AKessler731

I wasn't sure if I'd get approval or not but I did. Thank God! When should you take "before" pictures? The day of surgery? Before starting the 2 week diet?

Well thats good to hear. The lady who I talked to was kind of like "you'll have to talk to this lady to get approval" like it was something bad. She made me really nervous that I wouldn't get approved. She said they only approve revisions on a case by case basis and you have to show that its medically necessary. I meet all of the criteria so I hope it's fine. When I looked up the criteria it said to be medically necessary you have to have a BMI of over 40 or over 35 with co-morbitiies. My BMI is like a 40.1. lol But its over so that should be good enough. I'll just be happy when it's approved. I hate being in the waiting period.

What is your BMI? I'm just curious...what if you gained a little weight? Would you BMI be over 40 then?

Well that was new...I called UHC to check on the status of my paperwork and I was transfered to the bariatric resources department. I had to enroll in their program and set up an appointment for their nurse to call me next Monday at 1:00 to go over my paperwork. The surgery is approved on a case by case basis. Anyone else go through this?

Have any of you cruised since being sleeved? I'll be having my surgery sometime in the next 6 weeks and I have a cruise already booked for July 4th weekend. This will be out 3rd cruise and on the past two I ate, and ate, and ate some more. I know this time will be different because I wont be able to. What was your experience like cruising without all the food? lol I know that sounds like it may be a really silly questions but it seemed like a lot of the fun that was had was based on either eating or drinking. And I don't think I'll be drinking because I've heard weird things about drinking alcohol after being sleeved and I've also heard a lot of people can't tolerate anything sweet. So, I'm just curios what other people have thought about cruising after being sleeved. Thanks!

I may also be in the hospital on my birthday this year. Lol. Happy Birthday!

I figured I'd follow up on my post. I got the call today that the revision is covered. The only things I need to do are the Nutritional Counseling, Psych Eval and get a letter of medical necessity and medical clearance from my PCP. I do still have to have a BMI of 35+ with a co-morbidity or just a BMI of 40. Which means I technically need to gain 8 lbs. But someone on another page recommended that I just wear some 10lb ankle weights to my weigh in appt. lol. I'm starting college on Monday so I'll be shooting for mid March, during my spring break from school, to get the surgery done. Just wanted to let ya'll know what happened with it.

Hi! This is my first post so I'm sorry If I'm posting this in the wrong area but I didn't see anything like this in the insurance area. I just went to my surgeon today. I'm 5 years out with my lap band and have gain almost 50 of the 85 lbs I had lost from the band back. I'm very frustrated. My dr asked me if I'd thought about revising to the sleeve. It had crossed my mind but I just wasn't sure. They are supposed to be sending the information over the United Health Care to see what my requirements will be. But I am curious if any of you may know. Right now my BMI is 38. Will it need to be over 40 like it was when I had the lap band done? Or will they take into consideration that it was over 40 before? To be at 40 I would need to gain 8 lbs. I can do it if I need to, but thats kind of defeating the purpose. lol. I'm also curious if I'll have to do the psych visit, nutrional counseling and exercise class again. I'm fine with the two week liquid diet. It sucks, but I can do it. Thoughts?? Also I'm wondering if I will need to pay my whole deductible up front? I'm sure I wont be able to get it done before the end of the year so I know my deductible will start over. My individual deductible is $1500 I think. I know my family deductible is $2800 with $3000 max out of pocket per person, $6k max out of pocket for the family. Thank you for any insights!

Thats amazing Amanda! I'm so happy for you! I started in a 24 and today I am exactly 6 months PP and have lost right at 50 lbs and am in an 18, almost to 16's.. they are a little too tight still lol. I have a pair of size 10's from AE that a friend of mine and those are my "goal" jeans right now. SO I am extremely JEALOUS of you right now! lol

Yay! Congrats Amanda! Thats awesome!! I can't wait until I can get into my goal pants! A size 10 American Eagle jeans. lol But that is awesome! Good job!

LOL you are def. not alone girl! I got on the scale this morning and was up a lbs. I figured id gain a lbs or two because of them lol darn it. BUT, I'm back on my low carb track now. I'm done with reeses until I meet my next goal atleast!

I did. I ate all kinds of junk the first month that I shouldn't have. Today I am a month and 4 days post surgery and am finally the same weight as I was the day of surgery. After gaining and losing the same 9lbs. I think there is a point of panic after surgery that you eat things you probably shouldn't and then comes the realization that you put yourself through surgery to lose weight, so your not going to blow it on mindless eating. If you want to be healthy so much as to have surgery, i have faith in you that you will do whats right and make great food choices to get back on the band wagon. Good luck