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01-23-2009, 02:49 PM
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#1 (permalink)
| | Seasoned Veteran
Join Date: Jun 2007 Location: Jacksonville, Florida
Posts: 5,162
Weight Statistics July 21, 2007 Start Date:
August 6, 2007 Surgery Date:
5' 3"
Height:
287 lb Start Weight:
151 lb Current Weight:
140 lb Goal Weight:
136 lb Weight Loss:
11 lb Lb Left to Lose:
47.3867595819 % % Lost:
January 1, 2009 Goal Date:
Body Mass Index50.8342151675 BMI Start:
26.7455278408 BMI Current:
24.7971781305 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
 |  Got my A-P-P-R-O-V-A-L in the mail today!
I am grinning from ear to ear today!! I checked the mail and there it was! After 3 appeals, my panni was approved as MEDICALLY NECESSARY by an outside review board!!! OMG, I am beaming! I want to get it done tomorrow! LOLOLOL
I have an appt set up on the 4th to talk to the dr again. They wanted me to come in next week, but I have so much going on at work that I just couldnt get away! OMG, I AM EXCITED about this!
__________________ Kim Tummy Tuck 2-17-09 Breast & Arm Lift 4-22-10 Breast Implants 5-11-11 http://www.facebook.com/profile.php?id=1408442896  | 
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01-23-2009, 03:22 PM
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#2 (permalink)
| | Seasoned Veteran
Join Date: Apr 2007 Location: NY
Posts: 10,174
Weight Statistics 4/19/2007 Surgery Date:
5' 9"
Height:
260 lb Start Weight:
152 lb Current Weight:
165 lb Goal Weight:
108 lb Weight Loss:
-13 lb Lb Left to Lose:
41.5384615385 % % Lost:
Body Mass Index38.3910943079 BMI Start:
22.4440243646 BMI Current:
24.36357908 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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congratulations! proff that if at first you dont succeed APPEAL! 
__________________  KenyaR.  Lap RNY 4/19/07 | |
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01-23-2009, 03:53 PM
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#3 (permalink)
| | Seasoned Veteran
Join Date: Sep 2007 Location: Alabama
Posts: 4,019
Weight Statistics 9/28/07 Start Date:
9/28/07 Surgery Date:
5' 6"
Height:
279 lb Start Weight:
186 lb Current Weight:
175 lb Goal Weight:
93 lb Weight Loss:
11 lb Lb Left to Lose:
33.3333333333 % % Lost:
18 months Goal Date:
Body Mass Index45.0268595041 BMI Start:
30.0179063361 BMI Current:
28.2426538108 BMI Goal:
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Congratulations, Kim. That is terrific news! I hate to ask a stupid question, but what again is a panni?
__________________ Attached Thumbnails   | |
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01-23-2009, 04:03 PM
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#4 (permalink)
| | Seasoned Veteran
Join Date: Apr 2007 Location: NY
Posts: 10,174
Weight Statistics 4/19/2007 Surgery Date:
5' 9"
Height:
260 lb Start Weight:
152 lb Current Weight:
165 lb Goal Weight:
108 lb Weight Loss:
-13 lb Lb Left to Lose:
41.5384615385 % % Lost:
Body Mass Index38.3910943079 BMI Start:
22.4440243646 BMI Current:
24.36357908 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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tummy tuck
__________________ KenyaR. Lap RNY 4/19/07 | |
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01-23-2009, 04:03 PM
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#5 (permalink)
| | Seasoned Veteran
Join Date: Jun 2007 Location: Jacksonville, Florida
Posts: 5,162
Weight Statistics July 21, 2007 Start Date:
August 6, 2007 Surgery Date:
5' 3"
Height:
287 lb Start Weight:
151 lb Current Weight:
140 lb Goal Weight:
136 lb Weight Loss:
11 lb Lb Left to Lose:
47.3867595819 % % Lost:
January 1, 2009 Goal Date:
Body Mass Index50.8342151675 BMI Start:
26.7455278408 BMI Current:
24.7971781305 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Yeah....that is correct...appeal, appeal and appeal until there are no more!
Christy, it is the removal of skin that hangs (apron).
__________________ Kim Tummy Tuck 2-17-09 Breast & Arm Lift 4-22-10 Breast Implants 5-11-11 http://www.facebook.com/profile.php?id=1408442896 | |
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01-23-2009, 04:07 PM
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#6 (permalink)
| | Seasoned Veteran
Join Date: Sep 2007 Location: Alabama
Posts: 4,019
Weight Statistics 9/28/07 Start Date:
9/28/07 Surgery Date:
5' 6"
Height:
279 lb Start Weight:
186 lb Current Weight:
175 lb Goal Weight:
93 lb Weight Loss:
11 lb Lb Left to Lose:
33.3333333333 % % Lost:
18 months Goal Date:
Body Mass Index45.0268595041 BMI Start:
30.0179063361 BMI Current:
28.2426538108 BMI Goal:
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Thanks for the answer. Don't I feel stupid. Kim, were you having complications due to the excess skin or did your doctor just write a letter to where your insurance would finally cover it?
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01-23-2009, 04:12 PM
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#7 (permalink)
| | Seasoned Veteran
Join Date: Jun 2007 Location: Jacksonville, Florida
Posts: 5,162
Weight Statistics July 21, 2007 Start Date:
August 6, 2007 Surgery Date:
5' 3"
Height:
287 lb Start Weight:
151 lb Current Weight:
140 lb Goal Weight:
136 lb Weight Loss:
11 lb Lb Left to Lose:
47.3867595819 % % Lost:
January 1, 2009 Goal Date:
Body Mass Index50.8342151675 BMI Start:
26.7455278408 BMI Current:
24.7971781305 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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I was having "issues" from the skin. My doctor doesnt apeal anything, it was left up to me. So, I appealed twice and it was denied and the third one went outside the insurance co (mailed on Dec 11th) and I got the approval today! It took me almost 4 months (which is awesome) to get it approved. I have to say to anyone out there wanting to try to get it covered, USE YOUR PROCESS, that is what it is there for!
__________________ Kim Tummy Tuck 2-17-09 Breast & Arm Lift 4-22-10 Breast Implants 5-11-11 http://www.facebook.com/profile.php?id=1408442896 | |
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01-23-2009, 04:49 PM
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#8 (permalink)
| | Seasoned Veteran
Join Date: Feb 2007 Location: No. Los Angeles County, CA
Posts: 2,849
Weight Statistics 4.29.08 RNY Surgery Date:
5' 8"
Height:
301 lb Start Weight:
168 lb Current Weight:
170 lb Goal Weight:
133 lb Weight Loss:
-2 lb Lb Left to Lose:
44.1860465116 % % Lost:
Body Mass Index45.7618944637 BMI Start:
25.5415224913 BMI Current:
25.8455882353 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Congratulations, Kim! Wonderful news.
__________________
Judijo 
"Burning out this fuse out here alone" Surgery 4.29.08
11-29-08: Down 90 lbs. Total cholesterol is under 200 for the first time in my adult life!
1.11.09: 100 lbs down! Century Club! WHOO HOO! 
7.10.09 GOL! GOL! GOLGOLGOLGOLGOL! GGGGOOOOLLL!
1.10.10 Still at goal.
2.21.12 up a bit. Back on track, I hope. 
310/176/<164
Starting weight: beginning of nutrition classes, August, 2007 | |
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01-23-2009, 06:14 PM
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#9 (permalink)
| | Seasoned Veteran
Join Date: Jun 2007 Location: Jacksonville, Florida
Posts: 5,162
Weight Statistics July 21, 2007 Start Date:
August 6, 2007 Surgery Date:
5' 3"
Height:
287 lb Start Weight:
151 lb Current Weight:
140 lb Goal Weight:
136 lb Weight Loss:
11 lb Lb Left to Lose:
47.3867595819 % % Lost:
January 1, 2009 Goal Date:
Body Mass Index50.8342151675 BMI Start:
26.7455278408 BMI Current:
24.7971781305 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Thank you!!!! I am still doing the happy dance! I still can not believe that it happened! Oh my...my poor hubby when he came home! HAHAHAHAHA
__________________ Kim Tummy Tuck 2-17-09 Breast & Arm Lift 4-22-10 Breast Implants 5-11-11 http://www.facebook.com/profile.php?id=1408442896 | |
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01-23-2009, 06:16 PM
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#10 (permalink)
| | Seasoned Veteran
Join Date: Feb 2008 Location: Wisconsin
Posts: 2,004
Weight Statistics July 07 Start Date:
1/24/08 Surgery Date:
5' 5"
Height:
309 lb Start Weight:
135 lb Current Weight:
140 lb Goal Weight:
174 lb Weight Loss:
-5 lb Lb Left to Lose:
56.3106796117 % % Lost:
02/01/09 Goal Date:
Body Mass Index51.4146745562 BMI Start:
22.4627218935 BMI Current:
23.2946745562 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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I'm so excited for you. That is great news. I want to know every step you took and what you wrote and anything else. Cool!
__________________  Kim  | |
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