Hoping To Be Sleeved!

[wannabb08 17]

Hi Everyone,

I have been overweight/obese since high school. I’m 35 now and my BMI is 45. I attended an information session last August. Proceeded to see Dr. Koppman (partners with Dr. Marema) in St. Augustine, FL the next day. With the help of my doctor I have decided the sleeve is the best fit for me. I have PCOS, hypertension, and A LOT of joint pains. The end of February will mark the end of the 6 month supervised diet required by my insurance (BCBS – Alabama). My insurance requires a BMI of 35 and severe comorbidities or a BMI of 40 or higher with no additional comorbidities required. I have gathered 3 yrs of weight history (random dates). I also have two letters of medical necessity, one from my current PCP and one from my previous PCP. I switched my PCP last year due to moving last August. My previous PCP treated me for more than 10 years. I also had a Nut visit this month. The insurance coordinator will be submitting all my documents for predetermination at the beginning of March. They said generally to expect a response from the insurance within 2-4 weeks. IF (BIG IF) approved I would probably have surgery in April. I’m so scared they won’t approve it, even though I do have coverage with zero copay. I’m prepared for a battle with the insurance if necessary. I’m just so tired of all the struggles that come with being obese. I’m tired of obsessing about it. I’m tired of not being able things with my young children. I’m tired of clothes not fitting. I’m tired of feeling unattractive. I’m tired of feeling tired.

I view this amazing surgery as a way to start life over. I realize it a huge lifestyle change. I also realize it will be a struggle to comply with the eating habit changes before and after surgery. But, I’m in it to win my life back. I know I can do it.

My family and husband are very supportive of my decision to pursue VSG. I feel very lucky to have their support.

I’ve enjoyed and learned so much by reading the boards. Thank you for all the information and stories and challenges. I think there is a wonderful support system here.

I’m just hoping and praying to get approval on the first round. My biggest insurance concern is that I have gained 25 lbs during my "diet". I didn't try I admit. That is impart due to my BMI being 39 when I started. It doesn't specify weight loss is required but...I gained not lost.

Thanks for your support!

[Tana_Q 20]

Congrats on your decision and great that your family is so supportive!

[AllForMy4 58]

Big congrats on this life changing decision!!! I wish you all the best of luck in getting an approval on the first try!!!! I am so glad you have your family's support,that is really a big deal. I think the insurance company just wants proof of time that you were on a diet supervised by a doctor. I didn't have to have the supervised diet with my insurance but at the seminar my surgeon pointed out that even if you gain weight on the supervised diet,it still counts as a diet. =) Good luck!!!! I am only 3 weeks out from my sleeve and already I feel like I have a new lease on life!!!

[wannabb08 17]

Big congrats on this life changing decision!!! I wish you all the best of luck in getting an approval on the first try!!!! I am so glad you have your family's support,that is really a big deal. I think the insurance company just wants proof of time that you were on a diet supervised by a doctor. I didn't have to have the supervised diet with my insurance but at the seminar my surgeon pointed out that even if you gain weight on the supervised diet,it still counts as a diet. =) Good luck!!!! I am only 3 weeks out from my sleeve and already I feel like I have a new lease on life!!!

Thanks for the input. You must be so excited - less than 3 weeks to go!!! Good luck!

[AllForMy4 58]

Thanks for the input. You must be so excited - less than 3 weeks to go!!! Good luck!

I actually had my sleeve done 3 weeks ago but thank you!!!!

[wannabb08 17]

I actually had my sleeve done 3 weeks ago but thank you!!!!

Sorry I should have read your signature better. Glad you're doing well.

[AllForMy4 58]

_{It's ok!! Thank you so much! =) Good luck to you!}