Doing Weight Loss on my own

leyva29 · 03-06-2007, 04:28 PM

My pcp put me on a weight loss and so far i lost 13 lbs. If i lose an additional 50lbs he would have to take me out of wls anyways. But, I was denied wls by my insurance company.

God only knows what's best for me.

DocSanae · 03-07-2007, 02:43 AM

Question.
Does your insurance cover WLS?
If it does, is this your first denial?
If both of the above is yes, it is too early to give up, you need to fight your insurance till you get approval.

Sleep on the denial and your PCP's opinion for a couple of days, and then think things through again.

(((((((HUGS))))))) Wishing you the best.

fr1endly2 · 03-07-2007, 05:53 AM

HUGS and congratulations on the 13 lbs lost so far......
I know i had to loose weight pre op.
SORRY your sturggling with insurance issues!
FIGHT THEM!
maybe get the book from this site on insurance
company secrets!

leyva29 · 03-07-2007, 07:54 AM

I was told the regular Avmed ins does cover it but not the county one from my job. They bought the package with several exclusions and wls was one of them. I already found out with my work's ins personnel. I also read it in my ins booklet. So, there goes that idea. But, I have another choice too and that is to change my ins to Cigna which they do cover but until November I can't switch. Meaning that in January 2008 is when I start using the new ins. In the meantime I have to continue with my weight loss. The only problem is that if I lose 50 lbs more then I will get pulled out from wls because I would be weighing only 240 lbs. So, regardless I'll still be losing the weight.

I appreciate your help DocSenae and Lisa. This site is so good for me. Even if i don't get to do it now I still will be a part of this site because i know you gals and everyone else will help throughout the weight loss.

Lol,

03-06-2007, 04:28 PM	#1 (permalink)
leyva29 Cub Reporter Join Date: Jan 2007 Location: Miami FL Posts: 84 Weight Statistics 1/15/07 Start Date: Please Enter 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:	Doing Weight Loss on my own My pcp put me on a weight loss and so far i lost 13 lbs. If i lose an additional 50lbs he would have to take me out of wls anyways. But, I was denied wls by my insurance company. God only knows what's best for me. __________________ *Andrea Leyva* *"Sometimes the smallest decisions can change your life for ever".*

03-07-2007, 02:43 AM	#2 (permalink)
DocSanae Super Moderator Join Date: Nov 2005 Location: Tokyo, Japan Posts: 8,032 Blog Entries: 2 5' 5" Height:	Question. Does your insurance cover WLS? If it does, is this your first denial? If both of the above is yes, it is too early to give up, you need to fight your insurance till you get approval. Sleep on the denial and your PCP's opinion for a couple of days, and then think things through again. (((((((HUGS))))))) Wishing you the best. __________________ "In every job that must be done, there is an element of fun."

03-07-2007, 05:53 AM	#3 (permalink)
fr1endly2 Seasoned Veteran Join Date: Jan 2006 Location: SOMEPLACE LONG ISLAND, NY Posts: 6,755 Weight Statistics June 1, 2005 Start Date: Please Enter 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	HUGS and congratulations on the 13 lbs lost so far...... I know i had to loose weight pre op. SORRY your sturggling with insurance issues! FIGHT THEM! maybe get the book from this site on insurance company secrets! __________________ LISA http://w5.photobucket.com/widgets/dy...164/fr1endly2/ LAP RNY Gastric Bypass

03-07-2007, 07:54 AM	#4 (permalink)
leyva29 Cub Reporter Join Date: Jan 2007 Location: Miami FL Posts: 84 Weight Statistics 1/15/07 Start Date: Please Enter 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:	I was told the regular Avmed ins does cover it but not the county one from my job. They bought the package with several exclusions and wls was one of them. I already found out with my work's ins personnel. I also read it in my ins booklet. So, there goes that idea. But, I have another choice too and that is to change my ins to Cigna which they do cover but until November I can't switch. Meaning that in January 2008 is when I start using the new ins. In the meantime I have to continue with my weight loss. The only problem is that if I lose 50 lbs more then I will get pulled out from wls because I would be weighing only 240 lbs. So, regardless I'll still be losing the weight. I appreciate your help DocSenae and Lisa. This site is so good for me. Even if i don't get to do it now I still will be a part of this site because i know you gals and everyone else will help throughout the weight loss. Lol, __________________ *Andrea Leyva* *"Sometimes the smallest decisions can change your life for ever".*

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