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04-17-2008, 01:03 PM
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#1 (permalink)
| | Big Loser
Join Date: Apr 2008 Location: Fullerton, California
Posts: 128
Weight Statistics ? Start Date:
Still pending! Surgery Date:
5' 4"
Height:
294 lb Start Weight:
287 lb Current Weight:
140 lb Goal Weight:
7 lb Weight Loss:
147 lb Lb Left to Lose:
2.38095238095 % % Lost:
?/2009 Goal Date:
Body Mass Index50.4594726562 BMI Start:
49.2580566406 BMI Current:
24.0283203125 BMI Goal:
|  Need to vent!
Hi I'm a newbie and Insurance co. sent a checklist of things that they required for the surgery, well the Doc and I were prepared for this at least I thought we were, the paperwork was sent in this morning, the only problem was that the Ins co. wanted a list of diets for the last 2 years or gym membership proof, I can only prove for the last year of dieting through my doctor, but the rest were like Medfast, Atkins, Almased, liquid diets, but of course I have no proof of that unless they would like to see the 3 cases of diet books I still have LOL! Has anyone else had this problem? Am I having anxiety about this to soon?   Nurse said this could be a set back that could last a year!  ...Virginia
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04-17-2008, 02:40 PM
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#2 (permalink)
| | Guru In Training
Join Date: Feb 2008 Location: LAFAYETTE LA
Posts: 211
Weight Statistics OCT 13,2007 Start Date:
JUNE 5Th 2008 Surgery Date:
5' 6"
Height:
397 lb Start Weight:
213 lb Current Weight:
170 lb Goal Weight:
184 lb Weight Loss:
43 lb Lb Left to Lose:
46.3476070529 % % Lost:
18 MONTHS Goal Date:
Body Mass Index64.0704775023 BMI Start:
34.3753443526 BMI Current:
27.4357208448 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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oh gosh i'm waiting for approval my self . i don't have all my records of weight loss either but i have done it all weight watchers ,sugar busters,atkins,liquid diets ,adapex ect . they submitted mine 3 weeks yesterday and i'm still waiting it's enough to drive someone crazy just waiting. i'm nervous as can be. but trying to be very paitent. they only have 30 days so i'll let you know. and good luck!
__________________ BRANDIE  | |
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04-17-2008, 02:45 PM
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#3 (permalink)
| | WLS Master Guru
Join Date: Feb 2008 Location: Mira Loma, CA 91752
Posts: 589
Weight Statistics April 15, 2006 Start Date:
May 10, 2006 Surgery Date:
6' 3"
Height:
365 lb Start Weight:
200 lb Current Weight:
200 lb Goal Weight:
165 lb Weight Loss:
45.2054794521 % % Lost:
anytime Goal Date:
Body Mass Index45.6168888889 BMI Start:
24.9955555556 BMI Current:
24.9955555556 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Yes. My insurance company wanted proof of at least one medically supervised diet plan of at least 6 months duration. I had participated in one for 8 months in 2002. I got a letter from them stating the facts and forwarded it to my insurance company. This let me out of their supervised diet plan. BUT, I now had to participate in a nutrition education class that lasted 4 months. You too may have to do this. There have been more than one post about this diet or nutrition requirement, so make sure you know all you need to do instead of being "surprised" at the last moment.
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04-17-2008, 02:48 PM
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#4 (permalink)
| | Big Loser
Join Date: Apr 2008 Location: West Hartford, Connecticut
Posts: 178
Weight Statistics On and off for most of my life Start Date:
3/17/08 Surgery Date:
5' 5"
Height:
250 lb Start Weight:
163 lb Current Weight:
150 lb Goal Weight:
87 lb Weight Loss:
13 lb Lb Left to Lose:
34.8 % % Lost:
03/17/09 Goal Date:
Body Mass Index41.5976331361 BMI Start:
27.1216568047 BMI Current:
24.9585798817 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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What I did was join Weight Watchers right when I signed up with a surgeon and started to go through there whole process. I sent a fax of my progress at weight watchers every week to the Dr. office and after about 3 months they submitted all my paperwork and I got approved. Do you have any comorbities?(high blood pressure, high cholesterol, sleep apnea, arthritis) I had them all and I think that helped push the approval along.
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04-17-2008, 02:51 PM
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#5 (permalink)
| | Seasoned Veteran
Join Date: Jun 2007 Location: Tampa, FL
Posts: 3,605
Weight Statistics July 10, 2007 Surgery Date:
5' 6"
Height:
271 lb Start Weight:
175 lb Current Weight:
182 lb Goal Weight:
96 lb Weight Loss:
-7 lb Lb Left to Lose:
35.4243542435 % % Lost:
Body Mass Index43.7357667585 BMI Start:
28.2426538108 BMI Current:
29.3723599633 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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My suggestion to all who are considering considering surgery to find out what is required, so they can start even that early out making sure they jump thru all the hoops ~ think how strong you'll be from all the jumping - LOL! It is frustrating, but with a whole year under your belt, maybe they'll accept that~~~ Good luck!
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04-17-2008, 03:15 PM
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#6 (permalink)
| | Big Loser
Join Date: Apr 2008 Location: Fullerton, California
Posts: 128
Weight Statistics ? Start Date:
Still pending! Surgery Date:
5' 4"
Height:
294 lb Start Weight:
287 lb Current Weight:
140 lb Goal Weight:
7 lb Weight Loss:
147 lb Lb Left to Lose:
2.38095238095 % % Lost:
?/2009 Goal Date:
Body Mass Index50.4594726562 BMI Start:
49.2580566406 BMI Current:
24.0283203125 BMI Goal:
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Hi Smease, yes I have Diabetes, asthma, HP, thyroid and sleep apnea. Going next week to see orthopedic surgeon about my knee too! My BMI is I think 50.4 ...Virginia...
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04-17-2008, 03:50 PM
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#7 (permalink)
| | Seasoned Veteran
Join Date: Jun 2007 Location: Jacksonville, Florida
Posts: 5,162
Weight Statistics July 21, 2007 Start Date:
August 6, 2007 Surgery Date:
5' 3"
Height:
287 lb Start Weight:
151 lb Current Weight:
140 lb Goal Weight:
136 lb Weight Loss:
11 lb Lb Left to Lose:
47.3867595819 % % Lost:
January 1, 2009 Goal Date:
Body Mass Index50.8342151675 BMI Start:
26.7455278408 BMI Current:
24.7971781305 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Yikes, sorry to hear this. I know that it is so difficult trying to get through what every insurance co wants...as they all seem to be different. Just make sure that you dont forget anything that you have tried! Good Luck!
__________________ Kim Tummy Tuck 2-17-09 Breast & Arm Lift 4-22-10 Breast Implants 5-11-11 http://www.facebook.com/profile.php?id=1408442896  | |
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04-17-2008, 04:13 PM
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#8 (permalink)
| | Big Loser
Join Date: Jan 2008
Posts: 198
Weight Statistics October 22, 2007 Start Date:
October 18, 2007 Surgery Date:
6' 2"
Height:
313 lb Start Weight:
215 lb Current Weight:
190 lb Goal Weight:
98 lb Weight Loss:
25 lb Lb Left to Lose:
31.3099041534 % % Lost:
April 2009 Goal Date:
Body Mass Index40.1824324324 BMI Start:
27.6013513514 BMI Current:
24.3918918919 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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This is crazy, my guess is that the system simply does not want to pay, I guess that if you can't pay for your operation, you will have to take the long route torwards the operation.
I am sorry that you have to go through this, I myself was overweight all my life my worse case scenario was 360 pounds but I always was from 260 after a diet and then bounced back to 300, so I know I did not keep any record of my adventures up and down the scale.....
I hope you do have the chance to convince these guys to pull your operation through, QUESTION CAN YOU SHOW THEM PICTURES OF PAST YEARS SO THEY CAN SEE THAT THIS IS A PROBLEM NOT A WAY OF LIFE......
__________________ "Anyone who has never made a mistake has never tried anything new."  | |
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04-17-2008, 04:49 PM
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#9 (permalink)
| | Seasoned Veteran
Join Date: Oct 2007 Location: N.Y.
Posts: 1,577
Weight Statistics June 25,2007 Start Date:
June 25,2007 Surgery Date:
5' 7"
Height:
322 lb Start Weight:
239 lb Current Weight:
165 lb Goal Weight:
83 lb Weight Loss:
74 lb Lb Left to Lose:
25.7763975155 % % Lost:
07/2008 Goal Date:
Body Mass Index50.4268211183 BMI Start:
37.4286032524 BMI Current:
25.8398306973 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Actually,I had to give my weight History for my entire life, yes I am serious. It was a three page thesis and on top of it I know they read it all because they said I had some breaks in the time spans and had to account for all my life. I did not have to prove memberships or anything but they did ask for extensive history from me. Hope things workk out as soon as poss. for you. Kathy
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04-17-2008, 04:49 PM
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#10 (permalink)
| | Big Loser
Join Date: Apr 2008 Location: Fullerton, California
Posts: 128
Weight Statistics ? Start Date:
Still pending! Surgery Date:
5' 4"
Height:
294 lb Start Weight:
287 lb Current Weight:
140 lb Goal Weight:
7 lb Weight Loss:
147 lb Lb Left to Lose:
2.38095238095 % % Lost:
?/2009 Goal Date:
Body Mass Index50.4594726562 BMI Start:
49.2580566406 BMI Current:
24.0283203125 BMI Goal:
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Hi yes I do have alot of pics, and if I could get the Ins co. to see how much they would be saving, my meds a month are $1,850 and that does not include the Docs I see a month on a regular bases. I forgot to tell Smease I also see a therapist for depression twice a month. I'm gonna sign up with weight watchers like Smease said. That seem to be the only problem with them, everything else that was requested from Ins co was faxed. ...Virginia...
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