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Everything posted by Charisse Jordan
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Just approved, no date yet but I am obsessing over sleeve vs bypass. My Dr wants me to have the sleeve and I agreed but I’m worried that it won’t be as effective as bypass and because I’m an emotional eater and addicted to sugar, I’m worried about gaining weight back. My husband had bypass 3 years ago and lost 120 and said it made him lose desire for certain foods like sugar. I need to lose 70 or 80, I’m 5’6 and 220 and my Dr thought I don’t need to lose that much so sleeve is best but I disagree on how much I should lose. I do have to take a baby aspirin for risk of stroke along with antidepressants so I know he is worried about ulcers but my husband takes a aspirin every once and awhile and is on Prozac and never had any problems. If anyone can put my mind at ease that the sleeve is best I’d appreciate it!
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Not sure about the sleeve
Charisse Jordan replied to Charisse Jordan's topic in PRE-Operation Weight Loss Surgery Q&A
Thank you for the insight, I think I may be worrying more than I need to and my surgeon has a good reputation as he also teaches the surgery to new doctors, I’m sure his knowledge of what I need won’t steer me wrong -
Not sure about the sleeve
Charisse Jordan replied to Charisse Jordan's topic in PRE-Operation Weight Loss Surgery Q&A
Thank you for the insight -
Just wondering if anyone knows if the 6 or 12 month diet plan would be waived if my Dr determined it is medically necessary for the surgery. I found out I have a brain disease that puts me at high risk of stroke. I’m worried my insurance Blue Shield of California won’t approve it without me doing some sort of failed diet plan first otherwise I’ve completed everything else and am just waiting on approval
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Medically necessary
Charisse Jordan replied to Charisse Jordan's topic in PRE-Operation Weight Loss Surgery Q&A
Thank you so much! -
So this happened! I was denied by my insurance because I did not do a year of a weight loss medication first. I cannot take them because my Dr said there isn’t one that won’t interact with my anti depressants so I will fight that. Insurance also said they have no records of having co morbidities that are made worse by obesity. I have a brain disease that puts me at high risk of stroke if I don’t get the weight off as well as GERD and osteoporosis through out my body. I guess the girl handling my pre approval didn’t find out what was needed to get me approved and get the right documentation, now I am trying to get everything for her to turn in with the appeal. I’m a little irritated but I will fight this, getting approved is the only thing left to do, I have come too far
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Irritated
Charisse Jordan replied to Charisse Jordan's topic in PRE-Operation Weight Loss Surgery Q&A
Blue Shield of CA -
Medically necessary
Charisse Jordan replied to Charisse Jordan's topic in PRE-Operation Weight Loss Surgery Q&A
So this happened! I was denied by my insurance because I did not do a year of a weight loss medication first. I cannot take them because my Dr said there isn’t one that won’t interact with my anti depressants so I will fight that. Insurance also said they have no records of having co morbidities that are made worse by obesity. I have a brain disease that puts me at high risk of stroke if I don’t get the weight off as well as GERD and osteoporosis through out my body. I guess the girl handling my pre approval didn’t find out what was needed to get me approved and get the right documentation, now I am trying to get everything for her to turn in with the appeal. I’m a little irritated but I will fight this, getting approved is the only thing left to do, I have come too far -
I am so disappointed! I was denied! I have Blue Shield of California and I guess one of their requirements is to be one a weight loss medication for at least one year. My primary Dr had at one time tried to find me one that didn’t interact with my antidepressants but couldn’t find one and so he said I can’t take them. The surgeons office said if I get documentation of this they will turn it in with an appeal. Has this ever happened to anyone where an appeal got them approved?