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

Don't you just love the inequality?



Recommended Posts

Sorry, didn't read the other posts, but I'm 51 bmi and have a 6 month diet to follow (started January). It's different for each insurance company

Share this post


Link to post
Share on other sites

I'm sorry that this post turned to be an insult to some. I have no clue what other's, regardless of their BMI, have to do or have to get the VSG procedure. My insurance policy doesn't cover it so I was self pay and booked 1 1/2 months out. I hope everyone who wants the sleeve can get it. Everyone has a story and reason...And no one should ever judge others.

Share this post


Link to post
Share on other sites

bsbcMI' date=' the only way to get rewarded with a very fast surgery date is to eat yourself up to 50 and over bmi

and it doesn't matter what or how many co-morbidities you have, you can never get a quicker surgery date, the only thing that matters is exactly how fat you are[/quote']

That's weird. I have Bcbs and has a surgery scheduled less than 2 wks from when they approved me. I thought that was reasonable. How long are they making you wait?

Share this post


Link to post
Share on other sites

I have bcbsMI. My bmi was 43 and I had no trouble getting approved at all. Have 2-3 comorbidities but had absolutely no trouble with them. That's really strange. Had my surgery 4/16.

I started my process April 29th 2013 by attending a seminar. I meet with the surgeon Wednesday June 5th and then I submit to insurance... My process is going fast.. But if I had to do 6 month weigh in, I certainly wouldn't complain because it would have given me more time to prepare and research. But I've been cramming my brain with every piece of information I can find. This thread just struck a nerve with me.

4/16 so your a month and a half out.. How are you feeling?

Share this post


Link to post
Share on other sites

I've been complaining a bit about having the 6 month diet to complete, but after reading this thread, I'm going to try and not be so impatient. I've realized that my insurance WILL eventually pay, and I won't have to pay for it myself or go to Mexico, so I'm going to make myself be content with the wait.

Share this post


Link to post
Share on other sites

I started my process April 29th 2013 by attending a seminar. I meet with the surgeon Wednesday June 5th and then I submit to insurance... My process is going fast.. But if I had to do 6 month weigh in' date=' I certainly wouldn't complain because it would have given me more time to prepare and research. But I've been cramming my brain with every piece of information I can find. This thread just struck a nerve with me.

4/16 so your a month and a half out.. How are you feeling?[/quote']

Can't distinguish when I'm full til i feel like im going to hurl. Having a rough time with getting my Protein in. 4 days after surgery I had a gout flare up in my left knee and foot that landed me bed fast for 3 weeks because I couldn't walk. I'm doing better now though. I am 60 pounds less but I haven't weighed myself for a couple weeks. Starting to walk now so I'm sure that's helping. Good luck with your process!

Share this post


Link to post
Share on other sites

Can't distinguish when I'm full til i feel like im going to hurl. Having a rough time with getting my Protein in. 4 days after surgery I had a gout flare up in my left knee and foot that landed me bed fast for 3 weeks because I couldn't walk. I'm doing better now though. I am 60 pounds less but I haven't weighed myself for a couple weeks. Starting to walk now so I'm sure that's helping. Good luck with your process!

My husband takes uloric &collects both daily for gout finally a arthritis specialist put him on these meds together, his kidneys are@ 60 percent functioning . This is after removal of big toe &'re attachment & now able to get his Protein in w/barracks of gout, talk to it dr about this medicine we went to Vanderbilt university in Nashville for best dr . He now eats normal amounts of protein &even Protein shakes.

Share this post


Link to post
Share on other sites

It's an ass backwards system.

Not really. Their goal isn't to help people, it's to make money. Don't ever believe that your insurance company gives one atom of care about you or any of their other subscribers.

Share this post


Link to post
Share on other sites

I guess feel different. I haven't always agreed with health insurance but I'm thankful for it. Ultimately they end up paying a whole lot more for our individual services than what we paid them. IMHO

Share this post


Link to post
Share on other sites

Ultimately they end up paying a whole lot more for our individual services than what we paid them. IMHO

Quite the opposite is true. Insurance is based on risk. The risk being, you never know if you will get sick or hurt in the future...the insurance companies' model is to collect premiums from hundreds of thousands of people hoping that they won't all or only few will have have a claim. That's also the reason why they wont just automatically cover everyone. If a person gets sick often hence having a lot of claims then that person is high risk and could be dropped or rejected from a policy.

Share this post


Link to post
Share on other sites

Not really. Their goal isn't to help people, it's to make money. Don't ever believe that your insurance company gives one atom of care about you or any of their other subscribers.

according to your profile you had 1st letter of approval for the surgery? sorry, but this statement of yours seems a bit hypocritical being that your "noncaring" insurance company took care of you on your 1st attempt?

Share this post


Link to post
Share on other sites

I guess feel different. I haven't always agreed with health insurance but I'm thankful for it. Ultimately they end up paying a whole lot more for our individual services than what we paid them. IMHO

I pay $700 a month in premiums and so does our employer torwards our insurance coverage. No way in heck they don't make money. They didnt cover any of my weight loss surgeries or the $100,000 I racked up in complications. Even though I was dying from complications they refused to agree with the surgeons that it was an emergency medical necessity. my husband maybe sees a dr every few years. Trust me.. They're making money on most everyone or they wouldn't continue the business.

Share this post


Link to post
Share on other sites

My insurance doesn't care how overweight you are. You still have to have 6 months of physcian supervised visits. So if you are BMI 41 on Day 1 ... or if you are BMI 55 on Day 1 ... you still have to do the 6 months of physcian supervised visits. Don't get me wrong. I would love to have the surgery now, but I can't change it so why complain ... I'm just happy that in 6 months (well 4 months now) I will get to have the surgery. :)

Share this post


Link to post
Share on other sites

according to your profile you had 1st letter of approval for the surgery? sorry, but this statement of yours seems a bit hypocritical being that your "noncaring" insurance company took care of you on your 1st attempt?

She meant in general. Insurance companies are a money making business.. Simple as that. If they didn't make money off of our premiums they would go out of business. They routinely reject claims in hope you give up. It's just a job.

Share this post


Link to post
Share on other sites

She meant in general. Insurance companies are a money making business.. Simple as that. If they didn't make money off of our premiums they would go out of business. They routinely reject claims in hope you give up. It's just a job.

sorry i missed where she said "in general" .... in fact i'm still missing where she says "in general" and yes they are out to make money? sounds like a great business plan to me! i'd want a company that makes money too!

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

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

  • 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

    ×