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05-07-2008, 04:01 PM
| #1 (permalink) |
| Newbie Join Date: May 2008 Location: San Jose
Posts: 3
5' 3" Height: 135 lb Goal Weight:
-135 lb Lb Left to Lose:
23.9115646259 BMI Goal:
|  What R My Chances?? I am a 31 year old mother of 3, I have been over weight since I was 21 and I have gone through soooooooo many diets.. My weight has come off and I gain it right back plus more... I So tired of this Yo-Yo effect and it has brought me the the point where I want to have Gastric Bypass Surgery.. I am at 226 lbs right now, I am 5 '2 and I just wanted to know what are my chances of getting approved for this Surgery?? The only medical condition I have is Depression because of my weight and me just not being happy with myself .. Please give me some advise...... |
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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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05-07-2008, 04:07 PM
| #2 (permalink) |
| WLS Mentor  Join Date: Sep 2007 Location: coarsegold california
Posts: 1,272
Weight Statistics 8/23/07 Start Date:
8/22/07 Surgery Date:
5' 7" Height: 315 lb Start Weight:
211 lb Current Weight:
170 lb Goal Weight:
104 lb Weight Loss:
41 lb Lb Left to Lose:
33.0158730159 % % Lost:
I have no idea Goal Date:
Body Mass Index 49.3305858766 BMI Start:
33.0436622856 BMI Current:
26.6228558699 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  |  I found a surgeon and went to a seminar he has every month for interested people. I did not think I had any co-morbidities but I was wrong. My asthma counted, sleep apnea, my bloodwork came back bad for the first time ever, my joints were getting bad, I had acid reflux on top of depression. There are quite a few things that I never thought of that count!
__________________  traci |
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05-07-2008, 04:13 PM
| #3 (permalink) |
| Seasoned Veteran  Join Date: Jun 2007 Location: North Texas
Posts: 2,682
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  | You should attend a seminar...I didn't think I had co-morbidities either, but they can be as simple as joint pain. |
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05-07-2008, 04:15 PM
| #4 (permalink) |
| Newbie Join Date: May 2008 Location: San Jose
Posts: 3
5' 3" Height: 135 lb Goal Weight:
-135 lb Lb Left to Lose:
23.9115646259 BMI Goal:
| I went to a class for this surgery through my Insurance and all they did was try and discourage people from getting this surgery. But I have to call and report my current weight every week, The Dr said I have to lose 4 pounds before I can get an appt with him... I just feel they might tellme Wow you lost 4 pounds now keep it up and not give me the surgery |
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05-07-2008, 04:36 PM
| #5 (permalink) |
| Seasoned Veteran  Join Date: Jun 2007 Location: Jacksonville, Florida
Posts: 2,962
Weight Statistics July 21, 2007 Start Date:
August 6, 2007 Surgery Date:
5' 2" Height: 287 lb Start Weight:
182 lb Current Weight:
135 lb Goal Weight:
105 lb Weight Loss:
47 lb Lb Left to Lose:
36.5853658537 % % Lost:
January 1, 2009 Goal Date:
Body Mass Index 52.4872528616 BMI Start:
33.2845993757 BMI Current:
24.6891259105 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | No, I think that they want to see your commitment, that is why they want you to try to lose some. |
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05-07-2008, 05:49 PM
| #6 (permalink) |
| WLS Guru  Join Date: Dec 2007 Location: AZ
Posts: 484
Weight Statistics January 1, 2008 Start Date:
January 11, 2008 Surgery Date:
5' 7" Height: 339 lb Start Weight:
259 lb Current Weight:
165 lb Goal Weight:
80 lb Weight Loss:
94 lb Lb Left to Lose:
23.598820059 % % Lost:
July 4, 2009 FIREWORKS, BABY! Goal Date:
Body Mass Index 53.0891067053 BMI Start:
40.560703943 BMI Current:
25.8398306973 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | You may have more problems than you think- I thought I had no health issues but my doc pointed out that I had migraines, back pain, and knee pain- all which are worsened by obesity. I was approved no problem- so research and document even the smallest issue. Good luck!
__________________ Still working on an after! ~KB  |
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05-07-2008, 06:39 PM
| #7 (permalink) |
| Whipper Snapper Join Date: Sep 2007 Location: California
Posts: 24
Weight Statistics 6/1/07 Start Date:
6/1/07 Surgery Date:
5' 6" Height: 240 lb Start Weight:
170 lb Current Weight:
150 lb Goal Weight:
70 lb Weight Loss:
20 lb Lb Left to Lose:
29.1666666667 % % Lost:
12/31/08 Goal Date:
Body Mass Index 38.7327823691 BMI Start:
27.4357208448 BMI Current:
24.2079889807 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  |  reply I had a really good doctor, i had seen him a couple of times for weight issues. I eventually approached him about the surgery and he agreed. He gave me the referral. i did not have any medical issues it was more of a preventive issue. (family history, diabetes, heart, ect.) My height 5'6 and weight was 240 lbs. My process was pretty smooth, was approved the first time from my insurance. Biggest problem was paper work kept getting lost from my doctor to surgeons office. I think it all depends on you doctor and insurance. Look into it. Good luck!
__________________ "Stop looking for your purpose, be it."   |
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05-07-2008, 06:44 PM
| #8 (permalink) |
| Guru In Training  Join Date: Feb 2008 Location: Mira Loma, CA 91752
Posts: 237
Blog Entries: 1 Weight Statistics April 15, 2006 Start Date:
May 10, 2006 Surgery Date:
6' 3" Height: 345 lb Start Weight:
194 lb Current Weight:
200 lb Goal Weight:
151 lb Weight Loss:
-6 lb Lb Left to Lose:
43.768115942 % % Lost:
anytime Goal Date:
Body Mass Index 43.1173333333 BMI Start:
24.2456888889 BMI Current:
24.9955555556 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | Consult the gp you use within your insurance company. He/she should know the rules of that group. The rules vary with almost every company. You may be eligible for the surgery, but it may take 6-8 months to "jump through the hoops" of your insurance company, before the surgery is actually done. Some insurance companies have exclusions to weight loss surgery, so check with your insurance office or your gp.
__________________ Dave Chambers  Dave in 2005, a few months prior to surgery  Best liquid vitamins I found, I use these: www.bariatricliquidvitamins.com  Feeling tired? Lacking energy? Free sample of a brand new enrgy product called enRgy, go to: www.shopgbg.com/lcp/superliquidvitamins  |
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05-07-2008, 11:11 PM
| #9 (permalink) |
| Super Moderator  | Welcome to the board, thank you for joining us. 1) Does the policy you have cover weight loss surgery? Confirm this first. 2) The basic criteria that the insurance cos use are the ones set by NIH. Criteria for wls surgery Added to the NIH criteria, insurance cos often have other requirements such as documentation of weight for the past 5 years, going through 6 months of supervised weight loss attemps, to name a few. Confirm what your policy requires. 3) What medical conditions are you being treated for now, or are under observation and followed, even if you do not take any medication. 4) One of the most common comorbidities that obese people have, and go unnoticed, is sleep apena. If you have sleep disturbance, don't chock it up to depression, but get checked for sleep apnea. That alone is enough to qualify you along with your weight in most cases. 5) Is your regular dr familiar with weight loss surgeries? Does s/he have other patients who've had surgery? If so, ask you dr what s/he knows and help you go through it as well. 6) Do a lot of search and research, both through this board, and other boards. Arm yourself with information (make sure you have correct information, there are lots of bogus info out in cyberspace) as well as attending seminars sponsored by bariatric surgeons and bariatric centers. ((((((HUGS))))) May your journey go well.
__________________ "In every job that must be done, there is an element of fun."  |
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