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Defeated

MandiBeth

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MandiBeth    2

MandiBeth
Posted

So I finally got health insurance back in December, called and asked them if gastric was covered (before i picked this plan) it was not UNLESS medically necessary...so I went through 6 months of doctor visits, another month of the dietician, physiologist and surgeon appointments...everyone approved me and deemed it was medically necessary...so the day finally arrived to schedule surgery and send in the final paperwork to my insurance...insurance calls me and tells me I am denied because they won't cover it, said I was given the wrong information...so not only did I waste my time and money now I'm just stuck....defeated...sick of myself...

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jess9395    5,449

jess9395
Posted

Can you get a copy of your plan and read for yourself if it is a specific exclusion or covered if medically necessary?

If it's covered when medically necessary you can appeal their decision.


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Go To Topic Listing Gastric Bypass Surgery Forums

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    • cryoder22

      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

        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

      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

      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

        NeonRaven8919

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

    • Ladiva04

      Ladiva04

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

        NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
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