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Feeling frustrated and very discouraged!



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After years of research and finally making up my mind to make the choice to improve my quality of life. I am starting to feel this will NEVER happen..and I am bombed about it. I have been waiting for this surgery for years now. I did my research and decided on which I wanted and I made up my mind do have gastric bypass. At the time the insurance I had did not cover bariatric surgery. I swicted jobs a few years later and FINALLY the ins co I had would cover... I made up my mind to have surgery! I called my insurance company to see what was necessary I was told that my plan did NOT require the supervised weight loss. My surgeon's office was told them same thing. In January 2015 I was diagnosed with early stage breast cancer, so of course wls was put on the back burner. I am over that and all healed up so I go back to my weight loss journey. I get to one of my last appts last week (Nutrition) and was advised that I my insurance requires me to be on a 6 mo medically supervised weight loss plan...WHAT?!!!!! I know that a lot of people have to do this so when I 1st called my insurance company to see what was necessary I specifically asked that question and I was told that my plan did NOT require the supervised weight loss. My surgeon's office was told them same thing. I really wanted to get this done this year because I have met my annual deductible and the surgery would be covered by my insurance co 100%. ..a 6 month diet plan means I wont be done until December. Which will probably push my approval (surgery) into 2016..I can not afford to pay the high deductibles and fees. I am sooo disappointed and hurt. I was really beginning to accept this was going to happen...I am crushed...devastated!! I just want off this ride. Hopefully something can be worked out somehow...but if not...I am afraid that the "life" I have now is what is as good as it is going to get. has this happened to ANYONE else or does anyone know about how long the approval process takes???

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I can completely understand where you are at. I've been trying for this surgery for 5+ years now and am on my final lap as well. I have 2 more 'weigh ins' before my surgery date and I fear the same thing!! Insurance looks at different things in regards to 'supervised weight loss'. For example- mine states the same thing but in reality I only had to have 6 consecutive 'weigh ins' rather than seeing the dietician for 6 months. I'm bracing myself for Sept when I have my last 'weigh in' that insuracne will the come back and do the same thing. Take a deep breathe (easier said than done). I have learned over the past 5 years that things happen for a reason. Have you read the book "Practical Advice for Lifetime Maintenance After Bariatric Surgery" by Pamela Harrelson? I highly suggest it as a pre-and post surgery book. One of the most enlighteing read for 5.99$. Her journey is amazing - she had the surgery 2x!!! As I am preparing and stressing myself I am takign the times to read up even more. I was planning the 'sleeve' rather than the bypass but I have changed my mind and will go the ruen-y route instead.

I wish you the best!!

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