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  817 People Lost in total 71921 lbs = 29.10 % Give us permission to add your before & after Weight Loss Photos |   |
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11-05-2007, 08:31 PM
| #1 (permalink) |
| Whipper Snapper |  Fed Up!!
Hello Everyone, My Name Is Barb And I Am 5'7 (259)..i Am Ready For A Change..i Have Never Been Skinny But Just Not This Big... I Have Been On Every Diet I Can Think Of. I Also Was Takin Adipex-p And Goin To Weight In Each Month At My Doctors Office For 2 Years Off And On.. This Time When I Went In His Office I Told Him,..i Am Ready For A Change No More Pills Or Fad Diets.. I Need Help.. We Talked About Lap Rny And Lap Band.. Then He Gave Me A Referral.. I Have Turned In All My Blood Work And Ekg.. I Won't Get To Do The Rest Till 26-27th Of Nov...(meet With Dietitian,behavioral Counselor, Physical Therapy,surgeon Orientation, And The Individual Surgeon Meetin) It Just Seems Like 26-27th Is A Lon Time From Now.. Did Anyone Else Have To Wait This Long For Ther Evaluation Visit??? I Have United Healthcare And Was Told That I May Have 2 Prove I Had Supvised Weigh In Visits.. My Doctor Said The 2years On Adipex-p.. Weigh- Ins.. Is Enough...does Anyone No If That Is True.. |
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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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11-05-2007, 08:39 PM
| #2 (permalink) |
| Seasoned Veteran  Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 3,628
Blog Entries: 1 Weight Statistics September 19th 2007 Start Date:
September 19th 2007 Surgery Date:
5' 10"
Height:
363 lb Start Weight:
201 lb Current Weight:
170 lb Goal Weight:
162 lb Weight Loss:
31 lb Lb Left to Lose:
44.6280991736 % % Lost:
12/31/09 Goal Date:
Body Mass Index 52.0793877551 BMI Start:
28.8373469388 BMI Current:
24.3897959184 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  |
Ok honey let me see if i can help a tiny bit. You getting a referral for when you did was acutally fast. Feel blessed you got it this month. I hope that is enough for your insurance. Ashely on this board can help you with that insurance more than anyone. I know she did as they asked and was approved. I will ask you to call your insurance company your self and ask 1. Do you pay for WLS. 2. What are ALL the requirments. Once you get there anwswers you will know where you stand. Good luck and lets us know. Welcome to the boards ! |
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11-05-2007, 09:07 PM
| #3 (permalink) |
| Seasoned Veteran Join Date: Apr 2007 Location: Mount Vernon, NY
Posts: 7,897
Weight Statistics all my life Start Date:
4/19/2007 Surgery Date:
5' 9"
Height:
260 lb Start Weight:
149 lb Current Weight:
160 lb Goal Weight:
111 lb Weight Loss:
-11 lb Lb Left to Lose:
42.6923076923 % % Lost:
Body Mass Index 38.3910943079 BMI Start:
22.0010501995 BMI Current:
23.6252888049 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass   |
welcome to the boards! glad you are taking steps necessary ro regain your health. i dont have the same insurance so i have no advice there. what msvickie has suggested sounds like a great first step. good luck on your journey 
__________________ Anything worth having is worth working for!   KenyaR.  Lap RNY 4/19/07 |
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11-05-2007, 09:29 PM
| #5 (permalink) |
| Seasoned Veteran  Join Date: Jan 2007 Location: Hawaii
Posts: 4,138
Blog Entries: 10 Weight Statistics 07/23/2007 Start Date:
July 23, 2007 Surgery Date:
5' 2"
Height:
230 lb Start Weight:
125 lb Current Weight:
125 lb Goal Weight:
105 lb Weight Loss:
45.652173913 % % Lost:
June 23 2008 Goal Date:
Body Mass Index 42.0629552549 BMI Start:
22.860301769 BMI Current:
22.860301769 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass |
Welcome and best of luck with getting approved
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11-05-2007, 09:51 PM
| #6 (permalink) |
| Seasoned Veteran  Join Date: Sep 2007 Location: coarsegold california
Posts: 1,540
Weight Statistics 8/23/07 Start Date:
8/22/07 Surgery Date:
5' 7"
Height:
315 lb Start Weight:
192 lb Current Weight:
170 lb Goal Weight:
123 lb Weight Loss:
22 lb Lb Left to Lose:
39.0476190476 % % Lost:
I have no idea Goal Date:
Body Mass Index 49.3305858766 BMI Start:
30.0681666295 BMI Current:
26.6228558699 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass |
I would like to welcome you! I dont have the same healthcare so cant help you there, but it sounds like they are getting around to seeing you pretty quick, my journey started in April of 2007 and my surgery was in August 2007.
__________________   traci  |
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11-05-2007, 09:58 PM
| #7 (permalink) |
| Whipper Snapper Join Date: Oct 2007 Location: Baton Rouge, LA
Posts: 33
Weight Statistics 10/22/2007 Start Date:
10/22/2007 Surgery Date:
Height: 230 lb Start Weight:
185 lb Current Weight:
140 lb Goal Weight:
45 lb Weight Loss:
45 lb Lb Left to Lose:
19.5652173913 % % Lost:
10/22/08 Goal Date:
Body Mass Index 42.5 BMI Start:
35.7 BMI Current:
24.7 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | I also have UNC
United is not the easiest to work with. They turned me downed 4 times but I kept going at them. The insurance cooridinator for my surgeons group said they had never had anyone approved with United after being rejected. The key is to read the policy very carefully. I had to collect Dr's notes for 5 years to show that I had a BMI of at least 40 that entire time. Regardless of medical issues they wouldn't even consider them, all that mattered was the 5 year BMI. If I had to do it over again, I would submit the 5 years of records with the 1st submittal. They finally hung themselves when they came back and said although I met the criteria, the would not approve the gastric sleeve surgery. At that point we had them, we went back for approval of the bypass and they had no choice but to approve. My advice - keep all records of everything you send to them, every person you talk to and every fax confirmation. STay on them until they say yes. That's what I did and it worked for me. Good Luck!!!!!!
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11-05-2007, 10:24 PM
| #8 (permalink) |
| Whipper Snapper |
Thanks For All The Great Info..i'm Wondering If There R Different Types Of Insurance Through United Healthcare Because The Lady At My Job That Had Lap Rny Said That She Was Required To Only Show 6months Of Documents Of Tryin To Lose Weight From Her Doctor..i Will Call My United Healthcare 2mor An Get As Much Info As Possible.. If Anyone No Any Other Website That Can Help Answer Insurance Questions Please Past It On.... Also... Has Anyone Had To Pay Up Front Fees For Joining The Weight Loss Program..because I Was Asked To Pay $550 Program Fee Upfront With Out Knowing If I Am Approved..(no Refund) There R Other Weightloss Centers That Don't Require A Fee. But They Have Not Done As Many Laps Rny As The Doctor I Was Reffered To... |
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11-05-2007, 11:41 PM
| #9 (permalink) |
| Super Moderator  |
Welcome to the board, thank you for joining us. May your journey go well ((((HUGS))))) There's an entire forum devoted to insurance in Gastric Bypass Pre Op Issues, so if you look around there, you may find some pointers.
__________________ "In every job that must be done, there is an element of fun."   Just a li'l bit 'bout myself |
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11-06-2007, 03:53 AM
| #10 (permalink) |
| Seasoned Veteran  Join Date: Jun 2007 Location: Jacksonville, Florida
Posts: 4,749
Weight Statistics July 21, 2007 Start Date:
August 6, 2007 Surgery Date:
5' 2"
Height:
287 lb Start Weight:
164 lb Current Weight:
140 lb Goal Weight:
123 lb Weight Loss:
24 lb Lb Left to Lose:
42.8571428571 % % Lost:
January 1, 2009 Goal Date:
Body Mass Index 52.4872528616 BMI Start:
29.9927159209 BMI Current:
25.6035379813 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass |
I had to pay a $250.00 "Admin fee" just to prove that I was really interested in following through. Of course that didnt go to the insurance company, so it was out of my pocket.
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REMEMBER..
FOR THE WELCOME,,I FEEL SUPPORTED ALREADY
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