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Old 07-11-2007, 07:06 PM   #1 (permalink)
KnitterGirl
Whipper Snapper
 
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Join Date: Jul 2007
Location: Hagerstown, MD
Posts: 41

Weight Statistics

July 11, 2007
Start Date:
April 15, 2008
Surgery Date:
5' 4"
Height:
296 lb
Start Weight:
321 lb
Current Weight:
150 lb
Goal Weight:
-25 lb
Weight Loss:
171 lb
Lb Left to Lose:
-8.44594594595 %
% Lost:

Body Mass Index
50.802734375
BMI Start:
55.0935058594
BMI Current:
25.7446289062
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default Chapter 1 First PCP visit

Okay, so today I had my pcp visit and she was supportive, which is a good thing. She is setting me up with a dietician so I can start the stupid, assinine six months supervised diet plan. I can't rant enough about that insurance stipulation because is there really any female in the universe who has been fat for 34 years who has not tried a kabillion diets?? It just lacks common sense for me. I guess if I were twenty (no offense to any 20 year olds here) maybe then I could understand, but I'm almost 41! /rant

So anyway, I'm now waiting to hear about that appointment from my pcp. I'm assuming I cannot even schedule surgery until my six month diet crap is completely over, right? How long does it tend to take to get a surgery date?
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Yes, you can often get insurance cover for your Weight Loss Surgery.
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Old 07-11-2007, 07:49 PM   #2 (permalink)
DIANE66
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Join Date: Jul 2007
Location: Watertown, NY
Posts: 124

Weight Statistics

5/07
Start Date:
8/1/07
Surgery Date:
5' 2"
Height:
225 lb
Start Weight:
143 lb
Current Weight:
132 lb
Goal Weight:
82 lb
Weight Loss:
11 lb
Lb Left to Lose:
36.4444444444 %
% Lost:
8/1/08
Goal Date:

Body Mass Index
41.1485431842
BMI Start:
26.1521852237
BMI Current:
24.1404786681
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I'm sure every insurance co. is different but after the 6 mo diet thing, it was about two or three weeks for insurance approval, then about two weeks for surgery date, then 1 1/2 mo till surgery. Diane
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Old 07-11-2007, 07:52 PM   #3 (permalink)
Kenyar
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Join Date: Apr 2007
Location: Mount Vernon, NY
Posts: 7,369

Weight Statistics

4/1/07
Start Date:
4/19/07
Surgery Date:
5' 9"
Height:
258 lb
Start Weight:
151 lb
Current Weight:
165 lb
Goal Weight:
107 lb
Weight Loss:
-14 lb
Lb Left to Lose:
41.4728682171 %
% Lost:
04/19/2008
Goal Date:

Body Mass Index
38.0957781979
BMI Start:
22.2963663096
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Default

im so sorry you have to go thru this part, but certain that it will fly by for you. im not sure about the insurance after the 6 mos. i just hope that in the interim they dont change policy on you. keep on them and keep copies of all your paperwork. i wish i had more to offer...
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Old 07-11-2007, 08:03 PM   #4 (permalink)
MsVickie
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Join Date: Mar 2007
Location: Floyd County Virginia
Posts: 3,591
Blog Entries: 1

Weight Statistics

September 19th 2007
Start Date:
September 19th 2007
Surgery Date:
5' 10"
Height:
363 lb
Start Weight:
211 lb
Current Weight:
165 lb
Goal Weight:
152 lb
Weight Loss:
46 lb
Lb Left to Lose:
41.8732782369 %
% Lost:
12/31/09
Goal Date:

Body Mass Index
52.0793877551
BMI Start:
30.2720408163
BMI Current:
23.6724489796
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Well honey......its all different. I have seen people in here wait until they finish the diet then.....get sent to a surgeon. I have seen people go straight to the surgeon then back to the PCP. Now what you need to do and Im only gonna say this for your own benefit.......if you haven't called the insurance company yourself........ you need to do it. They might not even require it. Then again they may. You need to know the exact list you have to meet so you don't come up against something when you go to schudule the actual surgery. Many have done that here.

Rule of thumb for this room I have noticed and its not exact..... It will take about 3 months from the time you visit your surgeon to the day you have this done. Some are much faster.......some are much slower. If you don't mind sharing the insurance company with us. I ask that so we might can help others when they start this up. aka give them information we already know. Listen..... have you ever been on a diet with your PCP before within the last 5 years? If so that is enough to submit without doing it again. Let us know what you find out. And honey if you already told me once........I apologies for it. I love the pic.....!
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Last edited by MsVickie : 07-11-2007 at 08:23 PM. Reason: spelling
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Old 07-11-2007, 08:07 PM   #5 (permalink)
BOOTS
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Join Date: Aug 2006
Location: WADING RIVER (Long Island), NY
Posts: 4,860

Weight Statistics

7/16/07
Start Date:
7/16/07
Surgery Date:
4' 11"
Height:
230 lb
Start Weight:
139 lb
Current Weight:
115 lb
Goal Weight:
91 lb
Weight Loss:
24 lb
Lb Left to Lose:
39.5652173913 %
% Lost:
12/31/08
Goal Date:

Body Mass Index
46.4492961793
BMI Start:
28.0715311692
BMI Current:
23.2246480896
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via AIM to BOOTS
Default

Im So Sorry You Are Going Thru This. It Must Be Stressful!!! Just Stay Strong And Time Will Fly. I Know Easier Said Than Done. Lol

I Didnt Have To Go Thru This 6 Mo Diet Process So I Cant Really Help You.
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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 07-11-2007, 08:37 PM   #6 (permalink)
KnitterGirl
Whipper Snapper
 
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Join Date: Jul 2007
Location: Hagerstown, MD
Posts: 41

Weight Statistics

July 11, 2007
Start Date:
April 15, 2008
Surgery Date:
5' 4"
Height:
296 lb
Start Weight:
321 lb
Current Weight:
150 lb
Goal Weight:
-25 lb
Weight Loss:
171 lb
Lb Left to Lose:
-8.44594594595 %
% Lost:

Body Mass Index
50.802734375
BMI Start:
55.0935058594
BMI Current:
25.7446289062
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Okay, so new update...Ijust called my insurance company, which is Optimum Choice if you are interested. Curves does count or so Lori said. Now, I pulled out my Curves records and my original weigh in date with them was April of 2006. Then I have record of a weigh in on March 8, 2007 and on April 11, 2007 and I know there is one more in my car for May. Does that cover three months or only two??

I also questioned Lori about the doctor diet thing and she said that they are mostly looking for documentation that I have tried to lose weight in the past. So, as long as my doctor documents it and I weigh in for the next three months, that should count, right? Or, I just go back to Curves for three months to complete the other three months.
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Old 07-11-2007, 08:42 PM   #7 (permalink)
BOOTS
Seasoned Veteran
 
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Join Date: Aug 2006
Location: WADING RIVER (Long Island), NY
Posts: 4,860

Weight Statistics

7/16/07
Start Date:
7/16/07
Surgery Date:
4' 11"
Height:
230 lb
Start Weight:
139 lb
Current Weight:
115 lb
Goal Weight:
91 lb
Weight Loss:
24 lb
Lb Left to Lose:
39.5652173913 %
% Lost:
12/31/08
Goal Date:

Body Mass Index
46.4492961793
BMI Start:
28.0715311692
BMI Current:
23.2246480896
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via AIM to BOOTS
Default

Also Have You Been To Weight Watchers? That Counts As Well
__________________
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 07-11-2007, 08:50 PM   #8 (permalink)
KnitterGirl
Whipper Snapper
 
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Join Date: Jul 2007
Location: Hagerstown, MD
Posts: 41

Weight Statistics

July 11, 2007
Start Date:
April 15, 2008
Surgery Date:
5' 4"
Height:
296 lb
Start Weight:
321 lb
Current Weight:
150 lb
Goal Weight:
-25 lb
Weight Loss:
171 lb
Lb Left to Lose:
-8.44594594595 %
% Lost:

Body Mass Index
50.802734375
BMI Start:
55.0935058594
BMI Current:
25.7446289062
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I have been to WW but I have no documentation of it as it was 6 or 7 years ago.
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Old 07-11-2007, 09:05 PM   #9 (permalink)
BOOTS
Seasoned Veteran
 
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Join Date: Aug 2006
Location: WADING RIVER (Long Island), NY
Posts: 4,860

Weight Statistics

7/16/07
Start Date:
7/16/07
Surgery Date:
4' 11"
Height:
230 lb
Start Weight:
139 lb
Current Weight:
115 lb
Goal Weight:
91 lb
Weight Loss:
24 lb
Lb Left to Lose:
39.5652173913 %
% Lost:
12/31/08
Goal Date:

Body Mass Index
46.4492961793
BMI Start:
28.0715311692
BMI Current:
23.2246480896
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via AIM to BOOTS
Default

Ook 6-7 Years Ago Is Too Long. If It Were More Recent Years You Would Be Able To Use It And Get Printed Records From Ww.
__________________
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 07-11-2007, 09:24 PM   #10 (permalink)
Kenyar
Seasoned Veteran
 
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Join Date: Apr 2007
Location: Mount Vernon, NY
Posts: 7,369

Weight Statistics

4/1/07
Start Date:
4/19/07
Surgery Date:
5' 9"
Height:
258 lb
Start Weight:
151 lb
Current Weight:
165 lb
Goal Weight:
107 lb
Weight Loss:
-14 lb
Lb Left to Lose:
41.4728682171 %
% Lost:
04/19/2008
Goal Date:

Body Mass Index
38.0957781979
BMI Start:
22.2963663096
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Default

did your ins co send this to you in writing? i never trust the dingbats that answer the phone. you will get a different story everytime you call...does it have to be 6 consecutive months or any 6 months in your lifetime?

see if i were a dr in this field, i'd totally write bogus notes for people. i hate insurance companies and how they make people jump thru hoops for this. honestly. i could understand if it was purely a cosmetic surgery, but there is proof that this procedure works and saves lives. what happends after the 6 months? will they deny it because you have lost the weight and will no longer be considered obese or in medical need at that point??

sorry im on my soapbox again...i apologize.
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Kenya R.
Lap RNY 4/19/07




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