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

Recommended Posts

For 6 long months I have stalked this forum and have messaged back and forth to several sweet ppl.Friday I was denied approval for surgery ..yesterday denied again because they said my Bmi wasn't consistently @ least 40 for past 3 years.. it was like 38 ..even tho I have severe to moderate sleep apnea my "score " was not a 50 on sleep study.so my hopes and dreams of having this surgery, changing my life& trying to love the skin I am in were washed.so to all the sweet supportive ppl on this forum thank u! Unfortunately this forum will no longer apply to this girl ..sad sad but happy for all of u who will have and have had the surgery to get your life back.

Share this post


Link to post
Share on other sites

For 6 long months I have stalked this forum and have messaged back and forth to several sweet ppl.Friday I was denied approval for surgery ..yesterday denied again because they said my Bmi wasn't consistently @ least 40 for past 3 years.. it was like 38 ..even tho I have severe to moderate sleep apnea my "score " was not a 50 on sleep study.so my hopes and dreams of having this surgery' date=' changing my life& trying to love the skin I am in were washed.so to all the sweet supportive ppl on this forum thank u! Unfortunately this forum will no longer apply to this girl ..sad sad but happy for all of u who will have and have had the surgery to get your life back.[/quote']

Im so sorry im really sad for you I'm actually crying for you I know how much this means to people having this surgery goodluck to you you are always welcome here

Share this post


Link to post
Share on other sites

My heart hurts for you : ( I'm soo sorry they keep denying you.. I had that happen about 9 years ago and now I finally got it, so don't give up hope for what you want!! Take care !

Share this post


Link to post
Share on other sites

Hugs, Joy. I will say a prayer for you. I am hoping for a miracle for you.

Share this post


Link to post
Share on other sites

For 6 long months I have stalked this forum and have messaged back and forth to several sweet ppl.Friday I was denied approval for surgery ..yesterday denied again because they said my Bmi wasn't consistently @ least 40 for past 3 years.. it was like 38 ..even tho I have severe to moderate sleep apnea my "score " was not a 50 on sleep study.so my hopes and dreams of having this surgery, changing my life& trying to love the skin I am in were washed.so to all the sweet supportive ppl on this forum thank u! Unfortunately this forum will no longer apply to this girl ..sad sad but happy for all of u who will have and have had the surgery to get your life back.

I'm so sorry! That's awful!

I'm sure your time will come, Just don't let it kick you down! Rny or not, we are here to support you!

Share this post


Link to post
Share on other sites

I'm so sorry!

Share this post


Link to post
Share on other sites

Joy our hearts go out to you but I would encourage you to not give up. Have you discussed options with both your surgeon and your primary care physician? Insurance companies follow a protocol which is really nothing more than a checklist. A lot of folks have been denied only to be approved after some fine tuning in the information submitted to the insurance company. Most insurance companies will approve rny for folks with a BMI of 35 or greater and two co-morbidities. You mentioned sleep apnea. Hypertension, type 2 diabetes, cardiac, some forms of arthritis and/or osteoporosis are just some of the possibilities. Keep trying! Never give up! If they want a fight, give 'em one! You will find the "right formula" and once you're approved, it's illegal for the insurance company to back out. We all can appreciate your frustration but tough situations never last. Tough people do!

Share this post


Link to post
Share on other sites

Joy our hearts go out to you but I would encourage you to not give up. Have you discussed options with both your surgeon and your primary care physician? Insurance companies follow a protocol which is really nothing more than a checklist. A lot of folks have been denied only to be approved after some fine tuning in the information submitted to the insurance company. Most insurance companies will approve rny for folks with a BMI of 35 or greater and two co-morbidities. You mentioned sleep apnea. Hypertension' date=' type 2 diabetes, cardiac, some forms of arthritis and/or osteoporosis are just some of the possibilities. Keep trying! Never give up! If they want a fight, give 'em one! You will find the "right formula" and once you're approved, it's illegal for the insurance company to back out. We all can appreciate your frustration but tough situations never last. Tough people do![/quote']

Thank u DL I am overall healthy despite needing to loose 100 pounds.. So there for I have no other comorbids.. for that I am thankful .my sleep apnea score was moderate to severe but not scored high enough ..it needed to be 50 or greater...so now I am pondering calling them ..as far as doc is concerned I am a tall 5'8 if only I was 5'7 there would be no concerns I'd been approved :/ I suppose they wanna wait til I have another issue heck I don't know lol! I'm just frustrated and let down ..but all of your kind words sure are uplifting!;-)

Share this post


Link to post
Share on other sites

Hey Joy, have you considered self pay? I am in a similar situation and have opted to go to costa rica. I have been there for other surgeries in the past. The doctors are fantastic. And the price is $8500. financing is also available. I am going this august for my GBP.

Just something to consider.

Share this post


Link to post
Share on other sites

Hey Joy' date=' have you considered self pay? I am in a similar situation and have opted to go to costa rica. I have been there for other surgeries in the past. The doctors are fantastic. And the price is 8500. financing is also available. I am going this august for my GBP.

Just something to consider.[/quote']

The prob with that is the hubby& to be honest I would b scared to do that... Hubby would flip @ that thought of me going out of the country for surgeryt!!if insurance paid for it he was semi ok with the thought because he had no say really but to just pay out right no.. All tho he did say he would pay for any nips tucks I wanted... He is not a huge fan of RNY!!

Share this post


Link to post
Share on other sites

You just need to talk with your surgeon and pop there the ones to get it approved before you do have other problems

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • 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

    ×