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tcbgirl

LAP-BAND Patients
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Everything posted by tcbgirl

  1. tcbgirl

    My message is too long so I have to do it twice.

     

    Here is a little history of me…

     

    1)BMI right now is at 40.5; however, the past 4 years it was between 35 -39.

    2)In the past 5 years I was pregnant 3 times and each time I had gestational diabetes (which the doctor said I have a high chance to develop type 2 in 5 years) and it is also runs in the family

    3)I have Gerd.

    4)My cholesterol is right at 200

     

    This month is my last month of doing the nutrition stuff; however, I have gained instead of losing due to the medicine they put me on for shingles. I have done all kinds of diets since I can remember. I have done LA Weight Loss since 2001 and today I just called them to get my history record and guess what LA Weight Loss in TN filed bankruptcy.

     

    I really don't know what to do. I am so stressed about this.

     

    Thank you so much,

     

    Alisa

  2. tcbgirl

    Crystal,

     

    I am sorry to email you without a permission. I am just so desperate over this Insurance thing. I saw you post that you work for a major insurance company. Can you please tell me from my information whether I have any chance to get approve by Cigna (POS)?

  3. tcbgirl
    Hi :wink2: My name is Alisa. I am 32 years old with 3 little ones at home. I am in the process of getting the band approved by my insurance (Cigna). Dec 19th will be my last visit with my doctor since he is a nutritionist too, I don’t need to join the weight watcher. I am also having my psychiatric evaluation on Dec 17th which they said it would take 3-4 hours. What do they ask you anyway? Why does it take so long? My questions for you guys that have been through this (getting insurance to approve). Do you think the insurance will approve me? My BMI is right at 40.5. I did not lose any weight with the nutritionist, instead I have gained almost 10 lbs due to the medicine the doctor put me on for shingles and I cannot lose it. I don’t have high BP, Apnea, Diabetes, High Cholesterol. The only thing I have is acid reflux which does not happen as often. I am really looking forward to the band; however, I also do not want to get my hopes up if the insurance refuses to pay. Has anyone been approved under the same condition? Thank you for all of your help. Alisa
  4. tcbgirl

    Forgot my email is tcbgirl@gmail.com.

     

    Thanks,

     

    Alisa

  5. tcbgirl

    Hi My name is Alisa. I saw your post about all the document to send to ins to appeal your case. Do you mind sharing with me the letter that you've got? I really need this since the company that I used to do weight loss (LA Weight Loss in TN) went bankrupt and I have no way of getting my record back except go through court. If you have other advice, please let me know.

     

    Thank you so much,

     

    Alisa

  6. tcbgirl
    April, When you said detailed diet history, you wrote it up or the doctor? I am asking because I used to go to LA Weight Loss, 2001 -2007 and today I called them and found out that the company (in TN) filed for bankruptcy. I called BBB and they said I need to file a complaint to BBB and also to PA Eastern Bankruptcy Court. If I cannot get my record in time, I probably have to write everything diet that I done before in the past. I hope that my PCP can write me up a good letter. Kimberly, Diabetes runs in my family too, heart attach due to high cholesterol too. I hope they take gestational diabetes into consideration. Alisa
  7. tcbgirl
    Here is a little history of me… 1) BMI right now is at 40.5; however, the past 4 years it was between 35 -39. 2) In the past 5 years I was pregnant 3 times and each time I had gestational diabetes (which the doctor said I have a high chance to develop type 2 in 5 years) and it is also runs in the family 3) I have Gerd. 4) My cholesterol is right at 200 This month is my last month of doing the nutrition stuff; however, I have gained instead of losing due to the medicine they put me on for shingles. I have done all kids of diets since I can remember. I have done LA Weight Loss since 2001 and today I just called them to get my history record and guess what LA Weight Loss in TN filed bankruptcy. I really don’t know what to do. I need some advice please? Thanks Alisa
  8. tcbgirl
    Congrats to you too April. I hope Cigna is like BCBS that will approve me without my other health problem. BTW, Jenn and April, I just talked to my insurance person about this and she said they want 5 years weight history but she did not mention about other health problem if your BMI is lower than 40. I don't think she knows what she is talking about, so I am going to gather all the info. myself and asked my pcp to write the ins. a letter mentioning about gestational diabetes and my cholesterol level which is right at 200). Please tell me that I am correct here, I am planning to summit all in for in Jan 2009, so that is mean I have to give them my weight history from 2005 on up right? Thanks so much for your help, Alisa
  9. tcbgirl
    Congrats Jen! I am so happy for you :rolleyes2: Do you think if I ask my doctor and the surgeon to write a letter that I really need this Cigna will approve? Alisa
  10. tcbgirl
    Jenn, Thanks for letting me know about the 5 years history. The past 5 years for me was being pregnant (3 times). My cholesterol is right at 200. I do have acid reflux and the GI has to stretch my esophagus 5 years ago. With my 3 pregnancies, I developed gestational diabetes which give me a very high chance to develop type 2 in 5 years. Now I am really scares that they will not approve me. Alisa

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