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New Peach on the Board - Hello from the ATL



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Hi everyone. After getting a lot of encouragement from a great girl who was banded about a year ago; I finally made up my mind to get banded. I started the process in November 2008 - my hope, is that I'll be banded by the end of June. So far, I've only had one major hiccup, my insurance company (Cigna) initially said that the surgery was a covered benefit and then during the pre-certification process told the insurance coordinator that it was not. After a few tears of disappointment, I but on my boxing gloves and went to work. After making several calls, up, around and through the chain, I was able to get confirmation that my plan actually provides bariatric surgery "if medically" necessary. Yeah Me!

So now I am jumping through the testing hoops. I did my sleep study last week. What a circus - electrobes and glue all over the place. I looked like the bride of frankenstein. Not cute at all! But in the end, it felt great to check that off of my list. :( I have my 4th medically supervised weight loss visit in a few hours...4 down 2 to go! Yeah! And a visit with the nutritionist on the 19th.

QUESTION: Speaking of medically supervised weight loss, does anyone know if the insurance company will hold it against me if I don't really lose any weight during the six months. Many of us I'm sur know this song...when overly busy its difficult to do all of the prep and planning that a steady eating regime requires and of course, saying I'm overly busy is an understatement. That is definitely something I've got to work on, finding time to take care of me. So, back to my question, do insurance companies hold it against you if you don't lose much weight under supervision? I figure by the time the six months are over, I'll lose 12 to 15 pounds total. Of course, that is if I can get on track over the next two months.

Well thanks for listening.

Lotta.

Edited by Lottaluv0417

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Hi Lotta, and welcome to LBT. I was private pay, so I am not experienced with how insurance will react if you don't lose any weight, or only lose a small amount during the supervised diet. But, I thought I would post and bump your thread so hopefully someone will see it who can answer your question.

Best of luck to you.

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