krekre28
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Everything posted by krekre28
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:biggrin: I guess I don't quite understand this, but apparently my insurance only covers $1000.00 dollars on any surgery! Does anyone know anything about this, it just seems very, very low for surgery coverage, I pay more in one year for health insurance than they do for a surgery, does this make sense to anyone. I would love to hear from anyone out there if they know anything about this. God forbid if I had to have a emergency surgery, my insurance would do absolutley no good, I would still end up with a very large bill, I thought the purpose of insurance was to save people from paying high medical bills! Am I the only one confused by this? Please someone help me understand this. Evonne
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Ok so it is friday:thumbup:, things are going a little better. My husband is rethinking taking the other job because he knows how much this surgery means to me, gosh I love him. I have been told about COBRA insurance and after I thought about it, at least I do not have to take out a loan, I have enough in student loans:eek:. So I am going to talk to my husband (Paul) tomorrow and see what he says. I figure the amount I would be paying for COBRA is the same amount or a little more than I would be paying on a loan. Does anyone know how much COBRA insurance costs? and what happens if you start paying it but can't keep affording to pay it say 6 months down the road? So I have tried to start eating less bread and less food just to see what it is going to be like, I sure hope that when I get my band that it makes this hunger feeling go away:drool:; I decided I am going to be optomistic and that the surgery will happen, GOD will provide. I am going to keep my mind focused on what I need to do and whatever happens between now and then is meant to be.
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Well it is Saturday and I have only 2 days till I find out if my husband switches jobs and how the insurance mess is going to work out:unsure:. I have been trying to focus my mind on my housework and kids, not hard to do! I have been cleaning like crazy, when I get stressed I am a cleaner. Everything gets clean! I am nervous for Tuesday but excited. Either me or my husband will be happy, it is so hard to wait. Sunday looks like a busy day, my daughter has horse back riding lessons, Girl Scouts and I have to visit with one of my family's (I am a family therapist). So hopefully it will go by as fast, I just want the waiting to stop. I am going to hate waiting for the insurance approval, my house is going to be like a museum, we will be able to eat off the floor. I have decidied to only tell a select few about the surgery, there are some people that will not understand and right now I don't need the added stress. I am taking one day at a time and trying to keep busy. Well if anyone reads these blogs, I hope I don't bore you too much. It is just really helpful to be able to write down how I am feeling, thank you for listening:wub:. Evonne
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Please Help interpreting the Aetna EPO requirements.
krekre28 replied to bonitachica9679's topic in Insurance & Financing
I do not have to pay anything out of pocket for the nutritionist, I called Aetna to make sure, after the doctor referred me. I do not even have to pay a co-pay. The doctor and nutritionist told me that I will see her for 3 months, it did not matter how many visits within that 3 months, so I could see her once a month if I wanted. But I really want to learn from her as much as I can so we decided to schedule every two weeks. My doctor told me that there are several different Aenta plans, and I lucked out having one that my doctor contracts with, so I would really suggest calling Aetna Monday morning and finding out more information on the qualification part. Ask if they can suggest someone that qualify's to do all the components of the qualification process? This insurance stuff stinks, the waiting process seems like forever. Let me know how things go and if there is anything I can help you with. We are in this together:smile2:. Evonne -
Please Help interpreting the Aetna EPO requirements.
krekre28 replied to bonitachica9679's topic in Insurance & Financing
I am currently going thru the 3 month process. All I have to do is see a nutritionist for 3 months, she set up my exercise, diet and behavior modification program. I am hoping to be banded in August. My WL surgeon referred me to her, apparently she knows exactly what Aetna needs and is able to give them all the documentation they need. I see her every two weeks. I hope that helped, maybe ask if they can give you a name of a nutritionist in your area or call Aetna yourself and ask them. Evonne -
So Thursday did not go well at all! Hopefully Friday brings me a better day. My weight loss struggle has been forever, it feels like. I had a baby at 17 years old and that is when the battle started, 18 years ago. To think that I have been fighting a battle this long, no wonder I have no more energy. Yes I am 35 years old:ohmy:! Anyway, I have thought about weight loss surgery for a long time, but knew that I could never afford it. I have a once in a lifetime opportunity to have it done and my husbands insurance will pay for it, buuuuuut, he really HATES his job and may have found a new one. The new job does come with benefits, but we do not know what kind and if they will help pay for any of the surgery cost. To get this close and see the light at the end of the tunnel and then slowly watch it go dark is killing me inside. I love my husband to death and know how it feels to be at a job that you hate going to everyday:cursing:. I told him if he gets the job (he finds out Tuesday) then to go ahead and accept it, but now I feel that I am giving up on me:confused:. This really is a ackward, selfish feeling that sets at the bottom of your stomach. I am up at 4:00 am because I do not know what to do. I have always lived by the motto that there is a reason for everything and that GOD will take care of me, but when you have wanted something so bad in your life, and see it slowly taken away as each day passes it is heart wrenching. I mean this is up there with the lottery, everyone that has battled with a lot of weight to lose understands this, you pray that one day you find the help you need to succeed and I almost had it. Now most of you are saying, well you don't even know if he has the job yet. Well he said the interview went really, really well :thumbup:, and that he was shown around and told to call back when the HR person got back from vacation, and come to find out he knows some people that work there already:scared2:. So I am about 90% sure he got the job . My husband will be very happy, but now I am going to be miserable, knowing that I had got this close, I mean I have already seen the dietician and was told that I could possibly go in for my LAP-BAND®® in August. It is so hard to sacrifice for the ones you love but then I ask myself, why can't he sacrifice himself for me, then the guilt sets in :crying:. This is one of those moments you wish you could have a crystal ball :thumbup:, I would get my answer and know if I am making the right decision. I would hate for him to not take the this oppotunity to make himself happy and come to find out they would have helped pay for my surgery too . Can you be mad and sad at the same time :crying::cursing:?
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So my husband has a job that has great insurance, he just got the job in Feb. 2010. I just found out that the insurance company will pay for my WLS after three months with a dietician. I went a week ago to the dietician and started getting things on track to hopefully have my surgery in August 2010. The problem is my husband HATES his job, well he had an interview today with a company that he applied for when he got his current job. They have benefits but we do not know if they will help or pay for any of the WLS. My job gives me benefits but does not cover any cost of WLS. My husband will call on Tuesday and find out if he has the job, he and I are worried that this will prevent me from getting my surgery and he is very supportive of me having it done (he will do whatever to make me happy):cursing:. He has offered to stay at his current job even though he HATES it, but I don't want him to lose this opportunity. I don't know what to do, please let me know if anyone has any suggestions. I have tried to find out what insurance company the new job offers but can not find any information on it at all. Evonne
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Thank you, I was going to try to find out about the health insurance, but I could not find anything on line about what insurance company the new job offers. So I guess we will wait until Tuesday and find out if he got the job and if so what is going to happen. I will keep eveyone updated. Thank you all so much for all your suggestions. Evonne
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Thank you, I will look into that.
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I also forgot to mention that the interview went very well and he was shown around and met some of the employees after the interview, so he thinks he may have got the job if he accepts it. Evonne
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what are you most looking forward to after your banded?
krekre28 replied to BeautyandtheBand's topic in PRE-Operation Weight Loss Surgery Q&A
I have a pair of goal jeans hanging next to my bed for about 3 years now, I want to take them down, throw them in the washer and wear them, that will be a happy day!!!! I plan on traveling a lot and to learn how to barrel race with my horse. And not be the biggest person in my family!!!!!! -
Losing Weight on Doc Supervised Diets
krekre28 replied to 2beskinny's topic in Tell Your Weight Loss Surgery Story
I asked my surgeons office about losing weight during the three months and the surgery not being paid for by insurance and she said that is not what happens. The insurance company wants me to go to the dietician to learn how to be successful with the band. I went to see the dietician and she said the same thing, that she is there to teach me how to choose the right foods because I will need to get my nutrients from a small amount of food, so I need to learn a new way of eating and weight loss with this new eating style is just a bonus. I have explained to my family that I am having to learn a new way of eating and yes, I may lose some weight but this is to prepare myself for when I have the band, this is a teaching/learning time for me. I don't know if that helps anyone, but talking to your family about the support your going to need through the ENTIRE process including the begining stages is important.Remember, :thumbup: Take it day by day!!!! 116 days to go!!! Evonne -
Losing Weight on Doc Supervised Diets
krekre28 replied to 2beskinny's topic in Tell Your Weight Loss Surgery Story
I am also having to do a supervision process for 3 months with a nutritionist. I am grateful to have her help before my surgery. I did not understand all the changes that I will need to make. I am one who does not eat enough throughout the day, she has me eating every 3 hours, small meals. I have also realized that I eat very, very fast. I have tried to slow down, sometimes I catch myself and sometimes I don't. Usually I realize it when I finished, realizing that I just gobbled up my food, that is going to be the most difficult thing for me to change. Does anyone have any ideas on how to help with this problem. I eat at the table, I don't watch tv while I eat, I am usually on the go due to my job so I am having to just throw food down my throat and go. If you have any ideas please help! :thumbup: Evonne -
I went to a seminar in Feb. 2010 and at that time was not able to afford the surgery, thru the grace of god my husband got a new job with great health insurance. I do not have to pay out of pocket but I do have to see a nutritionist for 3 months prior to surgery. I had my first appointment today and I am so glad, she is helping me learn how to eat and choose the proper foods so when I have the surgery I will be able to continue my new healthy lifestyle. I have been looking thru all the posts on this site and it is nice to know that there is so much support and that I am not the only person wondering and asking the same questions. I hope to make a lot friends and find a lot of support now, during and after my surgery. Evonne:thumbup:
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Just started the process
krekre28 replied to krekre28's topic in Tell Your Weight Loss Surgery Story
I did not think anyone in the world spelled their name with a "E", it is very exciting to know my mom did not spell my name wrong, LOL:lol: (ongoing joke in our family). Anyways, I am glad to hear that I am not the only one going through the waiting game, it feels like 3 months is going to be forever, I can't imagine waiting 6 months. How are you coping with that? I am constantly looking for ways to divert my attention to other things, but my mind keeps coming back to the surgery and whether or not it is going to be a success. I have waited so long to be able to have this opportunity. I am glad I found this site and can get support. Evonne:thumbup: