied to 2016NewMe's topic in PRE-Operation Weight Loss Surgery Q&A

    wow I didn't know Aetna was like that. I called them today and a rep said they finally received the request from the surgeon and that it is pending review. I asked the rep when did they receive the request and he couldn't tell me because their system was acting up smh. I hope we both get an approval soon. Thanks so much for the well wishes and I pray it works out for you also @@acyum2008
  12. Lexigurl82

    When do you get a date

    Lexigurl82 replied to 2016NewMe's topic in PRE-Operation Weight Loss Surgery Q&A

    I'm having the same issue. I had my final visit on 10/8 and the surgeon's insurance coordinator said she was going to submit my paperwork to Aetna. When I called Aetna on Tuesday for status, they told me they haven't received anything from my surgeon. I am trying to be patient as I know they are busy. I'm going to give my surgeon's office one more week and if Aetna hasn't received anything by next Thursday, I will call the surgeon's office then.
  13. Lexigurl82
    congrats! Just call the surgeon and let them know you've been approved and ask them if they are aware. Don't worry about the what ifs you're going to be just fine!
  14. Lexigurl82

    Just did my final weigh in...the insurance coordinator said she is going to submit the paperwork to Aetna and will call me with an update...my fingers are crossed!

    1. jane13

      jane13

      @Lexigurl82 - any news????

    2. Lexigurl82

      Lexigurl82

      @SLIPSHOD not yet...I called Aetna on Thursday and they told me that the surgeon didn't send in the request until 10/14...the Rep then said it could take up to 15 days for a determination... I hope it doesn't take that long!

    3. jane13

      jane13

      I will keep my fingers and toes crossed!

    4. Show next comments  12 more
  15. Lexigurl82
    Yes he's my surgeon. He's straight forward and a man of few words but I've done my research and he's one of the best. Tiffany is brilliant. She knows her stuff. I think we are in good hands.
  16. Lexigurl82
    Who ever this person is sounds like a troll...I'm assuming this person made a profile to cause a disruption smh
  17. Lexigurl82

    2 more visits with the surgeon before it's time to submit everything to Aetna. I sure hope I greet approved. I'm so ready to have the surgery done

    1. Mountaingal

      Mountaingal

      It seems long a long road to approval but it will be worth the wait. Good luck

    2. ProudGrammy

      ProudGrammy

      fingers and toes crossed!! hope you hear good news sooner than later - good luck - kathy

    3. jane13

      jane13

      good luck and keep us posted!

    4. Show next comments  12 more
  18. Lexigurl82
    My NUT is nice but wasn't all that informative. A lot of the info she told me could have been told to me by the surgeon or via online . Its a waste of my time and money but my insurance requires 3 visits with the NUT.
  19. Lexigurl82
    I am in the pre-op stage and I have lost a few pounds. I read that some people didnt want to lose too much weight because they didn't want to be denied by their insurance company. When I told my husband that I was considering doing this , he said he disagreed with me not losing weight on purpose. He feels I should lose as much weight possible, regardless if I am approved for surgery or not. Did anyone keep their weight or BMI the same so that they could have surgery? Is it considered to be selfish?
  20. Lexigurl82
  21. Lexigurl82
    I appreciate your honesty. I'm so sick of being overweight and I want the surgery as a tool to help me go in the right direction. I have a daughter too and want to be around for her and my husband. I'm tired of not being able to do certain activities without being tired and out of breath.
  22. Lexigurl82
    Oh wow that is awesome! I am worried if lost too much weight then my insurance word deny me for surgery. This gives me hope, I appreciate it. I am proud of the weight I've lost so far.????
  23. Lexigurl82
    Hi Ann, what I was saying was some surgeons want you to lose some weight during the pre op stage, however some people feel if they lost too much weight that their insurance would deny them for surgery. So in other words, people are doing their best to keep their BMI the same so that their chances of getting surgery approved by their insurance. When I considered this, my husband disagreed and said that I should do my best to lose weight regardless if I get approved or not. So I wanted to know was it selfish for someone to purposely not lose weight or lower their BMI
  24. Lexigurl82

    The nurse who assisted the doctor for my test told me her friend has weight loss surgery and should be happy for her, however she wasn't. The nurse said the friend is now as small as she is and seemed envious her friend can now wear a size 10...how shallow lol and smh

    1. Lexigurl82

      Lexigurl82

      Nope she wasn't joking she was very serious....sad...I should have said something but I didn't... came home and told my husband about it

    2. Lexigurl82

      Lexigurl82

      I agree Babbs I haven't decided who tell other than my husband, daughter and sisters...I just don't feel like having to defend my decision on having surgery

    3. Smye

      Smye

      Frustratingly common though.

    4. Show next comments  12 more
  25. Lexigurl82

    Had a PFT (pulmonary function test) today. The test was painless but annoying

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