donbie 1 Posted March 1, 2011 I'm new here, my name is Bobbie. I am a 45 year old wife and mother of 3 (two are still at home). I'm an ED tech and will be starting clinicals for RN in May (very exciting). After researching ten ways to Sunday, I have decided on the sleeve to get rid of all the extra weight. I've slowly gained weight as I aged, then along came peri-menopause and I crossed over from "healthy" to chubby. Once I quit smoking I packed on from chubby to OMG child we've got to do something about this. I'm at 37-38 bmi depending on how close I am to that once/twice a year period. High blood pressure and osteoarthritis in my knees and feet make me eligible for insurance covered surgery. I have UHC and they will cover everything except my 10.00 dr visit copays. Pretty darn lucky ain't I...and I know that I SHOULD feel it...it's just that every FREAKING time I call the insurance company I get a different answer to the same question..grrrrr. First three calls went like this...Me: Am I required to participate in a six month weight loss program? Them: Noooooooo. The next two calls went like this.....Me: Am I required to participate in a six month weight loss program? Them: Yes OR two programs for three months, one of which can be Jenny Craig or Weight Watchers. Last phone call... Me: May I please have the paper mailed to me that outlines the one for six/two for three month diet program(s)? Them: What two for three? You must do one for six. I'm pulling my hair out and becoming depressed. After this last call I've decided to take it as fate/God/whatever wants me to have the surgery in SIX months, FINE. So...August it is, I had just hoped to not have anymore fat summers...ah well, I already have the chubster bathing suits! Okay, so really I am not usually this much of a whiner or baby! I'm usually the "class clown" and the glass is half...hey are you going to drink that...can I have it? kind of gal. I'm looking forward to a VSG so that I can get my mojo back, look in mirrors (without wondering who the hell that person is) and be in some pictures with my family (before the kids leave home). As You've probably guessed patience is NOT my forte. I've read and researched so much. My new favorite past time is looking at before and after pictures, LOVE THEM. In fact it's gotten so bad now that as I go through my day and see people I label them in my mind..."she's an after"...."oh, she's definitely a before". I may be going round the bend. Anyhow, I love reading the posts and gleaning information from you all and YES I've seen ALL of your before and afters...way to go!! Bobbie 1 hopefulstar reacted to this Share this post Link to post Share on other sites
Oopsseedaisy 90 Posted March 1, 2011 Hi Bobbie! I am impatient and have UHC too. Have you registered and been assigned a nurse case manager yet? Your case manager should answer most of your questions. And send you information by mail. I have even found some discrepancies on the printed materials. Such as you need a 5 year weight documentation (which I didn't) and the Psych evaluation could be performed by a social worker (later to find out that the person had to have a doctorate degree). Point is to ask, read, and ask some more. You don't want to do something only to find out you now have to do it again (only better). That being said, when I submitted to insurance for approval, I was approved the same day. Share this post Link to post Share on other sites