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Oh my... Insurance submitted!!

SillyWillyMommy

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SillyWillyMommy    2

SillyWillyMommy
Posted

Eeeks... I'm so much more excited than I thought I would be... I am anticipating this SOO much... My doc just told me she submitted my case to the insurance company... and if I get approved, my date would be May 16th... However, she did mention that I shouldn't completely count on it, because they often get rejections on the first submission... but almost ALWAYS get approved the second time.

YAY!!!

:clap2: :clap2:

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musicalmomma    1

musicalmomma
Posted

Eeeks... I'm so much more excited than I thought I would be... I am anticipating this SOO much... My doc just told me she submitted my case to the insurance company... and if I get approved, my date would be May 16th... However, she did mention that I shouldn't completely count on it, because they often get rejections on the first submission... but almost ALWAYS get approved the second time.

YAY!!!

:clap2: :clap2:

I know exactly how you're feeling!!!! They sent my file in on the 13th and on the 23rd it was approved!!!! I couldn't believe it!!!! I don't get my date until the scheduling nurse calls me and they said that can take up to a week because there are 10 patients ahead of me. But Dang! It's a GREAT feeling!!!! Keep us posted!!!!!

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faithmd    14

faithmd
Posted

How awesome for everyone!!!

I just saw my PCP today and weighed in, and I'm below what my insurance company wanted me to be!!! WOOHOO!!!! So now I just wait for my PCP to send her office note with the proof of my new weight to the surgeon, and for them to fax it in to the insurance company. I've already talked to my case manager this morning and she says she'll be looking for it in the next couple of days. I was denied the first go-round because I hadn't lost enough weight, but I dropped almost 18# this month.

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faithmd    14

faithmd
Posted

Awww, thanks. But the last week or so all I've been eating is slimfast low-carb shakes and chopped fresh veggies and salads. So I'm sure to gain a little once I bump from my now nearly 800-900 calories a day back to my approx 1500-1700 a day. I had to make 335 by today, in order to get approved, so I had to do something drastic.

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SillyWillyMommy    2

SillyWillyMommy
Posted

Hey Thanks, Drew's Lou... and Faith.. it doesn't matter WHAT the motivation was.. you still rocked it, girl :-) Way to go... So, did you make it to your goal, 335?? I still totally cannot get how someone can tell someone that they are too big for weight loss surgery... That's like saying your cholesterol is too high to be treated. Duh.

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faithmd    14

faithmd
Posted

Hey Thanks, Drew's Lou... and Faith.. it doesn't matter WHAT the motivation was.. you still rocked it, girl :-) Way to go... So, did you make it to your goal, 335?? I still totally cannot get how someone can tell someone that they are too big for weight loss surgery... That's like saying your cholesterol is too high to be treated. Duh.

I was 330.4 when I stepped on the scale this morning at my PCP's. WooHoo!

I get the fact that the insurance company wants you to lose something on your MD supervised diet to show that you can follow orders, but... My ins co requires a 12 month MD program and 5% loss of your excess weight. Which for me would have been about 9#. My starting weight was 344, but over the course of the year I got sick and was off work and on meds that made me very sedentary for almost five months. Well, I gained lots of weight. My ins co said that the letter my cardiologist and the letter my PCP wrote (both saying that it wasn't my fault and that I am losing now that I'm fixed) were not convincing enough and that I had to lose all I gained, plus the original 9#. I had gained to 371, so I had to lose back to the 344, then the additional (original) 9#. I applied last month at 348 (down from the high of 371, but still up from the original 344) and was denied. So for the last week I have been drinking one or two SF low carb shakes or EASAdvantEdge drinks or Atkins drinks and eating salads and chopped veggies and 1/2 cup of cottage cheese a day. It wasn't awful, but I wanted to slather some A-1 sauce on the arm of anyone close to me and start gnawing. So now that I've "weighed in" and it's official, I'm heading to Outback! I'm on my way right now. Though I will not be having a potato, probably only one little piece of bread, if any, and no dessert. I just want a big slab of meat! :rolleyes:

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faithmd    14

faithmd
Posted

Okay, maybe a little of a Bloomin' Onion! But honestly I've changed my eating habits so much that the "bad stuff" doesn't really interest me anymore! (Never thought I'd say that!)

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SillyWillyMommy    2

SillyWillyMommy
Posted

I just called my insurance company........... and I've been approved!!!! I'll be having my surgery on May 16!! I am so excited, I am jumping up and down as we speak!!!!!!

....and congrats on meeting your goal, Faith!

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faithmd    14

faithmd
Posted

I just called my insurance company........... and I've been approved!!!! I'll be having my surgery on May 16!! I am so excited, I am jumping up and down as we speak!!!!!!

....and congrats on meeting your goal, Faith!

Thanks and...

:wow2: :) :welldone: :lol: :waytogo: WOOHOO!!!!!!!!

HOORAY!!!!!!

I can't wait to hear myself!

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MEW    0

MEW
Posted

CONGRATULATIONS to both Faith and SillyWilly!!!!

I'm just as excited for the both of you as I was for myself when I got my approval!!

(My surgery date is May 23!!)

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Bugg

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      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.
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      1. stevieoriole

        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

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