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Roller Coaster Of A Day!!



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Well I'm sure you all know I am still waiting on a surgery date! I received a phone call today from my weight loss center telling me that they talked with my insurance company and my insurance company has denied my approval for surgery because...get this.......IT IS NOT COVERED UNDER MY PLAN!!!! What????? When did this change I asked? She said she did not know but there was nothing more she could do. I told her that I would call my insurance company and call her back. I called my insurance company. I was on the phone with them for 30 minutes. The lady I talked to said that it IS a covered procedure, if it is medically necessary and said that I was denied because my BMI was under 40. She said she would check everything out and call me back. I called the weight loss center to see what my BMI was on the chart that they sent in. She said it was 41.2!!! The lady at the insurance company called back about 4 hours later and said that everything should be covered as long as the precertification dept. approved. She gave me the fax # for precert. I called my weight loss center back and told her everything that insurance said and gave her the fax # and reference #. She said she would fax all the paper work to them. Hopefully I will find out if I'm approved within the next 48 hours. Please say a prayer...I've been sooooo emotional all day!!!! I almost went out and bought a pizza....but I didn't!!! I had a Protein Bar instead!! :D

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I am crossing my fingers for you! Sometimes insurance companies use some interesting calculations to get your BMI. Hoping yours is just lagging behind.

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Well.......I got a precert #!!! I am soooo excited!!! My insurance company has issued a precert # for my surgery and said that is all I need. I am good to go!!! I see my surgeon tomorrow for my results from my upper endoscopy and I am going to ask for a surgery date! Hopefully I'll get my band within the next 2 weeks! I'm so ready!

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Hooray!!! Congrats, I'm glad everything came out okay and I hope they can get you scheduled soon!

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    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

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