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Everything posted by Ashoryb
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Sorry I responded to you but didn't reply to post. The one right after your post was my response to you. Sorry about that Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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I'm sure yours will be easier. Mine is through a third party known as group administrators. It's cigna but Group administrators approves and denies and all that and cigna just pays. They are monsters Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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Thays what my doc was saying to. She said she has never had so many denials with needing such detailed information. She said they are probably MG hoping I will just give up. But I refuse Sent from my SAMSUNG-SM-N900A using the BariatricPal App Thank you so much prayers are much appriciated Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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Ok yall here's an update. I got my letter and they said they needed all the info on my previous failed lapband. It took some digging because the lapband I had was in 2008 removed in 2011. I did not even mention the band starting this process so not sure why they need all the info. They Arnt doing a revision so I didn't thunk it would be a big deal. They also said I gained one pound during my nut visits program which I did but it was during Thanksgiving and I lost the pound plus 6 more the next visit. Grr. So any who my doc resubmitted all my paperwork for the 3rd time now so please throw up a prayer and good thoughts. I'm trying not to lose hope. Hugs to you all Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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They submitted March first and I was denied this afternoon Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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I'm so sorry you got denied as well. It's like a gut punch isn't it..... I hope yours turns into an approval. I was hoping mine wouldn't be am MMA fight but I'll give them that if that's what it takes Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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Congrats on getting your surgery! I wish I could afford to go to Mexico for real. Keep me updated on how your doing Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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Thank you so much I will Def call them and get a Wls specialist to look it over. I wish I did have the money to go to Mexico but I dont. I will keep bugging them because I believe a weightloss specialist will see that I have medical necessity. Thanks yall for all your awesome advice I needed to vent to people who understand Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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That's a great idea I will Def do that!! Dee my insurance is with cigna but through a third party for businesses called group administrators. So they are the ones being so crazy Sent from my SAMSUNG-SM-N900A using the BariatricPal App I def won't back down. This is literally life for me so I'm gonna do whatever I can until the bitter end Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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The first time I was denied it was because the wanted me to get pulmonary clearance and blood work. I did all that re submitted. But again denial. Thanks so much for understanding l. I almost broke down into tears at work Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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I called my surgeons office and they said they would take it to the next level. I also Called my hr department as well and told then I need their help. I've just gotta calm down. I'm just so hurt Sent from my SAMSUNG-SM-N900A using the BariatricPal App I know I sound like a drama queen but I've done everything. Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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They said they would send me a letter with the reasons why in a few days Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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Yay!!! Congrats. I too have cigna and I'm still waiting to hear something. I've called and still have not been able to get anything other than its still pending. Grr. Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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I loved reading this. It's very eye opening and I love that you are taking it day by day. I do hope you get to the point you feel accomplished because I belive that you would really help people by speaking at a seminar. Keep up the great work! !! Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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Just finished surgery yesterday
Ashoryb replied to sammielouwho's topic in Gastric Sleeve Surgery Forums
Congrats!! I'm still in the process but I would like to see others responses too. I'm so happy for you! ! Sent from my SAMSUNG-SM-N900A using the BariatricPal App -
Amazing!!! So awesome you are truly an inspiration! !! Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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Oh ugh! Buisness days. I was counting every day that's makes me feel a bit better. I'm just excited and I'm ready for this change. Thanks yall for responding Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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Ok so I got denied my first time submitting to insurance because although I have a bmi of 53 ans I did all the nut visits psych cardiac and sono the said I needed pulmonary clearance blood work and info on my band procedure and removal.. Got all that and resubmitted with everything they asked in march 1st 2016 and still no word. Grr I keep reading about how people got approved in days or even hours and I'm just in lala land. I've called 3 times and it's in Peer review so I don't know what all that consists of. Just so frustrated. Sorry just needed to vent. Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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I also have cigna. The first time I submitted they came back with with a denial in less than two weeks. They added some more tests and I finished those and re submitted on March 1st. Still no word so I totally understand what your saying. All these others getting approval so fast and for us it's taking forever Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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Sleeves this morning (8/3/15)...back home already!
Ashoryb replied to BrownEyedTxGirl's topic in POST-Operation Weight Loss Surgery Q&A
I'm so glad I saw your post!! She's my "specialist" to and it's been like pulling teeth. I've been very frustrated with her for a while now. Sorry is know this is an old post but I just had to comment Sent from my SAMSUNG-SM-N900A using the BariatricPal App -
Inverted gastric sleeve
Ashoryb replied to LMolina1987's topic in POST-Operation Weight Loss Surgery Q&A
I know this is an older post but I'm in the process of getting approval and will be getting the inverted gastric sleeve from Dr kim. I'm so excited. How has it been so far for all of yall Sent from my SAMSUNG-SM-N900A using the BariatricPal App -
I have hemorrhoids and when I get constipated i bleed quite a bit when going #2. Grab a stool softer Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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Congrats!!! I've been denied but I'm in the middle of my second attempt now so I hope I get good news just like you!! Your approval gives me hope Sent from my SAMSUNG-SM-N900A using the BariatricPal App
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I'm new! My crazy journey so far pre-op
Ashoryb replied to Ashoryb's topic in Gastric Sleeve Surgery Forums
Butterfly 23 Thank you so much for your reply. I appriciate your kind words. I'm very dedicated to this process because I have a beautiful 3 year old daughter who needs a mom thay can play with her. All I can do is sit and watch. My insurance is cigna but goes through a third party call group administrators and they are ruthless. But I can be pretty ruthless myself Sent from my SAMSUNG-SM-N900A using the BariatricPal App -
Good evening, My name is Ashley and I'm newbie here. I never thought about joining a bariatric support group. But I do believe this will help me considering how frustrating my journey has been up until now periods I started my journey August of 2015 and I'm going to be using dr. Kim in Texas. I came into this knowing that my insurance which happens to be Cigna is very strict. I have a 53 BMI , obstructive sleep apnea, PCOS, and chronic back pain. I found the support group while I was maniacally searching 4 people experiencing the same things that I am experiencing. My insurance required three months of nutritionist verified diet psychological evaluation cardiac clearance as well as cardiac sonogram. I got all that done and submitted all my stuff to Insurance on January 14th of 2016. Cigna denied me on the 25th of January 2016 because they said I needed pulmonary clearance as well as blood work and they said they did not receive my cardiac testing clearance. Now I've gotten all that done and I just resubmitted March 1st of 2016 and now its March 11th of 2016 and I still have not heard anything. So I started searching for people who have been in the same boat as me and I found this wonderful support group and I've been reading a lot of your stories and experiences and I know by being in this group it would give me some comfort I wish I had found this when I first started. My starting BMI is 53 my starting weight is 320 and I'm so hopeful about my future. I have had a failed lap band which I got banded it in 2008 and then band removal in 2011. Gastric sleeve is a dream come true if I can ever get the approval. I know this has been long but I really wanted to introduce myself so that if anyone has a story like mine they can share with me so that I know I'm not alone. Sent from my SAMSUNG-SM-N900A using the BariatricPal App