Denied :(

[hiJACT 3]

I'm going to go back on topic. As my first-ever post, I wanted to share my "approval" process. I went to have my CPAP supplies scrips renewed at the MDs. there I was told I would have to weigh in. pretty daunting, since I shunned scales like they were covered in broccoli! when I made that Green Mile like trip to the scale, I was scared. I hadn't weighed myself in over two years and know I has to be very very heavy. I got on the scale and the thing let me know. I never thought the number 420 Would ever refer to me. after doing my CPAP thing, I darted (Or what passes for darting when one is 6'2" and 420lbs) to the weight management clinic. I found out that my BMI was around 51. This gave me the other label of 'Super Obese' for my kit. I did all the tests and submitted all the docs and results to the MD's coordinator. When I was called the next day that I had been immediately approved, I felt some relief, but I also felt some fear. Fear that my condition was so severe that the normally tightfisted insurers-that-be did not hesitate to approve me because I was at too high a risk.

I look forward to sharing my journey with all of you!

Highest: 420 lbs, Now: 380.3 lbs. OpDate: 8/17/12. On 4th day of 2-week all-liquid dt. Place: Cleveland Clinic, Weston, FL.

[goddessblaze 98]

Insurance denied me <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/sad.png' class='bbc_emoticon' alt='' /> I'm so upset' date=' my BMI is not 40.. I'm literally 3lbs away. So he said drink a TON of water! And wear heavy clothes. I have more existing medical conditions but I go back in on next Wednesday to be re-weighed! Wish me luck <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/sad.png' class='bbc_emoticon' alt='' />[/quote']

Rolls over quarters in your pockets..I swear to god!!!!!!

[JennAgain 1]

To be honest, I don't think you should be approved. I just dont think that people with less than 100 pounds to lose should use WLS. There is a reason why most insurance companies have that 40 BMI standard.

Maybe i'm wrong. I certainly have been before. But I feel that WLS should be for those who are in dire need of it and will DIE in the next 10-20 years without it. Someone with 150, 200, 250 pounds to lose.

What about someone like me? I am not exactly meeting the weight requirement, but I am having servere difficulties with diabetes, hypothyroidism, and sleep apnea? I am not wanting this surgery to just loose weight. I have been busting my ass for 6 years to keep weight off and I am losing the battle no matter if I eat less than 1200 cal a day or work out 3 times a week for 45 mins alternating aerobic with weight training. Gastric bypass has been proven in many case studies to almost do a reset for people with diabetes due to the malabsorbtion of sugars and nutrients being rerouted. I am not stomping my foot, by all means I agree that someone who is just wanting to lose a little weight without effort should look for an alternative source, but I think they need to adjust the requirements for people who are really struggling. I would give anything in the world not to haft to take shots everyday or 8 different medications some 3x a day.Just to sorta live a normal life.

[PaulB 346]

Who gets WLS should be left to DOCTORS not insurance company's

Surgery Anniversary 7/30/12

[Fishy 6]

What about someone like me? I am not exactly meeting the weight requirement, but I am having servere difficulties with diabetes, hypothyroidism, and sleep apnea? I am not wanting this surgery to just loose weight. I have been busting my ass for 6 years to keep weight off and I am losing the battle no matter if I eat less than 1200 cal a day or work out 3 times a week for 45 mins alternating aerobic with weight training. Gastric bypass has been proven in many case studies to almost do a reset for people with diabetes due to the malabsorbtion of sugars and nutrients being rerouted. I am not stomping my foot, by all means I agree that someone who is just wanting to lose a little weight without effort should look for an alternative source, but I think they need to adjust the requirements for people who are really struggling. I would give anything in the world not to haft to take shots everyday or 8 different medications some 3x a day.Just to sorta live a normal life.

I think there are exceptions to every rule and you sound like one. Plus you have been trying for 6 years.

[Fishy 6]

Who gets WLS should be left to DOCTORS not insurance company's

Surgery Anniversary 7/30/12

Bull shit. The doctors are largely in it for the MONEY.

[Fishy 6]

Really this is stupid, he gave his opinion, you don't have to agree its America but going back and forth is childish and calling names and typing insults is just sillly. I don't agree with skirting the system with ankle weights and etc BUT I also think you should have been approved for all you other reasons. We are here to support doesn't mean we have to agree,.

The ankle weights, pennies in the pockets and all that other garbage is DISGUSTING. Rules are rules and are in place for a reason. You're basically stealing, when you do something like that.

I'm sorry they're upset. But the truth is that they're upset because they know I'm right.

[Fishy 6]

So over this. Thank you for those of you who are here for support. I appreciate it. I mentioned this site to a few other people in my support group that I go to. I have met some really great people and have some close friends are are starting our journeys together heheheh like that MY JOURNEY? Its MY JOURNEY< and If i want to call it MY journey I will. You are a pathetic little man who needed to get off on coming in here and being mean to people. I am not going to continue to let you get off at fighting with people on the internet. Again MY journey. And for those of you who care I should know tomorrow or Tuesday whether or not I was approved. Thanks for all the kind words and support. I hope that this one negative person dose not discourage other people to share their stories on here. 100 lbs or 600lbs. people all have the same feelings, and the same size battle and we are here for each other, thats why we joined the site right?

LOL. Yes, "your journey". You act like you're on the road to Narnia or something. Get a grip.

As far as hearing back, I truly hope you don't get approved. And I will be reporting your doctor and bariatric center for allowing you to skirt the system and line your pockets with heavy objects.

[Fishy 6]

Nice

Where do you go?

[lovealways 287]

Where do you go?

Fordham University in NYC.

[landensmommy10 77]

I'm going to go back on topic. As my first-ever post' date=' I wanted to share my "approval" process. I went to have my CPAP supplies scrips renewed at the MDs. there I was told I would have to weigh in. pretty daunting, since I shunned scales like they were covered in broccoli! when I made that Green Mile like trip to the scale, I was scared. I hadn't weighed myself in over two years and know I has to be very very heavy. I got on the scale and the thing let me know. I never thought the number 420 Would ever refer to me. after doing my CPAP thing, I darted (Or what passes for darting when one is 6'2" and 420lbs) to the weight management clinic. I found out that my BMI was around 51. This gave me the other label of 'Super Obese' for my kit. I did all the tests and submitted all the docs and results to the MD's coordinator. When I was called the next day that I had been immediately approved, I felt some relief, but I also felt some fear. Fear that my condition was so severe that the normally tightfisted insurers-that-be did not hesitate to approve me because I was at too high a risk.

I look forward to sharing my journey with all of you!

Highest: 420 lbs, Now: 380.3 lbs. OpDate: 8/17/12. On 4th day of 2-week all-liquid dt. Place: Cleveland Clinic, Weston, FL.[/quote']

Thats how i felt after i had my son..it had been a year since i had been to the doctor and i am 30lbs more than i was when i was 9 months pregnant. I am looking forward to doing all the physical things i want to do..and use to be able to do with out having.swollen knees and feet which is what happens after a trip to Walmart. I have been able to maintain my weight.for.two years eating healthy and regularly exercising as much as I can. I am so happy for you and being able to get your life back. That is all I want for myself. I have done pretty good the last two years and i feel like this is the right choice.for me. Congrats on your surgery keep us posted!

[landensmommy10 77]

What about someone like me? I am not exactly meeting the weight requirement' date=' but I am having servere difficulties with diabetes, hypothyroidism, and sleep apnea? I am not wanting this surgery to just loose weight. I have been busting my ass for 6 years to keep weight off and I am losing the battle no matter if I eat less than 1200 cal a day or work out 3 times a week for 45 mins alternating aerobic with weight training. Gastric bypass has been proven in many case studies to almost do a reset for people with diabetes due to the malabsorbtion of sugars and nutrients being rerouted. I am not stomping my foot, by all means I agree that someone who is just wanting to lose a little weight without effort should look for an alternative source, but I think they need to adjust the requirements for people who are really struggling. I would give anything in the world not to haft to take shots everyday or 8 different medications some 3x a day.Just to sorta live a normal life. [/quote']

Exactly and like the ass hat said it should be for peoplr who have exhausted every option. In the fact hes judge me saying i havent tried everything..and i have been to the doctor more times in the last two years than ever before. My biggest issue is my pcos. Anyone whos ever had ovarian cycts knows how painful they are..and when they burst. My weight is severaly effecting my.reproductive system the most. I also am on medication for high blood pressure and would love to not have that stress.everyday. My doctor is fighting for me because he knows the advantages it has for me.

Anyways good luck with everyhing i hope you get approved!!

[PaulB 346]

Trust your doctors they have ways of getting you approved. After all they are the ones that went to med school not sume smuck sitting in a office that got his medical experience from watching TV or making TV ads for Meds that do more harm then good.

Doctors have lost control of the medical field to Insurance Company's that are in it for profit. Big time profit more money in 1 month then most doctors make in 2 years (sounds fair right) besides Insurance company's know what's best for you Not some Doctor

So we can all sleep better knowing that some dumb ass wearing a white shirt sitting in a office( sorry to anyone that wears a white shirt) who's only experience in the medical field is putting a band aid on his really nasty Paper Cut

You will get approved give the doctors a chance.

Surgery Anniversary 7/30/12

[kisersassy 369]

That is why I chose to have the surgeon do the 7 month requirement that insurance requires instead of pcp. Because he knows exactly what the insurance company wants

[PaulB 346]

I researched my surgeon and my PCP just gave me the referral and left the rest to the surgeon. The way it should be left to a specialist

Surgery Anniversary 7/30/12