saints=love 1 Posted July 11, 2011 first iwould like to thank all of you for being a inspiration to me. Ok so my whole lapband process started in may 2009 iweighed 296.50 49.03 only 20 years old idecided I no longer wanted to be obese well morbid obese its weird iknew iwas big but almost 300 pds was a deal breaker for me ineeded a change. So iwent to my dr she's the type to not want young patients to have surgery if they're not up in age so she said how about you come back in a month do some blood work if you lose weight on your own then I'll put you on Phentermine so isaid ok well a month later I only lost a pound but she was happy so from june 2009 till april 2011 iwas taking diet pills which to be completely honest ifelt like iwas going semi crazy im in college so its hard for me to study && focus my entire sleep pattern is off istopped taking the meds by choice because they were no longer aiding me but hurting me im sorry im still rambling idont mean to confuse anyone but in September 2010 me and my dr finally decided lapband is whats best for me through that 6 month monitored weigh ins I've done the psych eval nutritionist class heart test all of them said lapband would be great for me my bmi was my lowest bmi was 36.61 when my papers were submitted my bmi 37.44 iwas denied twice by my medical group I submitted it to my insurance June 1st 2011 that process was horrible iwas denied they said there was nothing special about my case because I dont have any co morbidities although my family has a a strong history of diabetis on both sides so iwas so defeated so iguess you can say igot kinda desperate because in June iweighed 231 im 5'5 soooo idecided to break all my good judgement && eat everything in sight iknow iknow iknow thats insane but ifeel like I've been doing everything my dr wanted me to do now ifinally want my surgery only to be told no your moderately obese wtf is that obese is obese so ihave a weigh in this week ihope I've gained weight just to be at bmi 40 my question is will I be approved no questions asked or will there be more hoops for me to leap through thanx for your time sorry ican never make a story short 1 Michelle Harman reacted to this Share this post Link to post Share on other sites
sandy1 1 Posted July 11, 2011 first iwould like to thank all of you for being a inspiration to me. Ok so my whole lapband process started in may 2009 iweighed 296.50 49.03 only 20 years old idecided I no longer wanted to be obese well morbid obese its weird iknew iwas big but almost 300 pds was a deal breaker for me ineeded a change. So iwent to my dr she's the type to not want young patients to have surgery if they're not up in age so she said how about you come back in a month do some blood work if you lose weight on your own then I'll put you on Phentermine so isaid ok well a month later I only lost a pound but she was happy so from june 2009 till april 2011 iwas taking diet pills which to be completely honest ifelt like iwas going semi crazy im in college so its hard for me to study && focus my entire sleep pattern is off istopped taking the meds by choice because they were no longer aiding me but hurting me im sorry im still rambling idont mean to confuse anyone but in September 2010 me and my dr finally decided lapband is whats best for me through that 6 month monitored weigh ins I've done the psych eval nutritionist class heart test all of them said lapband would be great for me my bmi was my lowest bmi was 36.61 when my papers were submitted my bmi 37.44 iwas denied twice by my medical group I submitted it to my insurance June 1st 2011 that process was horrible iwas denied they said there was nothing special about my case because I dont have any co morbidities although my family has a a strong history of diabetis on both sides so iwas so defeated so iguess you can say igot kinda desperate because in June iweighed 231 im 5'5 soooo idecided to break all my good judgement && eat everything in sight iknow iknow iknow thats insane but ifeel like I've been doing everything my dr wanted me to do now ifinally want my surgery only to be told no your moderately obese wtf is that obese is obese so ihave a weigh in this week ihope I've gained weight just to be at bmi 40 my question is will I be approved no questions asked or will there be more hoops for me to leap through thanx for your time sorry ican never make a story short Sorry you are having such a hard time. Insurance companies are so different and difficult. Good luck this time with your approval. Share this post Link to post Share on other sites
saints=love 1 Posted July 11, 2011 yes its very hard ifeel so tired of trying iforgot how it felt to be in the 230s again but thank you for taking the time out your day to read my problem are you banded by chance? Share this post Link to post Share on other sites
Kay Adams 0 Posted July 11, 2011 Insurance looks at all the information. Bmi is important though. I hope with ur Dr notes that u have all u need to get approved. Keep us posted. Share this post Link to post Share on other sites
saints=love 1 Posted July 12, 2011 iwill indeed my weigh in is July 13 hopefully imeet their requirements kind of tired of waiting but im not giving up Share this post Link to post Share on other sites
sparkplug 106 Posted August 3, 2011 first iwould like to thank all of you for being a inspiration to me. Ok so my whole lapband process started in may 2009 iweighed 296.50 49.03 only 20 years old idecided I no longer wanted to be obese well morbid obese its weird iknew iwas big but almost 300 pds was a deal breaker for me ineeded a change. So iwent to my dr she's the type to not want young patients to have surgery if they're not up in age so she said how about you come back in a month do some blood work if you lose weight on your own then I'll put you on Phentermine so isaid ok well a month later I only lost a pound but she was happy so from june 2009 till april 2011 iwas taking diet pills which to be completely honest ifelt like iwas going semi crazy im in college so its hard for me to study && focus my entire sleep pattern is off istopped taking the meds by choice because they were no longer aiding me but hurting me im sorry im still rambling idont mean to confuse anyone but in September 2010 me and my dr finally decided lapband is whats best for me through that 6 month monitored weigh ins I've done the psych eval nutritionist class heart test all of them said lapband would be great for me my bmi was my lowest bmi was 36.61 when my papers were submitted my bmi 37.44 iwas denied twice by my medical group I submitted it to my insurance June 1st 2011 that process was horrible iwas denied they said there was nothing special about my case because I dont have any co morbidities although my family has a a strong history of diabetis on both sides so iwas so defeated so iguess you can say igot kinda desperate because in June iweighed 231 im 5'5 soooo idecided to break all my good judgement && eat everything in sight iknow iknow iknow thats insane but ifeel like I've been doing everything my dr wanted me to do now ifinally want my surgery only to be told no your moderately obese wtf is that obese is obese so ihave a weigh in this week ihope I've gained weight just to be at bmi 40 my question is will I be approved no questions asked or will there be more hoops for me to leap through thanx for your time sorry ican never make a story short Sorry, but I laughed when I read your post. Insurance companies are a JOKE!! I was refused the first two times on this journey and when I threatened to sue them for my weight problem and all of my co-morbidities they consented to give me my band. My dr said that with a lower BMI, even with the co-morbidities, do not take a chance in losing a single pound before surgery. I then proceeded to every buffet in town and vegas during the two weeks before my surgery to make sure that the scale went up and not down because they could refuse me even at the last minute. Anyways I got the band and life is wonderful. You need to do what you got to do to get it done! Insurance companies are there to take your money and refuse any treatment they want to save money. It is up to you to get er done!!!!! Good luck Share this post Link to post Share on other sites
NJGirl32 43 Posted August 3, 2011 I have BCBS and at a BMI of 40 you don't need any other health issues to be approved. It is really very frustrating and ridiculous-hopefully this time all will go smoothly! Share this post Link to post Share on other sites
saints=love 1 Posted August 9, 2011 @ sparkplug whats your current weight? Share this post Link to post Share on other sites
saints=love 1 Posted August 9, 2011 @ sparkplug lol exactly my point thanx for making me feel better my family thought iwas insane eating like there was no tomorrow iknew ihad to do what was best for me! omg ifeel so bad carrying this extra weight but ihave to maintain a bmi of 40 ok to update you July 13th iweighed in my bmi was 40.60 yaaaye so I resubmitted my paperwork through my medical group went to a seminar on thee 23rd && im currently waiting to see a surgeon they're taking forever to call me idunno why if iwas approved for 2 procedures a office visit && a follow up visit? im going to a support group this Saturday because its mandatory but im really hoping to get a call this week! Share this post Link to post Share on other sites
saints=love 1 Posted August 9, 2011 @NJ just playing thee waiting game ugh ihate it but I've been waiting half of my adult life so a few more weeks won't kill me but itotally agree iprefer my medical group apposed to insurance because the insurance have a 30 day or 45 day approval wait imagine waiting that long only to be denied ugh iwas sooooooo upset lol also what is your current weight? Share this post Link to post Share on other sites
saints=love 1 Posted August 11, 2011 finallyyy ihave a office visit with thee surgeon August 17 im excited!!! Share this post Link to post Share on other sites
rn2012 6 Posted August 11, 2011 Hi, Im so excited, i hv my first surgical consultation on Oct 11..I keep calling to see if there are any cancellations, so i can get that date bumped up. I meet with my primary physician tomm, to get my referall. I hope she doesnt tell me I dont really need lap band and dont provide me with my referral. I hv a BMI of 41.I havent told anyone that Im actually pursuing this, i hinted back months ago with my 2 Bff's, one was suppotive and the other said I can do it on my own, but I really cant, I lost weight before, but i gained it all back plus 20.. Share this post Link to post Share on other sites
saints=love 1 Posted August 11, 2011 @rn2012 what I've realized telling others about considering weight loss surgery you get a ton of conflicting feedback some are supportive but then some say "your not even that big" lol what does that even mean?! but good for you to make thee decision thats best for you these months will fly by soon enough keep me posted iwill do thee same Share this post Link to post Share on other sites
saints=love 1 Posted August 17, 2011 just saw my surgeon he's really nice looks like I only have to get blood work done && a upper GI then I'll have my exercise && nutrition class im so excited looking forward to being banded in September NO LATER<3 Share this post Link to post Share on other sites
saints=love 1 Posted August 19, 2011 bloodworks all done upper gi will be done August 29th time is reallyyyy flying Share this post Link to post Share on other sites