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

Soooo tired of waiting for the day to come.



Recommended Posts

I have been working with my insurance for 7 months now on this to get approved....and for some reason now that my operation date is only 2 weeks away, it feels like its going so slow!!!!!! I feel too exhausted to get excited about it, and now, I just want it to be over!!! I really thought I'd be so much more thrilled at this point but, the insurance company sucked all the give a sh** out of me. Dont get me wrong I DO want this more than ever....I just am not as excited as I thought I'd be, its kind of a dissapointing feeling. Anyone else feel this way??

Share this post


Link to post
Share on other sites

Yep...know what you are feeling. I started the process Oct. 2 with my first surgeon sponsored seminar. Started my 6 mo. diet in Nov. Really trying to be patient but not easy. I find myself whining about it and I don't think I have whined about anything since I was 4 yrs old. Just such a long process and I don't have a clue if my ins. company will approve me or not and the end of this long process.

Did you get approval? I had a surgery date of Feb 19 but had to give it up cuz ins. company wanted to see my A$$ jump through a few more hoops. It will be worth it in the end. Good luck to you

Share this post


Link to post
Share on other sites

Yep...know what you are feeling. I started the process Oct. 2 with my first surgeon sponsored seminar. Started my 6 mo. diet in Nov. Really trying to be patient but not easy. I find myself whining about it and I don't think I have whined about anything since I was 4 yrs old. Just such a long process and I don't have a clue if my ins. company will approve me or not and the end of this long process.

Did you get approval? I had a surgery date of Feb 19 but had to give it up cuz ins. company wanted to see my A$$ jump through a few more hoops. It will be worth it in the end. Good luck to you

Yes..I got approved...But it wasnt easy. The hoops I had to go through were....

1.) A total of 7 of those once a month meetings....(6 months worth) It came out to 7 meeting though.

2.) Had to get on prescribed diet pills that lined up exactly the entire 6 months. (or more)

3.) A letter of medical necessity from the Dr. (easy if you got a cool doc.)

4.) An exercize consult. (Your surgeons office will tell you where to go.)

5.) A nutrition consult. (Your surgeons office will tell you where to go.)

6.) A psychiatric evaluation. (Your surgeons office will tell you where to go.)

7.) Proof of 5 years of morbid obesity. (or if you were at least 35 BMI with other complications.)

8.) Get your Dr. to also document that you have tried various over the counter weight loss methods.

9.) Get all of your records and copy EVERYTHING...For yourself and your Surgeon....Good luck!!

Edited by mfbiznit

Share this post


Link to post
Share on other sites

Yes..I got approved...But it wasnt easy. The hoops I had to go through were....

1.) A total of 7 of those once a month meetings....(6 months worth) It came out to 7 meeting though.

2.) Had to get on prescribed diet pills that lined up exactly the entire 6 months. (or more)

3.) A letter of medical necessity from the Dr. (easy if you got a cool doc.)

4.) An exercize consult. (Your surgeons office will tell you where to go.)

5.) A nutrition consult. (Your surgeons office will tell you where to go.)

6.) A psychiatric evaluation. (Your surgeons office will tell you where to go.)

7.) Proof of 5 years of morbid obesity. (or if you were at least 35 BMI with other complications.)

8.) Get your Dr. to also document that you have tried various over the counter weight loss methods.

9.) Get all of your records and copy EVERYTHING...For yourself and your Surgeon....Good luck!!

Similar to the hoops I have jumped through....is your insurance BCBS?

Share this post


Link to post
Share on other sites

I know what you mean. I started the process on April 14th with a weight loss surgery seminar, since then it was the dr./nutritionist appointments every month (at first I was only supposed to go to 4, then it switched to 8), then my psych eval (which was absolutely pointless), finished all the appointments in beginning of December. In end of December, they called and said that they decided that I needed to get a letter from a psychologist stating that it was okay for me to get the surgery (which they were supposed to have let me know back in August). I go and get the letter, call them, and than they tell me that I don't need it. On January 3rd, I have the surgeon consultation, and a week & a half later I got the approval letter from BC/BS. Now, last Thursday I finally got a preliminary phone call about April 29th maybe having the surgery, but they were supposed to call back and let me know for sure the date & time, and whatnot, and I haven't heard anything since than. It seems like all I have been doing is waiting, I've called a few times because I've heard from other people where the hospital that I'm going through, has "forgotten" to call them, and all I've been told is that my "name hasn't come up on the list yet." This has been crazy, it seems like now each day I check my phone at least every five minutes to make sure that I haven't missed "the call" because I'm told that they don't call back. Hopefully soon...........

Share this post


Link to post
Share on other sites

Nesser, you are way more patient than me. I needed records from my old PCP and after 2 weeks of calling the medical records department, then the office manager, then the medical records department every other day, I showed up in person on Thursday of last week, and I picked up records yesterday. I'm sorry but I just don't see myself sitting around waiting for them to remember me... but I'm a bitch that way! :)

Share this post


Link to post
Share on other sites

I applaud those of you who have waited many months for insurance; I am now joining your ranks! I decided that I was too scared to wait 8 months (I, too, have BCBS...what if I was up another 50 pounds!) so I managed to wrangle $17,000 and was scheduled for surgery today. My LapBand center (TruReslts in Scottsdale) told me that I could easily schedule for 2 weeks out and get the necessary clearances. The last two weeks have been a crazy juggling of appointments around my already crazy work schedule, and yesterday at 3:00 I was still trying to get the cardiologist to fax the results from my NUCLEAR Stress testing. When I finally accomplished that and thought I was cleared, the TruResults people told me that my sleep study results came in that day as well, and I have something called "moderate obstructive sleep apnea with a severe component during REM sleep" and that the CPAP didn't work for me. NOT CLEARED FOR SURGERY. So, the surgery today is cancelled and I decided to hell with this....since I have to deal with some more of these health issues first, I sent back the $15,000 I borrowed and I will just be patient and go through the insurance hoops. Here's a question, though...if I lose just 60 more pounds (done it before, and now I have the health issues to prompt me) my BMI will be 35...another few pounds and it will obviously be less. Then I would not qualify for the banding, but my history is to know how to take it off, but not keep it off. This can really "mess with your head". Oh, yeah...I've been on this 3-protein shake a day pre-op diet, and now have to return to eating.

weight.png

Share this post


Link to post
Share on other sites

Similar to the hoops I have jumped through....is your insurance BCBS?

UMR...a branch of United Healthcare

Share this post


Link to post
Share on other sites

MFBIZNIT, I went through all the hoops you did too. Took me the same amount of time.. I even gained weight while waiting. LOL. And also felt the same way you did about waiting. But, when it gets two days before your surgery, the excitement will pop back up and then you'll be scared and nervous and start second guessing everything. And probably say "what am I doing?" like I did. But, it's totally worth the wait.. TOTALLY.

Share this post


Link to post
Share on other sites

Similar to the hoops I have jumped through....is your insurance BCBS?

I have BCBS of Minnesota and I had to do all of this too.

Share this post


Link to post
Share on other sites

MFBIZNIT, I went through all the hoops you did too. Took me the same amount of time.. I even gained weight while waiting. LOL. And also felt the same way you did about waiting. But, when it gets two days before your surgery, the excitement will pop back up and then you'll be scared and nervous and start second guessing everything. And probably say "what am I doing?" like I did. But, it's totally worth the wait.. TOTALLY.

Thank you so much for your words of encouragement!:blink: I gained weight too!!! I GAINED 35 LBS WHILE WAITING FOR THIS!!! :) Horrifying...How much did you gain?? Congrats on your success by the way.

Share this post


Link to post
Share on other sites

Nesser, you are way more patient than me. I needed records from my old PCP and after 2 weeks of calling the medical records department, then the office manager, then the medical records department every other day, I showed up in person on Thursday of last week, and I picked up records yesterday. I'm sorry but I just don't see myself sitting around waiting for them to remember me... but I'm a bitch that way! :tongue_smilie:

Thanks, if it wasn't for the fact that I'm just now waiting for the surgery date, I probably would've just given up. But I'm beyond frusterated with the waiting for the phone call. A lot of other people I've talked to have gotten theirs just a few weeks after having the surgeon consult, and I'm still waiting......

Share this post


Link to post
Share on other sites

Thank you so much for your words of encouragement!:scared2: I gained weight too!!! I GAINED 35 LBS WHILE WAITING FOR THIS!!! :blush: Horrifying...How much did you gain?? Congrats on your success by the way.

I went from 284 to 298... it's hard to say actually. One doctors scale said 300.. one doctor's scale said 296... one doctors scale said 298. One subtracted four pounds from it... Honestly, all I know is I was about 296 when the 6 months was over. lol. On my ticker I put 296 as my starting weight, but I think I was more like 298.

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

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • 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!

  • 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

    ×