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wantlapband

LAP-BAND Patients
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Everything posted by wantlapband

  1. wantlapband

    September Bandsters

    I read about that unjury online..so its really good? Do they have chocolate, have you tried it?
  2. wantlapband

    September Bandsters

    Where do you buy Isopure ? I have to go grocery shopping tonight to get somethings before my surgery on Wednesday. I have been drinking the HMR drinks, which I like, but it gets boring. The carnation, (blue box) is good, except sometimes the milk bothers me, I would rather mix a Protein drink with Water in the blender.. thanks!
  3. The initial denial was I had a BMI of 35.2 with no life threatening co-morbities...my I do, there were two letters stating I had heart disease, one from my cardiologist and one from my primary. So my surgeons assistant got on the phone and called Anthem (NH) and it was overturned..I believe the surgeon himself spoke to the medical director that decides at the insurance company also. My surgery is still on for September 20th! There were still able to take me that day. Don't give up!
  4. wantlapband

    September Bandsters

    Thank you...I was so surprised, within 2 hours they overturned my denial. I couldn't believe it. My doctors office is awesome!! I am going to Brigham and Womens in Boston, its where my cardiologist is and he only wanted me to see a certain surgeon for the procedure. I will have to stay in the hospital a couple of extra days though instead of the one night, because of my blood clotting complications and I have to go off my lovenox (blood thinner) the night before, so they won't to make sure my levels are back to the normal range for me. I'll pick up some tylenol fast melts this weekend..thank you. Also, can anyone tell me what types of different protein shakes they use/used. I have been using the HMR shakes from the hospital, but they are expensive and get boring after a while.
  5. wantlapband

    September Bandsters

    UPDATE I talked to my surgeons office today after my denial letter came in the mail...only took them one day since they rec'd my paperwork. She was very upset also. She looked at all my co-morbid letters from my doctors. She talked to the surgeon, and he got on the phone with Anthem (NH) and they OVERTURNED my denial!! I am APPROVED!!!! Just like that!!! OMG...I am soooo happy. My surgery is still next wednesday, just don't know the time because they had to cancel my first time. I AM SO EXCITED!! I will keep you all posted!
  6. I talked to my surgeons office today after my denial letter came in the mail...only took them one day since they rec'd my paperwork. She was very upset also. She looked at all my co-morbid letters from my doctors. She talked to the surgeon, and he got on the phone with Anthem (NH) and they OVERTURNED my denial!! I am APPROVED!!!! Just like that!!! OMG...I am soooo happy. My surgery is still next wednesday, just don't know the time because they had to cancel my first time. I AM SO EXCITED!! I will keep you all posted! :clap2:
  7. I was denied today also :think. My surgery was next wednesday the 20th. I am so upset right now. My doctors office is faxing them over some more paperwork to see if they can reconsider before appealing. My BMI is 35.2, 207 lbs. I have heart disease and other factors. I had two letters one from my cardiologist and one from my primary stating that. I have no idea what to do. Self pay is not an option. How do I use obesitylaw.com lawyers? Do you know how much it is? It might be worth it. I just didn't want to want sooo long to have surgery. I have been counting down the weeks... I HATE THIS...I just want to crawl into bed and cry and never come out. I'll be crying all day long..:think:think:think:think Thanks for listening and support and help. Debbie
  8. wantlapband

    September Bandsters

    I was denied today my surgery was next wednesday..I am so upset....I called the doctors today and they were sad, they are going to fax my medical necessity letters off today to see if I can still get approved, my bmi is only 35.2...do I have to gain 30 lbs? I will if I have too....I have heart disease and other things. Nothing like ruining my whole day. I just want to crawl in bed and not come out.:think Anyone have to appeal and write their own letters? Have any suggestions..I went through the preop, all excited for next wednesday, counting down the weeks since July....this suckS!!!! I hate insurance companies.
  9. wantlapband

    Im Still Waiting On My Insurance

    I am also waiting for insurance approval. Finally the psych doctor gave the surgeon her report...she was sitting on it since august 14th!!!! Of course, no one knew this until I started calling my insurance company and they didn't have any paper work on me. They were suppose to mail it out mon or tuesday...my surgery is scheduled for SEPTEMBER 20th..Yup, and I bet my insurance company won't come back with an answer, or a denial, then I will have to appeal, and everything will be pushed back..Its very upsetting..esp. when I am trying to do the liquid diet..it doesn't help to have this on my mind. My husband needs to take time off of work, but we can't give an exact date because we have to wait for approval, same with someone walking our kids. I have HMO BC/BS of New England I live in NH. Anyone have them?
  10. wantlapband

    Bipolar and the band

    whew....I just had my psych evaluation last week, and I told her the truth about me being bipolar, but i was being managed on meds with my doctor and the psych doc...Its been three years, and I haven't missed a doss of meds and don't plan on it.. I was hospitalized 3 years ago when I first found out I had it, my mother passed away and I was depressed about it, so I thought going in to the hospital for a few days would help..It didn't do much, I realized that I didn't need to be there..so I hope they don't hold any of this against me being approved for lap band surgery. I think the main reason for my depression is being so overweight..esp. when I used to be thin. I am scheduled for surgery on september 20th.. I have BC/BS Anthem of NH..anyone else?? thanks for your help!!
  11. wantlapband

    September Bandsters

    My insurance is BC/BS Anthem of NH. I don't think anything was submitted yet as I had my last appt last week, the psych appointment. I hate the waiting....and the bad news in the mailbox...which I hope does not happen.. I dont' have to go on the pre-op liquid diet because my weight/BMI is low, its 35.3..so I can't go below that. If anyone has BC/BS Anthem of NH, please let me know how it was dealing with them. Thanks!!
  12. If you have bc/bs/anthem of nh, please post to let me know how your approval went. I have them and are waiting for approval for my upcoming surgery in September. My BMI is 35.3 with co-morbities..I'm 207 lbs!! I gained 3 more pounds!! Thanks for you help!
  13. wantlapband

    September Bandsters

    My surgery date is scheduled for September 20th..I have had all my required appointments, I am just waiting on the insurance approval, which is the worst feeling in the world. I will be banded at Brigham and Womens hospital.
  14. wantlapband

    Pysc Eval

  15. wantlapband

    BCBS - What are they thinking?

    I hope it is an Approval letter! YEAH..keep us posted:)
  16. wantlapband

    BCBS - What are they thinking?

    dotofoz, I decided to go to the doctors office psych. They use the same one. I went to mine first since he has known me for a few years..but he wrote nothing about WLS...it was a general 3 letter that was so impersonal. I go to day to see the psych. I'm worried about my insurance carrier BCBS Anthem (nh)...I hope they approve me, the paper work gets sent in after this visit.
  17. wantlapband

    I got a date & how long did it take for a yes or no?

    irwinlaura, They weighed me at my first visit, then at my nutrion visit....I was told not to lose weight or my BMI will be too low. I am 35.3 with co-morbities. Let me know how you make out. What is your insurance carrier?
  18. wantlapband

    I got a date & how long did it take for a yes or no?

    My BMI is 35.3..I was told NOT to loose weight, and I cannot go on the pre liquid diet before surgery...I had my nutrionlist appt, and my psych on monday, then everything gets set into my insurance company..I see my cardiologist on Friday..so I might have him write a letter of neccesity also. My surgery date is set for Sept. 20th, pending on approval from BCBS of NE....
  19. wantlapband

    BCBS - What are they thinking?

    That is a good letter. I have to go to another psych doc...what an idiot...I'm so mad..I feel like calling him back and telling him. I'm on Xenical also....hasn't worked yet. I have BC/BS in New Hampshire...I hope that I get approved...my surgery date is set for sept. 20th.
  20. wantlapband

    Very Upset. I was Denied Today

    I'll have to look just in case. I wish I didn't have to go through the insurance company and have money on my own to pay for it up front, because that is what I would do, right from the start.
  21. wantlapband

    BCBS - What are they thinking?

    anyone have any example letters that their psych doctors wrote? Mine was terrible, nothing in it that I needed to have said. I have been seeing this guy for 2 years, then I stopped for a year, and just went again in July and told him about the surgery..so I told him what type of letter I needed to have...like I have family support, etc.... All he wrote was, I haven't seen her in a year and she says she is stable. I mean I can't send that in, my insurance company will never approve it. I'm so pissed at him. I would like to call his office and explain to him that that letter will not help me, he knew me for 2 straight years. I should have gone with the psych doc from the surgeons office, but I said oh I have my own..yeah great..now if I want to get another appt, I will probably have to wait a long time, and then my insurance approval will be put on hold because they need this letter...and my surgery will be postponed.
  22. wantlapband

    I got a date & how long did it take for a yes or no?

    Time to love me... I can't wait to hear from you when you are feeling better. You will have to tell me all about your surgery...
  23. wantlapband

    Very Upset. I was Denied Today

    hi, I'm so sorry to hear that. I'm afraid that my insurance won't cover me because of my low BMI, even though I have comobities. I hate this feeling. The surgeons office haven't sent in my paper work to my insurance company yet, they are waiting for my psych letter which I am picking up today and my nutrition visit which is this thursday along with another upper GI. Did you finance to pay for yourself? If I get denied that is what I would like to do, but I don't know if there are medical loans out there? Otherwise I wouldn't be able to get it.
  24. wantlapband

    Very Upset. I was Denied Today

    em1125 What information did the doctor submit for approval for the surgery? I'm just wondering what type of information they send to them.... I know when I met with the surgeon, he just asked me questions, and that was it..like what I had...so what do they send?????? I'm soooo sorry!!!
  25. oh, I have a surgery date, do you think that will make a difference to the insurance company when they see i have a date set??

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