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09-17-2009, 03:06 PM
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#1 (permalink)
| | Whipper Snapper
Join Date: Aug 2009 Location: Pittsburgh
Posts: 18
Weight Statistics March 5, 2010 Surgery Date:
5' 4"
Height:
279 lb Start Weight:
220 lb Current Weight:
140 lb Goal Weight:
59 lb Weight Loss:
80 lb Lb Left to Lose:
21.146953405 % % Lost:
Body Mass Index47.8850097656 BMI Start:
37.7587890625 BMI Current:
24.0283203125 BMI Goal:
|  Lifestyle Program
Right now I am in the 2nd month of the lifestyle program before surgery, have had 2 meetings. After my 3rd, I schedule an appointment with the surgeon. The place where I am going said that I have to go 6 months (6 meetings) so insurance will pay for the surgery but I have read that the doctor can "give you credit" for some of the time. Is this true?
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09-17-2009, 05:45 PM
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#2 (permalink)
| | Seasoned Veteran
Join Date: Sep 2008 Location: Mississippi
Posts: 5,183
Weight Statistics 3/18/2008 (dieted all my life) Start Date:
9/30/2008 Surgery Date:
5' 8"
Height:
292 lb Start Weight:
192 lb Current Weight:
189 lb Goal Weight:
100 lb Weight Loss:
3 lb Lb Left to Lose:
34.2465753425 % % Lost:
2 years Goal Date:
Body Mass Index44.3935986159 BMI Start:
29.1903114187 BMI Current:
28.7342128028 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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I am not sure about your insurance but I had to do the 6 mt diet and have doctor documentation for it.
__________________   Love to Share , Health to Spare, and Friends that Care!
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09-17-2009, 09:49 PM
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#3 (permalink)
| | Seasoned Veteran
Join Date: May 2008 Location: Just north of Iowa, not far from I-35. 2nd star on the right and straight on 'til morning!
Posts: 8,615
Weight Statistics December 13, 2007 (pre-op liquid diet started) Start Date:
December 27, 2007 Surgery Date:
5' 9"
Height:
280 lb Start Weight:
172 lb Current Weight:
184 lb Goal Weight:
108 lb Weight Loss:
-12 lb Lb Left to Lose:
38.5714285714 % % Lost:
Originally - 12/08. Actually - 8/08. Goal Date:
Body Mass Index41.3442554085 BMI Start:
25.3971854652 BMI Current:
27.1690821256 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Your doc is the one who's going to submit documentation to satisfy the insurance company. Follow his counsel and you'll do fine. He and his staff have done this a few times more than you have, so trust them!
CT
__________________ da perfesser
*******************
Dare to live your dream!!
If you want to be healthy for life, do for life the things that get you healthy!! Living healthy takes work. Dying fat is easy!! "That which we persist in doing becomes easier, not that the nature of the task has changed, but that our capacity to do has increased." - HJ Grant
"Do, or do not. There is no try!" - Yoda
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09-18-2009, 01:09 AM
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#4 (permalink)
| | Seasoned Veteran
Join Date: Jan 2008 Location: upstate ny
Posts: 2,091
Weight Statistics 1/10/08, the final endeavor, I WILL SUCCEED!!! Start Date:
3/12/08 Surgery Date:
5' 3"
Height:
316 lb Start Weight:
203 lb Current Weight:
180 lb Goal Weight:
113 lb Weight Loss:
23 lb Lb Left to Lose:
35.7594936709 % % Lost:
7/09 Goal Date:
Body Mass Index55.9707734946 BMI Start:
35.9559082892 BMI Current:
31.8820861678 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Not sure about this one since I didn't have to do it..
Follow the directions of your surgeons office, they know very well the process & how they will get paid.
Good luck.
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09-18-2009, 04:17 AM
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#5 (permalink)
| | Super Moderator
Join Date: Nov 2005 Location: Tokyo, Japan
Posts: 24,703
5' 5"
Height:
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If you have medical records of previous weight loss efforts, that may count, but if your surgeon/center has a comprehensive program for the whole process and post op follow up, then it's best to follow through with their program.
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09-18-2009, 04:18 PM
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#6 (permalink)
| | Seasoned Veteran
Join Date: Jul 2009 Location: North
Posts: 2,180
Weight Statistics August 20, 2009 Surgery Date:
5' "
Height:
210 lb Start Weight:
102 lb Current Weight:
110 lb Goal Weight:
108 lb Weight Loss:
-8 lb Lb Left to Lose:
51.4285714286 % % Lost:
August 2010 Goal Date:
Body Mass Index41.0083333333 BMI Start:
19.9183333333 BMI Current:
21.4805555556 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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As tough as it may seem try to follow the program. Sometimes these programs are set up not only to get insurance approval but to test the patient's committment to following the prescribed program Keep your chin up!
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04-28-2010, 06:20 PM
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#7 (permalink)
| | Cub Reporter
Join Date: Apr 2010 Location: In the middle of nowhere vermont
Posts: 59
Weight Statistics Well it all started when i was born... Start Date:
5' 7"
Height:
385 lb Start Weight:
395 lb Current Weight:
192 lb Goal Weight:
-10 lb Weight Loss:
203 lb Lb Left to Lose:
-2.5974025974 % % Lost:
Body Mass Index60.2929382936 BMI Start:
61.8589886389 BMI Current:
30.0681666295 BMI Goal:
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Okay so i have a question if they put you on the plan to follow and it takes 6 months and you get your surgery date but its after your birthday will the insurance still pay or will i have to get my own insurance? I am 17 so if from this month it takes 6 then it will be after my 18th birthday. : /
__________________
I never saw anything wrong till i was 385 at 17 yrs old. 
Now i am needing some more change in my life even though i am eating in small portions and excersing more. Hopefully my journey will be a good one.
My Blog here on the site: http://weight-brina-lose.blogspot.com/
It took years to ask why.
It took months to find the answer,
But it only took a few moments to choose to live. Now it will only take determination to reach my goal.
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04-29-2010, 05:02 AM
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#8 (permalink)
| | Guru In Training
Join Date: Feb 2010 Location: Indiana
Posts: 291
Weight Statistics 1/11/2010 Start Date:
1/28/2010 Surgery Date:
5' 5"
Height:
258 lb Start Weight:
202 lb Current Weight:
150 lb Goal Weight:
56 lb Weight Loss:
52 lb Lb Left to Lose:
21.7054263566 % % Lost:
Body Mass Index42.9287573964 BMI Start:
33.610887574 BMI Current:
24.9585798817 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Baby, I would call and ask your insurance company exactly that. If they say yes...I would consider getting a different MD. That may mean you have to travel further.
Another option is to discuss with your current MD, he/she may be willing to submit early if they think they can be successful. Explore your options from all different perspectives; but do not wait till you turn 18...control this situation.
Best advice anyone ever gave me for life skills was to "always have a Plan B". The world is yours and all you have to do is go get it!
Best of luck......I am cheering for you girlfriend...ah to be 18 again... 
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04-29-2010, 06:56 AM
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#9 (permalink)
| | Cub Reporter
Join Date: Mar 2010 Location: Georgia
Posts: 85
Weight Statistics 3/15/2010 Start Date:
3/15/10 Surgery Date:
5' 5"
Height:
337 lb Start Weight:
193 lb Current Weight:
145 lb Goal Weight:
144 lb Weight Loss:
48 lb Lb Left to Lose:
42.7299703264 % % Lost:
3/15/11 Goal Date:
Body Mass Index56.0736094675 BMI Start:
32.1133727811 BMI Current:
24.1266272189 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Through my insurance, I had to have 4 appointments with each: Primary Care Physician, Dietician and Exercise Therapist. The appointments had to be 30 days between each appointment. I started in october and had my surgery in March, so about 5 months. We just got the surgery statement from the insurance comapny and all we have to pay is $622.00 out of $32K woohooo!!!!!
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04-29-2010, 01:40 PM
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#10 (permalink)
| | Seasoned Veteran
Join Date: Jan 2006 Location: Oklahoma City, Okla USA
Posts: 2,549
Weight Statistics 05/17/02 Start Date:
05/17/02 Surgery Date:
5' 5"
Height:
355 lb Start Weight:
190 lb Current Weight:
175 lb Goal Weight:
165 lb Weight Loss:
15 lb Lb Left to Lose:
46.4788732394 % % Lost:
Body Mass Index59.0686390533 BMI Start:
31.6142011834 BMI Current:
29.1183431953 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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It's better not to skip steps along the way. They are all there for a reason to ensure you will be successful postop AND beyond.
__________________ 
(Spring 2004)
(lowest body weight/size) --BREE
- Strength in body is fleeting, but MY strength is from the LORD whose strength never weakens...
--------------------- open RNY 5/17/2002 -166 lbs(-200 at lowest) 8 years post in May 2010
Open major abdominal surgery 4/6/2010 for internal hernia release, extensive scarring removal & Appendix removal
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