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I was approved for the lap band last month. I have Cigna and it took months for me to get approved. The hold up was the "center of excellence".

I found a dr in the dfw area that was a center of excellence. I made an appointment with them asap. They had all my paper work before I even got there..all they needed was an approval code to schedule me for surgery.

I went to the appointment and was seen by the dr for a few minutes then a nurse (at least I think she was a nurse). She spoke to me a few more minutes and then told me that she would be submitting my paper work asap. This dr did NOT require me to lose ten pounds or do an pre-op diet. When I went to pay for my visit I gave my credit card. The nursereceptinist then stated that I needed to attend a class and the fee would be 300 dollars. I asked what was it for and she said it was for 8 hours for two days (I think). I asked her if it was Cigna approved and she said no. I asked if it was at a hospital site and she said no. I then asked what it did entail. She said it was quite a bit of information on what to expect from the lap band. How to eat and what to expect. So I asked why was I not told about this as none of the other facilities have this fee. She said she did not know. I was a little put off by this. IF your going to spend 300 bucks and it is MANDATORY ( as she stated it was) YOU should be told this before you get there and not afterwards. There are about 5 to 7 center of excellence in the DFW area. None of them charge this fee.

I called the dr office the next morning and canceled my surgery with them. I called Ut southwestern and they assured me that they do not charge a fee. I called the dr office back that wanted the 300.00 fee and suggested that they advise people that there is such a fee. The receptionist said that she would do so going forward, but I did not feel comfortable going with this dr. You gotta know that this a significant amount of money and if is so very important why does Cigna or any health care providers pay for it? I was uneasy about it and when I went to UT southwestern, they did everything right there on the spot. Everything is included in my surgery ....no fees for paper work or nutrition.

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    • 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
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    • 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!

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