Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

My heart hurts for you. I wished I could call them myself. :phanvan There are rules and reasons for them, but do you think it would help to get a supervisor involved? I always told them my surgeon said it would take 2-3 mos to get a surgery date after approval (which is exactly what I was told....I was flexible being a SAHM and got in sooner) and I needed to move this along as quickly as possible.

Another thing is, I involved a rep that worked for my husband's company (not insurance) since we are self-funded. She really was a tremendous help and put my file into the hands of the PreD supervisor and gave her a deadline. Also, I had my surgeon's office call. They got a bit more info than I was able to on my own. Not sure if this is of any help, but wanted to extend the info just in-case.

I will continue to lift you up in prayer. He is greater than anything we face in life. He is right there with you. This will happen....it's just in His time. I will pray for you to have peace while your waiting. Keep your chin up and know we are here for you as well!! :confused:

Share this post


Link to post
Share on other sites

Interestingly, Kim at Dr. V's office and I have gotten the opposite result ... they've told me more than they've told her. I know of two others here at NC LBT that have/had the same insurance through the same employer, but were within the guidelines and quickly approved. I believe I've stated my case very well with the letter I sent. (attached)

Up to this point, everything has gone very well. All the doctors, shrinks, etc. thought I'm a really good candidate for Lap Band. I won't give up without a try. It's just been a very long journey already, and I'm getting tired.

I too believe His will for my life will be done, and in His time. This may simply be a lesson in patience.

1stAppealLBT.doc

Share this post


Link to post
Share on other sites

Don't give up, UHC seems to be difficult when it comes to approvals. Appeal and reappeal. So Sorry I feel your pain!

vickie

Share this post


Link to post
Share on other sites

I called the appeals service center this morning. It's still under medical review; a determination has not yet been made. I'm praying!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×