monty 18 Posted September 16, 2011 Hi everyone. First time here. I had originally planned the rouen by pass, and was approved for the total amount by my insurance. However, after doing a lot of research, including lurking here, I decided the sleeve is a better choice for me. But, because I am on medicare, they will not approve the sleeve and I will be self-pay. The insurance co. who manages their medicare program said that they cover it if you are not on medicare. (in other words under 65!) Talk about discrimination!!!. Medicare stated it is not yet a "proven" surgery. Just want you all to know you didn't have a "proven" surgery! LOL! Anyway, I have been on this journey 5 months meeting the ins. co. requirements (turned out I didn't need to since I'm getting the sleeve) and I now have a surgery date of 10-2. Let me tell you, now that it is fianally here, I have mixed emotions. High excitement and high anxiety. Anyway jusy asking for any advice and support. I will be on here frequently now. Thanks Share this post Link to post Share on other sites
ILKrista 36 Posted September 17, 2011 Good luck Monty! You will do great. It is normal to be nervous before the surgery. I was terrified I was going to die & if I didn't, that the surgery wouldn't work for me. Neither of which happened, happily. Good luck & welcome to a much brighter future! Krista Share this post Link to post Share on other sites
monty 18 Posted September 17, 2011 Thank you so much I need that pat on the back! I feel like a chicken!!! But I have come this far and plan to grit my teeth and bear it! I have the same two fears plus a third one-complications. Please keep me in your thoughts. I wasn't sure I had posted correctly. Now I don't see where to go to post to the main thread. Still searching LOL! Good luck Monty! You will do great. It is normal to be nervous before the surgery. I was terrified I was going to die & if I didn't, that the surgery wouldn't work for me. Neither of which happened, happily. Good luck & welcome to a much brighter future! Krista Share this post Link to post Share on other sites
sarabooth2010 0 Posted September 18, 2011 This is also my first time on here, I have a surgery date of 9/30. I am a 36 yrs old married mother of 4 and full time student with 11 weeks left to become a Registered Medical Assistant. My externship begins on Oct 3rd and this was the only date they had before that is to begin. I just got my insurance approval on Monday and began my liquid diet on Friday. My family doctor referred me on getting the surgery since nothing else we were trying was helping me lose weight. Had originally thought about the band but my DR said with my eating habits that the sleeve would be better fit for me. I am now at the end of day 2 of liquid diet and my tummy is growling to the point I feel nauses. I am drinking my 5 protien drinks and about 80oz of Water. I also drink broths and live for my sugar free banana popsicles, but its still not helping. If I could only eat my sunflower seeds i would be OK. Wonder if that would be cheating? lol Hi everyone. First time here. I had originally planned the rouen by pass, and was approved for the total amount by my insurance. However, after doing a lot of research, including lurking here, I decided the sleeve is a better choice for me. But, because I am on medicare, they will not approve the sleeve and I will be self-pay. The insurance co. who manages their medicare program said that they cover it if you are not on medicare. (in other words under 65!) Talk about discrimination!!!. Medicare stated it is not yet a "proven" surgery. Just want you all to know you didn't have a "proven" surgery! LOL! Anyway, I have been on this journey 5 months meeting the ins. co. requirements (turned out I didn't need to since I'm getting the sleeve) and I now have a surgery date of 10-2. Let me tell you, now that it is fianally here, I have mixed emotions. High excitement and high anxiety. Anyway jusy asking for any advice and support. I will be on here frequently now. Thanks Share this post Link to post Share on other sites
monty 18 Posted September 18, 2011 This is also my first time on here, I have a surgery date of 9/30. I am a 36 yrs old married mother of 4 and full time student with 11 weeks left to become a Registered Medical Assistant. My externship begins on Oct 3rd and this was the only date they had before that is to begin. I just got my insurance approval on Monday and began my liquid diet on Friday. My family doctor referred me on getting the surgery since nothing else we were trying was helping me lose weight. Had originally thought about the band but my DR said with my eating habits that the sleeve would be better fit for me. I am now at the end of day 2 of liquid diet and my tummy is growling to the point I feel nauses. I am drinking my 5 protien drinks and about 80oz of Water. I also drink broths and live for my sugar free banana popsicles, but its still not helping. If I could only eat my sunflower seeds i would be OK. Wonder if that would be cheating? lol Share this post Link to post Share on other sites
monty 18 Posted September 18, 2011 I am starting that liquid diet on Monday so i am right behind you! You sure have a lot on your plate (no pun intended) with 4 kids and school and finals coming up. I went back to school full when my 2 kids were 6 and 7 and became a teacher. So I know how stressed you must be. Keep in touch and you will be in my prayers. The good news is you are covered by insurance. I am self-pay to the tune of $18,000. I received total coverage for the gbp thru medicare but they won't cover the sleeve which I think this is the best for me. Good luck. It will all finally come together! Share this post Link to post Share on other sites
sarabooth2010 0 Posted September 18, 2011 Iunderstand about the money, I cant believe insurances these days will not cover these life changing surgeries, Especially with the President pushing it for everyone and this new fitness thing ive heard about... something about fit for life? who knows i really dont keep up with politics. Is till ahd to come up with 600 out of pocket which for me was nearly impossible. Thankfully i did it, just in time to I have to pay it when I have my class on the 20th. Just finished finals for last quarter so no more for me. just extern and review before I go take my registery test I am starting that liquid diet on Monday so i am right behind you! You sure have a lot on your plate (no pun intended) with 4 kids and school and finals coming up. I went back to school full when my 2 kids were 6 and 7 and became a teacher. So I know how stressed you must be. Keep in touch and you will be in my prayers. The good news is you are covered by insurance. I am self-pay to the tune of $18,000. I received total coverage for the gbp thru medicare but they won't cover the sleeve which I think this is the best for me. Good luck. It will all finally come together! Share this post Link to post Share on other sites