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Old 09-27-2007, 09:18 PM   #1 (permalink)
Cherri
Cub Reporter
 
Join Date: Mar 2007
Location: IL
Posts: 68

Weight Statistics

03/03/2008
Surgery Date:
5' 3"
Height:
276 lb
Start Weight:
225 lb
Current Weight:
140 lb
Goal Weight:
51 lb
Weight Loss:
85 lb
Lb Left to Lose:
18.4782608696 %
% Lost:
10/2009
Goal Date:

Body Mass Index
48.8858654573
BMI Start:
39.8526077098
BMI Current:
24.7971781305
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Angry OMG Further Irritation, talk about making you feel bad

My PCP's office was suppossed to fax their letter over, but when I called I got the answering service. I figure no problem, I will call the surgeons office and ask. What a big mistake. The girl asks what the fax is so I tell her, and tell her I will have 2 more tomorrow. I also asked how long it takes to put the file together to send to insurance. She told me 1 week I thought not too bad. So I tell her when the letters are faxed tomorrow I am going to ask the file to be submitted. She said those letters won't make any difference. You did not lose the weight they ask for. Duh I can read the insurance company requirements. They don't say anything about a certain weight must be lost. Then I told her last month I did not eat much thats how I lost what I did. She says can't you have SF jello, or broth, with the SF popsicles. Oh I am so mad, upset, and ready to spit nails. She really made me feel like I will not get approved so why bother. I am still going to have them submit, and will appeal if I get denied until I can't appeal anymore. Then if I can't get approved I guess it wasn't meant to be. Thanks for letting me vent.
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Yes, you can often get insurance cover for your Weight Loss Surgery.
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Old 09-27-2007, 09:45 PM   #2 (permalink)
BOOTS
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Join Date: Aug 2006
Location: WADING RIVER (Long Island), NY
Posts: 4,755

Weight Statistics

7/16/07
Start Date:
7/16/07
Surgery Date:
4' 11"
Height:
230 lb
Start Weight:
137 lb
Current Weight:
115 lb
Goal Weight:
93 lb
Weight Loss:
22 lb
Lb Left to Lose:
40.4347826087 %
% Lost:
12/31/08
Goal Date:

Body Mass Index
46.4492961793
BMI Start:
27.6676242459
BMI Current:
23.2246480896
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Cherri I Cant Believe She Had The Nerve To Say That To You!!! She Shouldnt Of Done That!!!! Wow When I Was Reading Your Thread It Just Got Me Soooo Mad!!! Dont Listen To Her And You Submit It And Fight Anyway. Like You Said Unless It States It Somewhere In The Insurance Policies You Fight Girl!!!!!!!!!!!

Good Luck Hun
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3/2008 PREG. START WT 144LBS.
GOAL WILL HAVE TO WAIT TILL AFTER BABY
230 lbs 7/2007 & 142 lbs 4/2008

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Old 09-27-2007, 10:03 PM   #3 (permalink)
Cherri
Cub Reporter
 
Join Date: Mar 2007
Location: IL
Posts: 68

Weight Statistics

03/03/2008
Surgery Date:
5' 3"
Height:
276 lb
Start Weight:
225 lb
Current Weight:
140 lb
Goal Weight:
51 lb
Weight Loss:
85 lb
Lb Left to Lose:
18.4782608696 %
% Lost:
10/2009
Goal Date:

Body Mass Index
48.8858654573
BMI Start:
39.8526077098
BMI Current:
24.7971781305
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default Left feeling like a failure

Thanks Boots! You know that nurse left me feeling like such a failure. I asked my hubby why would she talk to me like that? I am a nice person, and I don't cause anyone problems. He said they are probably used to seeing obese people and hearing their excuses as why they did not lose. Wether they are true or not, he said they most likely don't believe you if you can't lose. That they figure you are eating as usual. My hubby knows how I eat, and being on the Gluten Free diet it has been less and less. I just want to cry. He says screw them just tell them to submit, and when I get to see the surgeon again to let him know how they treated me.
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Old 09-27-2007, 10:38 PM   #4 (permalink)
judy
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Join Date: Jun 2007
Location: Arizona in the winter - Colorado in the summer
Posts: 389

Weight Statistics

about age 12 the first time
Start Date:
8/29/2007
Surgery Date:
5' 4"
Height:
268 lb
Start Weight:
164 lb
Current Weight:
140 lb
Goal Weight:
104 lb
Weight Loss:
24 lb
Lb Left to Lose:
38.8059701493 %
% Lost:
a year from Christmas
Goal Date:

Body Mass Index
45.9970703125
BMI Start:
28.1474609375
BMI Current:
24.0283203125
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Definitely let the surgeon know how you were treated - I don't care if they are a Nurse, Dr or office staff a certain amount of respect is owed any client! You hang in there and don't let anyone elses opinions be more important than your own.
Judy
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Old 09-28-2007, 04:18 AM   #5 (permalink)
fr1endly2
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Join Date: Jan 2006
Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,755

Weight Statistics

June 1, 2005
Start Date:
Height:
310 lb
Start Weight:
167 lb
Current Weight:
159 lb
Goal Weight:
143 lb
Weight Loss:
8 lb
Lb Left to Lose:
46.1290322581 %
% Lost:

Body Mass Index
51
BMI Start:
27
BMI Current:

Weight Loss Method
Roux en Y Gastric Bypass
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((HUG))
total bummer moment for sure!
hang in there ~~~~
and good luck and fight all this
and make ur GOAL of having surgery
a reality!
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LAP RNY Gastric Bypass

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Old 09-28-2007, 06:41 AM   #6 (permalink)
Kenyar
Seasoned Veteran
 
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Join Date: Apr 2007
Location: Mount Vernon, NY
Posts: 6,866

Weight Statistics

4/1/07
Start Date:
4/19/07
Surgery Date:
5' 9"
Height:
258 lb
Start Weight:
136 lb
Current Weight:
140 lb
Goal Weight:
122 lb
Weight Loss:
-4 lb
Lb Left to Lose:
47.2868217054 %
% Lost:
04/19/2008
Goal Date:

Body Mass Index
38.0957781979
BMI Start:
20.0814954841
BMI Current:
20.6721277043
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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wow i cant believe they spoke to you like that. i too would let the surgeon know. and dont let it get you down. stick by your decision and fight until the very end.
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Lap RNY 4/19/07




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Old 09-28-2007, 08:24 AM   #7 (permalink)
Trulykath
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Join Date: Jun 2007
Location: North Texas
Posts: 2,691
Blog Entries: 1

Weight Statistics

I've lost/gained my whole life!!!
Start Date:
Aug 1, 2007
Surgery Date:
5' 8"
Height:
280 lb
Start Weight:
155 lb
Current Weight:
150 lb
Goal Weight:
125 lb
Weight Loss:
5 lb
Lb Left to Lose:
44.6428571429 %
% Lost:
Summer 2008
Goal Date:

Body Mass Index
42.5692041522
BMI Start:
23.5650951557
BMI Current:
22.8049307958
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Be a duck...let it roll off your back and blow right past her! Where there's a will, there's a way!

Good luck and keep us posted!
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Old 09-28-2007, 08:50 AM   #8 (permalink)
Chilly
WLS Master Guru
 
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Join Date: Apr 2007
Location: Near St. Louis, MO.
Posts: 846

Weight Statistics

04/17/2007
Start Date:
April 30, 2007
Surgery Date:
5' 5"
Height:
296 lb
Start Weight:
168 lb
Current Weight:
150 lb
Goal Weight:
128 lb
Weight Loss:
18 lb
Lb Left to Lose:
43.2432432432 %
% Lost:
05/21/2008
Goal Date:

Body Mass Index
49.2515976331
BMI Start:
27.9536094675
BMI Current:
24.9585798817
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Quote:
Originally Posted by Trulykath View Post
Be a duck...let it roll off your back and blow right past her! Where there's a will, there's a way!

Good luck and keep us posted!
EXACTLY!!!!!! I can't believe how RUDE she was!!!! But like Kath said, let it roll off and let THAT be your motivation to not give up!!!!!!
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Old 09-28-2007, 09:02 AM   #9 (permalink)
Spikey1341
WLS Master Guru
 
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Join Date: Jan 2007
Location: Davenport, IA
Posts: 691

Weight Statistics

12/28/06
Start Date:
May 14, 2007
Surgery Date:
5' 5"
Height:
253 lb
Start Weight:
184 lb
Current Weight:
150 lb
Goal Weight:
69 lb
Weight Loss:
34 lb
Lb Left to Lose:
27.2727272727 %
% Lost:

Body Mass Index
42.0968047337
BMI Start:
30.6158579882
BMI Current:
24.9585798817
BMI Goal:
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Hang in there! Just remember that the person who answered the phone at the Dr's office is not the insurance company. Keep pressing on.
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Old 09-28-2007, 09:33 AM   #10 (permalink)
DocSanae
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Location: Tokyo, Japan
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Blog Entries: 2

5' 5"
Height:
Default

Awww(((((HUGS)))))
And, yes, let the surgeon know. If the staff is not compassionate to the patients, it isn't right.
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