wellah

The Adipose! It was a great episode. The little fat blorbs were cute!

I'm most likely looking at a November date too. Had my Welcome Group meeting last week, and have my 5 appointments that the surgeon requires set in August (2 on August 11th and 3 on August 16th.) Then i will have two Weight Management Appointments, one in September and the 2nd on October 7th. Following that, they will submit my paperwork to my insurance. I already have confirmation that my insurance will cover the surgery if I meet their requirements. Looking forward to having energy and stamina again. Back in 2010, I lost about 70 lbs doing the Metabolic Research Center (MRC) Diet, but gradually put back 100 pounds. When I was at my lower weight then, I was working out 4-6 days a week, and working with a personal trainer. I want to get back to that, without carrying around an extra 180 pounds!

I'm currently fighting a smaller denial with CIGNA. They are trying to charge me $78 for the initial welcome group meeting for the Bariatric Program, saying that it was not a direct one-on-one appointment with a doctor. I've asked the clinic for a recode, and discovered that I can have CIGNA send it for a recode / review if the clinic doesn't change the coding. If neither of those work, I've prepared a 20 page packet for my appeal of the denial. Includes the paperwork from the clinic, my doctor's referral to the program etc. Good luck in getting yours cleared up! I WAS able to confirm that the surgery itself IS covered under my policy, so hopefully when I'm finished with all my appointments (by October 8th) they will approve the procedure for me.

I'm in roughly the same boat for timing. I also have CIGNA and had my Welcome Group meeting last Tuesday and went to a surgeon led surgical seminar on Thursday night. I've got all my appointments scheduled between August and October. The program that I'm going through likes to do sets of appointments in blocks, so I've got two on August 11th and 3 on August 16th, then two weight management appointments on September and October 7th. The nurse coordinator said that having a NUT and PT appointment in the same month will count as my weight management one for August. I already had a sleep study a couple years ago and have submitted the medical results with my program application. Hoping to get approved shortly after the last one on October 7th, for late October or November surgery, as I've already met my deductible for the year and am nearing the out of pocket max for the year, so would be great to get it done prior to year end!