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I'm not looking for a quick fix, I'm looking to prolong my glorious life. Being the gestapo I am, I googled the crap out of bariatric, and after getting the green light from my husband - I made my decision. Called Tricare (I have Tricare Prime) and they told me what I need to do to get it approved. Can I tell you how crazy excited I was to find that not only do they cover bariatric surgery, there is a good chance that I will pay NOTHING. Wait....WHAT....like zero dollars??.. blink.png ..is this real life!??!?!???!

About a month later, we went home to Austin (hubby was stationed at Pearl Harbor, Hawaii at the time) for Thanksgiving vacay. I was going to call and schedule Dr appointments and get the ball rolling after the new year (2012). BUT the universe had other plans. On Jan 11th 2012 (our 1 year wedding anniversary , we found out I was pregnant. biggrin.pngbiggrin.pngbiggrin.png

So here I am now in SE Georgia, husband is deployed, with a six month old. Had gestational diabetes during my last trimester and was on a diabetic diet until my son was born. I gained about 35 pounds during my pregnancy and was able to shed 15. I know I probably was smaller than that a few weeks after but I have been steadily gaining now hovering anywhere in between 259 -264. Aside from the day I gave birth, this is the largest I have ever been. Of course I like the idea of not being plus size and lookin all thin and stuff but my health is the now the driving force behind me deciding to actually do this. I am so scared of getting full blown diabetes. Because I had gestational, I have like a million percent chance of getting full-blown diabetes if I don't lose the weight. My most recent weight loss venture has been weight watchers. I could see how a person could have success with it but it's just not working for me. Oh yeah, did I mention my sister is a licensed personal trainer/nutritionist/crossfit instructor? And a ex-boxer? She is almost 100% lean muscle and is in NO WAY supportive of this. I told her last time back before I got pregnant that I was considering it and she flipped out. Told me that I don't need that and that it's a lazy person's answer to a life long problem. Whatever skinny butt! Go off now and eat your paleo crap burgers. dry.png That being said, I love my sister dearly and appreciate her concerns but it's my life and my decision. I've always been the type of chick who threw caution to the wind and just went with it. Some would call me brave. I don't think I'm as brave as I used to be. Funny how a husband and kid change things like that. I think twice now before I do or say anything. Especially, since my hubbers is in the Navy. Can't let my mouth go and get me in trouble.

I had my very first appointment on Monday 2/25/2013 with my PCM to get a referral to a bariatric surgeon in the SE Georgia or Jacksonville area. She is having me go and get my blood sugar tested (since I haven't after having my son), then I will meet back with her in a week. Got an email today from Tricare telling me that my referral to the surgeon has been approved. I know that after meeting with him he will be able to help me make the decision right for me. I am still breastfeeding and really want to continue breastfeeding as long as possible up to 1 year old. However, it looks like I will have to switch to formula before I have any surgery. Duh. I seriously can't imagine picking up my son and hoisting him up to nurse after surgery. YIKES! unsure.png

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Well welcome to your new life. Thank you to your family for serving our country! I know it is a family effort.

Trust when I say this is not the lazy person way of losing weight. You have to follow through so much. It will be a life changing experience and will test your physical an mentally abilities many many times.

I had surgery due to medication that was making me gain weight. I could not get off the medication unless I lost weight and hard to lose weight when you are always hungry.

People who are naturally skinny do jot understand the struggles. Your sister will get on board when she sees the results, the new you, and how hard this can be.

This is a great board and has lots of support and honest feedback.

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Well thank you. It is very rough being away from your husband, especially because of our six month old. He's missing important milestones. Thank God for video recorders.

I'm honestly not concerned about what my sister thinks. I'm doing this for my family and, above all, myself.

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Welcome! Congratulations on your little one. I too was looking into the surgery and got pregnant instead. Best thing ever. You sound like a great uplifting person and I know you're going to do great in your journey!

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I have tricare prime too! I was approved in 2010 when we were stationed in Jackonsville, and i saw the North Florida surgeons. Unfortunately he got pcs'd last minute and i'm still in the fight to getting the surgery. Things have changed alot since i first was approved. Now we are required to be on a 6 month supervised diet with your PCM, which basically just involves going into the doctor once a month, weighing in and telling him/her what diet changes/excercise changes you've made. It's a real bummer, but it's just one of the million hoops you have to jump through. Good luck!

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    • BlondePatriotInCDA

      I'm officially no longer "obese" and now classified as "overweight!" Years ago when I was 108 lbs (my old adult holding weight until the last 10 years) would I have ever thought there would come a day that I'd celebrate being "overweight!" 
      I hit my one year surgery anniversary next Wednesday (August 21st, 2023) and just so happen to have my final bariatric clinic check up on the same day. I'm looking forward to seeing my surgeon and being officially released into the wild! 😋
      I'm curious as to what my labs will say, especially since they told me to not take my vitamins a few days before the labs. To be honest, I find this confusing since the whole point of taking vitamins is to keep your stats within normal ranges - to assure they're working as intended, yet since I quit taking them it will show I need to take them..so I'll hear "make sure to take your vitamins!" A vicious circle. Who knows why?!
      Anyway, I have 40lbs to go to meet my goal and I'm really hoping I can do it in the next 6 months (for a total of 18 months post surgery). At my starting weight the charts show only 20% reach their goal within 18 months with a starting weight of 259 the day of surgery. I'd like to add that to achieved goals. Fingers crossed!
      I'm amazed and thankful for everyone here on these forums who've supported me, answered my questions and understood the plight! Thank you all, you know who you are.
      · 2 replies
      1. NeonRaven8919

        Well done!

      2. BlondePatriotInCDA

        Thank you! I appreciate the feedback and support.

    • BlondePatriotInCDA  »  Crayon

      Welcome to the bariatric forums!
      · 1 reply
      1. Crayon

        Thanks 😊

    • juliie

      Good morning all, how long did it take insurance to approve you?
      · 5 replies
      1. NickelChip

        Once it was submitted, not long at all. Just a few days, I think. But my surgeon's office didn't submit it until all my requirements were met, which included psych eval, dietician meetings, a certain number of visits, bloodwork, etc. As long as you've checked all the right "boxes" they require, the approval process should be very standard and easy. Your surgeon's office should know exactly what you need to get approved.

      2. juliie

        good morning , I just need one more clearance from the insurance requirements which is my basic nutrition class , and that's on the 26th of this month. I have BCBSMI insurance. my surgeon said it usually takes 4-6 weeks for them to approve but can be sooner

      3. BlondePatriotInCDA

        Once I completed all the insurance/program requirements - about a week. It seemed fairly quick, but I also contacted my insurance company several times to confirm all the requirements I needed to satisfy there paperwork machine and also nudge (nag squeaky wheel) them 😋 ! Also, my bariatric clinic is/was on top of it.

      4. juliie

        @BlondePatriotInCDA thanks, I have BCBSM hopefully it doesn't take them long to approve me, i just need one more clearance from their requirements. wow a week ? that was fast ,have you had yours yet?

      5. BlondePatriotInCDA

        Yes, my one year anniversary is this Wednesday. It will go quickly, it may not seem like it now..but trust me it will. I have BCBS as well. Good luck, you can do this!

    • rsmith2593

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    • Alisa_S

      Long whine alert - I'm really disappointed! I saw my primary Dr last month and told her I wanted WLS and she was all for it. Said that I had to do the 6 month supervised diet for my insurance and a boatload of other tests. Ok. I understand. She started my 6 month diet last month and sent a referral to the bariatric surgeon. MY plan was to do the supervised diet, then at the end of the 6 months in January, do all the other tests...sleep study, endoscopy, ekg, psych, nutritionist, etc. because all of that would get my insurance deductible met, then have surgery in February or March. Since my deductible would be met, I'd only be paying my 20% coinsurance by then. Got the call from the bariatric surgeon's office on Friday and was told that THEY are the ones that will do my 6 month supervised diet. I explained that my primary Dr already had me on it for a month but they said everything will go thru them. Ok. I understand. So I explain about wanting to complete the diet first, then do all the other testing (because I don't want to have to pay my deductible twice by paying for all that stuff now, & then it starts over in January) but she tells me that they do the testing while I'm doing the diet. That means that I cannot even start their bariatric program until January! They made my first appt for Jan 9th & that's when the 6 month diet will start with them & they'll submit to insurance for approval in June & I would have surgery in July. Man!!! That's almost a year from now! All because I don't want to pay $4500 now, than have to pay it again in January. I don't understand why they won't let me diet now & do the other tests at the end.
      · 1 reply
      1. NickelChip

        Before you assume that the testing will take your full deductible, I would make some calls to your insurance. I have a 3k deductible and my portion of the bloodwork was nowhere close to that even though I assumed it would be. I think my copays ended up being around $1k or less for all the preliminary tests. And remember, you will have extensive bloodwork multiple times after surgery, so there may be no way to get it all into one calendar year. Also, you might look into financing options through your hospital. Mine allowed me to put the $3k I owed after the surgery (because yeah, that did max out my deductible for this year) on a 24-month no-interest payment plan. Depending on your options, it may be affordable enough that you can book your appointment sooner and get this whole thing going instead of having to wait almost a full year to have your surgery.

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