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Everything posted by tomatogirl
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Tricare Approval or Denial??
tomatogirl replied to JamieNP's topic in General Weight Loss Surgery Discussions
I hope so. I called this morning already. They sent the paperwork in last Monday (I think, may have been Tuesday) and the paperwork hasn't even been accepted yet. Ugh. I might call the surgeon and get the insurance lady to talk to them. -
Tricare Approval or Denial??
tomatogirl replied to JamieNP's topic in General Weight Loss Surgery Discussions
I've been a total cow to them. I call every day, sometimes twice a day. My surgeons office marked the surgery as urgent, but when I talked to them today, they said that it doesn't fit the criteria for urgent, so basically, they'll get me an answer when they get me an answer. -
Tricare Approval or Denial??
tomatogirl replied to JamieNP's topic in General Weight Loss Surgery Discussions
Tricare is dragging their feet on me after my PCM dragged her feet. I'm getting really frustrated.Hopefully I will know this week, although at this rate I'll be a Notorious November. :smile: -
Pumpkin Smashers...getting to know you!!
tomatogirl replied to illinoishusker's topic in PRE-Operation Weight Loss Surgery Q&A
PM a mod, they'll move it for us. -
Pumpkin Smashers...getting to know you!!
tomatogirl replied to illinoishusker's topic in PRE-Operation Weight Loss Surgery Q&A
Shouldn't we put this in the Oct 2008 sub-forum? :smile: October 2008 Bandsters - Lap Band Surgery and Lap Band Discussion Forum -
Me too! Unless my insurance keeps dragging their feet, anyway.
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Ok preggos, what do you think of...
tomatogirl replied to Wheetsin's topic in Pregnancy with Weight Loss Surgery
Not really my cup of tea. I think it's tacky to have shower after shower after shower. And even if you put "no gifts" on the invites, people will feel obligated to bring them. -
Spending the night after surgery?
tomatogirl replied to kaytiebugs's topic in LAP-BAND Surgery Forums
My insurance requires it. -
I'm Confused- Location of Port and Band?
tomatogirl replied to speck's topic in LAP-BAND Surgery Forums
Doctors put them in all kids of places. Mine puts them beside your belly button. -
Has anyone been approved with one comorbidity? My BMI is 46.6 and when my insurance paperwork was submitted, they accidently only listed one comorbidity. The doctor's office said, "well, it's done now, so let's see what happens." What are the chances that this will actually be approved? :redface:
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Question for those with the Realize band.
tomatogirl replied to bling's topic in LAP-BAND Surgery Forums
BYE! Have a lovely Realize band-free life! :dita::hurray::tt2::cool2::party::cursing: -
Talk to me about TriCare + Comorbidities
tomatogirl replied to tomatogirl's topic in Insurance & Financing
Thank you so so so so so so much, radar. I'm going through a private doctor and I should hear back this week. Fingers crossed, but I'm not counting on it. -
Here you go: http://img.photobucket.com/albums/1003/ShannaTrim/logo_phpBB.gif You can even hotlink it. :biggrin2:
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First patients to have Realize...let's hear from you!
tomatogirl replied to 2BtinyinTN's topic in LAP-BAND Surgery Forums
I just got my temp code (the one that lets you use parts of the site, but not the full version- you get that at surgery). I like it so far. It reminds me a lot of Weight Watchers online- food diary, etc. when you enter a food in, it lets you pick specific brands and types, which makes it easier- no trotting to the kitchen to get the package to enter it in every single time. For example, I just entered "oatmeal" and about 30 varieties of oatmeal, cereal bars, cake, and cookies came up and it had the Quaker fruit and cream variety I had eaten. When I clicked it, it put it into the diary and told me the fat, protein, carbs, and calories. Another neat thing it has is that when you add a food, you can also tell it that you had trouble with the food and it will remind you. It also has an easy, clickable water tracker (little glasses of water that you click when you drink 8oz) and the same for vitamins. They have a similar thing for exercise. You tell it what you did and how hard and it will tell you approx how many calories you burned. You can set up goals, appointments, etc. You can also opt to share all this information with your doctor so they can check out how and what you're doing. I like it so far! -
Anyone get reimbursed after paying out of pocket?
tomatogirl replied to Sooverit!'s topic in Insurance & Financing
I do know a lot of people have mentioned submitting to their insurance co's and being reimbursed at least partially. Good luck! -
Question for those with the Realize band.
tomatogirl replied to bling's topic in LAP-BAND Surgery Forums
Oh good lord. Get a life, dude. There are so many more important issues in this world than J&J and their crappy marketing practices (which I agree with, but I have bigger things to be concerned about; I'm sorry you don't). For every negative thing you can show, someone else is going to show you something positive. That's how these things work. You should look into Earth First, they would love you. -
Question for those with the Realize band.
tomatogirl replied to bling's topic in LAP-BAND Surgery Forums
Higher complication rates with Lap-Band vs Realize band: SpringerLink - Journal Article -
Question for those with the Realize band.
tomatogirl replied to bling's topic in LAP-BAND Surgery Forums
1. You cannot tell me you are not saying the Realize band is bad. You have some kind of personal vendetta against it. This is the only forum I ever see posts from you in and they're all anti-Realize band posts. Baby, take up knitting or something. You need a new hobby. 2. What about the old adage, "If it ain't broke, don't fix it". After 2-3 years (depending on what study you look at) the weight loss is comparable. The Realize band has less complications. I'm not seeing the need for improvement here. It works. It's not killing people. Why change? -
Well, when you do try to get pregnant, I recommend getting the book "Taking Charge of Your Fertility". It will teach you all the signs of your body's fertility and how to watch for it. After nearly 3 years TTC, I got the book and was pregnant a month and a half later.
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To check it, first thing in the morning, stick a finger in your vaginal canal, pull it out and press your thumb against it and then pull it apart slowly. If it has the same texture as egg whites (the thicker and "goopier", the better), you are fertile (and if you're trying to get pregnant, go get it on).
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Talk to me about TriCare + Comorbidities
tomatogirl replied to tomatogirl's topic in Insurance & Financing
I don't think there is a time stipulation on comorbidities. -
is the discharge sticky and stringy like egg whites?
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Talk to me about TriCare + Comorbidities
tomatogirl replied to tomatogirl's topic in Insurance & Financing
The handbook says: Obesity Treatment TRICARE only covers morbid obesity surgery such as gastric bypass, gastric stapling and gastroplasty when the beneficiary meets one of the following conditions: Is 100 pounds over ideal weight for height and bone structure and has one of these associated conditions: diabetes mellitus, hypertension, cholecystitis, narcolepsy, Pickwickian syndrome, hypothalamic disorders or severe arthritis of the weight-bearing joints Is 200 percent or more over ideal weight for height and bone structure Has had intestinal bypass or other surgery for obesity and because of complications, requires another surgery TRICARE does not cover: Nonsurgical treatment of obesity, morbid obesity, dietary control or weight reduction Biliopancreatic bypass, gastric bubble or balloon, or gastric wrapping for the treatment of morbid obesity Ugh. We'll see. Although I might fall under the 200% rule. 200% would be twice your weight, no? -
Talk to me about TriCare + Comorbidities
tomatogirl replied to tomatogirl's topic in Insurance & Financing
Maybe. I guess I'll just have to see. I just keep hearing about the magical ~*2 comorbidities*~, so I'm nervous as all getup. <3 -
Plain, you should make that your title! It could be your gang name.