Venting!

[somaiswhat 29]

So I have to lose 15 before insurance will approve me for surgery, and it's been a month and I've lost 10.5. I feel like a failure tho..been dieting so hard yet only that? Not to mention that this time of year is a very depressing time for me anyways..just feel like throwing the Xmas tree out and hiding under a blanket until February.. Ugh.

[enuff_is_enuff 126]

Oh my. Thats frustrating. Have you tried doing the liquid diet to drop a few lbs. A week should do it for you since you only have 4.5 lbs more to go? Dont give up yet. You are almost there..

[enuff_is_enuff 126]

And i do understand about the holidays. Im not a big fan either and its hard to be that way with the little ones in the house..:-)

[somaiswhat 29]

I mean I guess I shouldn't beat myself up cos only joined the program on November 5th and need to be in for atleast 3 months. I just thought this app would help me feel better but now it's freaking me out that so many people are getting denied for the littlest things! For atleast the past 3-4 years my primary care has been basically begging me to go to the bariatric center but what if that isn't enough? I'm just so sad..

[enuff_is_enuff 126]

Who is your insurer?

[somaiswhat 29]

[somaiswhat 29]

My Thing is I don't have a co morbid condition that's mentioned in the list..just sitting here bawling now

[enuff_is_enuff 126]

Your bmi is in the 35 range...i assume youve had the sleep apnea test?

[HELLO ITS ME CAMI 27]

the pre op diet my dr. gave me was 3 Protein Shakes with one Lean Cuisine 200 - 230 calories a day. So shake for Breakfast, one for lunch, then Lean cuisine then one more shake before bed. I was able to lose 1 lb per day. You can do it. your already over 1/2 way there.

[somaiswhat 29]

Yup, no apnea

[somaiswhat 29]

My main concern now is that my bmi has always Been high but not sure about the co morbities? Like I said my dr told me I should consider surgery about 3 years in a row

[Heyher 581]

Being one that has been denied, keep believing that it can, no, WILL happen for you. Not sure about your company, but if they submit and you are denied appeal to HR for an exception. Try peer to peer. Appeal every level. Go to external review. If your docs and surgeon think this is needed, then they will help you fight. I'm waiting for my external appeal decision. If they say no I'm pulling from my 401k and heading south of the boarder.

Lindstrom can help with appeals. Check your states medicade program to see if you qualify. Look into grants to help fund the surgery. Call your insurance and ask what comorbidities qualify.

Above all FIGHT FIGHT FIGHT FIGHT!!!!

Don't give up!

[Heyher 581]

Also your notes didn't say a specific time frame for BMI. If its over 40, and you are following the plan, then I'm not sure why they would deny.

[DreamsOfSkinny 53]

Sad that your insurance states Pseudotumor Cerebri.... And mine doesn't Do you have bCBS?

[somaiswhat 29]

Yupyup