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  642 People Lost in total 56560 lbs = 29.14 % Give us permission to add your before & after Weight Loss Photos |   |
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02-12-2007, 03:51 PM
| #1 (permalink) |
| Big Loser Join Date: Nov 2006 Location: MW
Posts: 127
Weight Statistics 3/27/07 Start Date:
3/27/07 Surgery Date:
Height: 336 lb Start Weight:
236 lb Current Weight:
150 lb Goal Weight:
100 lb Weight Loss:
86 lb Lb Left to Lose:
29.7619047619 % % Lost:
7/1/08 Goal Date:
Body Mass Index 61.4 BMI Start:
43.2 BMI Current:
27.4 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  |  I am BEYOND DEVASTATED I've been working with my ins. company for 8 months now. EIGHT FREAKING MONTHS AGO I was told that my plan provided for this surgery. MY SURGERY IS SCHEDULED FOR THIS FRIDAY. I called my ins. this morning for a totally unrelated GBS question and ended up in tears. Turns out I've been talking to ALL OF THE WRONG REPS b/c my ins. provider has a total exclusion policy. THIS ALL OF THIS after everything I've done. I am 5'2 and now weigh 333. I am almost 200lbs o/w there is no way that I see myself being able to conquer that kind of mountain. I feel like my life ended today. I know that DH would not consider taking a 2nd out on the house nor would he consider paying out of pocket. I truly feel like my life has no worth and I have no idea how to go on. I don't want to go on. This is the only thing I've been looking forward to for 8 months now. I truly feel like my life ended today.  ETA: I really want to get Craig's book, but right now I just cannot afford it. I hate life right now and I despise myself.
__________________  Last edited by *Butterfly*Girl* : 02-12-2007 at 05:22 PM. |
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Yes, you can often get insurance cover for your Weight Loss Surgery. Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.  |
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02-12-2007, 06:06 PM
| #2 (permalink) |
| WLS Guru  Join Date: Jul 2006 Location: mississippi
Posts: 353
Weight Statistics January 2007 Start Date:
May/June??? Surgery Date:
Height: 350 lb Start Weight:
330 lb Current Weight:
200 lb Goal Weight:
20 lb Weight Loss:
130 lb Lb Left to Lose:
5.71428571429 % % Lost:
December Goal Date:
Body Mass Index 54 BMI Start:
53 BMI Current:
31 BMI Goal:
Weight Loss Method Controlled Eating & Exercise   | T, Don't feel like you have no worth. That is totally not true. Look at the bottom of your signature "mom to Libby, wife to Tim" you have a lot to look forward to. If it is meant to be you will have your surgery. Don't give up. Keep on working. It will happen. My PCP told me last week that she doesn't see any point in me having the surgery because I am not really trying to lose weight in the meantime. I was so mad that day, but I know that I will do everything in my power to make her approve my surgery. You should too. Even if you don't use Craig's book, the people here have so many suggestions. Insurance companies will give you a different answer every time you call depending on who you talk to, obviously someone approved something because the surgeons scheduled your surgery. They are not going to risk doing a surgery like this if they don't know if they will get paid for it. Call your surgeon's office and see what info they can give you. Just keep the faith!!!! It will happen for us!!!
__________________  MSmOm   |
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02-12-2007, 06:23 PM
| #3 (permalink) |
| Super Moderator  | First off ((((((((HUGS))))))))) You are worth everything that life gives you. One of the things that is difficult when you are overweight is that most people automatically put themselves on the worthless list just because of that. You know that isn't so. Think of all the wonderful things in life you have achieved till now. Being a mother and wife is worth everything, and being a good mother and good wife is a lot of hard work. If, for now, your surgery has to be shelved, at least, try to work on establishing a healthy eating habit, the kind you will need to keep to maintain when you have had the surgery. That way, you will be well prepared for the life that comes post op. Keep in mind, everything you have done will some day turn out useful, even if it seems to have been for nothing right now. In every bad thing, there is a seed of good, so look for that good seed, and nuture it. (((((((((((HUGS)))))))))
__________________ "In every job that must be done, there is an element of fun."   Just a li'l bit 'bout myself  |
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02-12-2007, 06:36 PM
| #4 (permalink) |
| Seasoned Veteran  Join Date: Jan 2006 Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,756
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  | im sooo sorry to hear this right now!!!!! (((HUG)))))!!!!!! i dont even know what to say but im hear for you thru this stressful moment!
__________________ LISA  http://w5.photobucket.com/widgets/dy...164/fr1endly2/ LAP RNY Gastric Bypass  |
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02-12-2007, 08:14 PM
| #6 (permalink) |
| Newbie | I had a similiar situation with BCBSIL, and their reasons for denial made sense. It was up to me to present it appropriately. I've tried since April 2006, and had my surgery last Thursday. I had been denied 5 times. Last edited by krs2009 : 02-12-2007 at 08:16 PM. Reason: clarification |
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02-13-2007, 01:15 AM
| #7 (permalink) |
| Seasoned Veteran  Join Date: Mar 2006 Location: NYC ~ Love it!!!
Posts: 2,988
Weight Statistics 4/19/06 Surgery Date:
5' 8" Height: 333 lb Start Weight:
171 lb Current Weight:
155 lb Goal Weight:
162 lb Weight Loss:
16 lb Lb Left to Lose:
48.6486486486 % % Lost:
010/19/08 Goal Date:
Body Mass Index 50.6269463668 BMI Start:
25.9976211073 BMI Current:
23.5650951557 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass |  Tina.... I am praying....  I truly believe that you will have this surgery. You are worthy... You do have worth... You are a vibrant...beautiful...fun woman. This is the TRUTH! I am praying....  ______________________________________________ BTW: Have you seen "The Secret"....I have been living by this secret for the last year and a half...and it is one of the main reasons I was able to have WLS... You should take a deep breath...and grab a cup of hot tea....and goto your computer.... www.thesecret.tv Amazing....
__________________ Deborah  Lap RNY Gastric Bypass follow my "Journey and Progress" at www.femmemodeweightloss.blogspot.com    |
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02-13-2007, 11:00 AM
| #8 (permalink) |
| Cub Reporter  Join Date: Jan 2007 Location: Miami FL
Posts: 84
Weight Statistics 1/15/07 Start Date:
Height: 304 lb Start Weight:
287 lb Current Weight:
140 lb Goal Weight:
17 lb Weight Loss:
147 lb Lb Left to Lose:
5.59210526316 % % Lost:
12/31/07 Goal Date:
|  This could happen to me too. But, you know what, I'm keeping the faith that God only knows when it is the right time for me. Have faith in all the hard work you've put since 8 months ago. Things happen for a reason and we won't ever know the reason why but life work in mysterious ways. I know you want this as much as I do too. But, look at it this way, what if this wasn't the right day for you. Leave it to time. It will reward you later on. For now just keep doing what you're doing. Everyone else have gotten denied but they don't give up. They keep struggling until the right time comes. You're a fighter and not a failure. Keep strong and pray to God to give you more strength. He knows how you feel. You'll have your surgery soon. Be hopeful. I'm starting my process but I've already brain washed myself in the worst to come in case I get denied. But, I will not quit because I will find the way to the right path. Keep us posted, Andrea 
__________________ Andrea Leyva "Sometimes the smallest decisions can change your life for ever".   |
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02-13-2007, 02:01 PM
| #9 (permalink) |
| Guru In Training  Join Date: Jan 2007 Location: Upstate, NY
Posts: 285
Weight Statistics 1-22-07 Surgery Date:
Height: 225 lb Start Weight:
154 lb Current Weight:
125 lb Goal Weight:
71 lb Weight Loss:
29 lb Lb Left to Lose:
31.5555555556 % % Lost:
Body Mass Index 41 BMI Start:
31 BMI Current:
29 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | OMG I feel so bad for you....please don't give up...there has to be a way! I agree with MSmom......someone must of approved it somewhere because you had your surgical date...perhaps calling them back and talking to the person handling your case might help. I use to weigh 369 and I am, like you, 5'2"....one day I was walking down the street and a whole school bus of kids started making mooing noises and pig squeals at me......it made me so angry that I went on a diet on that day and never looked back. I lost over 143 pounds on my own. I am not saying this is what you should do but your comment "there is no way that I see myself being able to conquer that kind of mountain" hit home with me because I use to feel and say the same thing.....I am just trying to give you encouragement and to tell you we are here for you. Hang in there....we are in for the long haul....with YOU! Valerie***
__________________  Kind words can be short and easy to speak, but their echoes are truly endless !! |
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02-13-2007, 04:47 PM
| #10 (permalink) |
| Cub Reporter Join Date: Jan 2007 Location: Miami FL
Posts: 84
Weight Statistics 1/15/07 Start Date:
Height: 304 lb Start Weight:
287 lb Current Weight:
140 lb Goal Weight:
17 lb Weight Loss:
147 lb Lb Left to Lose:
5.59210526316 % % Lost:
12/31/07 Goal Date:
| Anything new?  I'm keeping my fingers crossed for you!!! I spoke to someone on regards to what just happened to you and she said a similar thing happened to her and she called again and spoke to someone different and they were able to help her. That person was a trainee and she didn't give her the right information as my friend had been denied before. My friend went through 2 denials before she was accepted the third time and it was because they were missing information but everything came clear for her. Let us know what happened if you call again. Don't give up!!!!!! Good luck.
__________________ Andrea Leyva "Sometimes the smallest decisions can change your life for ever". |
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