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BARBCCRN
Joined: 15 Nov 2005
Posts: 1448
Location: Las Vegas,baby!
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OK heres the before and so far pics:
 
_________________ EVERY SILVER LINING HAS A TOUCH OF GREY
-Grateful Dead
CLICK HERE FOR MORE INFO~ http://tinyurl.com/69q52a
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| Thu Jul 31, 2008 9:18 am |
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carla
Joined: 01 Jul 2007
Posts: 120
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Great pix, Thank you.
Mrs Rip Van Winkle: I can't lift him now, but he likes to pounce on me. If it takes a year, My daughter will be stateside,(Air Force) so I will have help also.
Barbccrn. No , I am still argueing with my P C Dr to get a referal .
Thanks, we just got back from vacation in South Dakota, and It's not much fun as a double person. I am exhausted.
>^..^<
Carla
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| Sun Aug 03, 2008 9:03 pm |
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Mrs Rip Van Winkle
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Joined: 08 Jun 2006
Posts: 2433
Location: Nature Coast, Florida
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Mrs Rip Van Winkle
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Yes, to get full approval it usually takes about a year. You go through psychiatric evaluation, support groups, medical clearance, insurance approval and Dr may require that you lose a specifc amount of weight prior to the surgery..maybe 11 pounds maybe 30 pounds. All depends. So if you get the ball rolling now, you can always cancel if you want...but by waiting until there may be a better time could prolong it much more than you want..
_________________
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BiPAP Auto M 13/8 Mirage Nasal Swift. 20 years+ undx'd. RLS/PLMD, Hypersomnia & more.
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| Mon Aug 04, 2008 8:47 pm |
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Sleepytime
Joined: 28 Mar 2007
Posts: 156
Location: southern California
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Hi all,
I thought I'd weigh in (hahahaha!) on the subject. I'm in the process now of getting approval for lap band surgery. It's really frustrating for me because my insurance provider wants so much. Some people don't have a hard time at all; others, like me, keep getting the run around. I started the process in March, and the provider keeps giving reasons why they can't approve the surgery, the last one being that there isn't proof that I've had trouble losing weight, or something like that. I forget the exact wording. I guess I'm writing this just to say that I agree with Mrs. RVW. The process could take quite some time, and the sooner you get the ball rolling, the better. It's really frustrating!
Debbie
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| Tue Aug 05, 2008 1:29 pm |
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BARBCCRN
Joined: 15 Nov 2005
Posts: 1448
Location: Las Vegas,baby!
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Debbie....most insurance don't want to approve WLS because of the cost.(in the long run...think it would be cheaper to approve it). A LOT of policies have specific EXCLUSIONS with regards to bariatric surgery. I thank God every day for Cigna and my surgeon,Dr. Teng. FYI...my out of pocket expenses were around $2000. My hospital bill for 3 uncomplicated days(I had to pay ZERO...Thank God!) was $87,497!!!! ARE YOU KIDDING?????? Cigna paid...$34,887 and that was taken as payment in full. WOW!WOW!!WOW!!! I have a good friend that fought for 3 years and filed a number of appeals in order to get her gastric bypass approved.
_________________ EVERY SILVER LINING HAS A TOUCH OF GREY
-Grateful Dead
CLICK HERE FOR MORE INFO~ http://tinyurl.com/69q52a
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| Wed Aug 13, 2008 12:52 pm |
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carla
Joined: 01 Jul 2007
Posts: 120
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My pcp finally agreed to a referal only because my gasterenteroligists told him it may resolve my caliac disease because it by passes the douedenum(upper small intestine) My last scope showed a growth in my lower stomach that turned out to be pancraitic tissue.I don't
know how dangerous this growth is,but my triglycerides were 258, and my amalese was 138 both way too high. My total cholesteral was 189 so something is wrong. I just don't know what.
>^..^<
Carla
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| Wed Aug 13, 2008 7:40 pm |
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Sleepytime
Joined: 28 Mar 2007
Posts: 156
Location: southern California
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Barb, yes, that's what one of the doctors said when I went to the WLS seminar; that most insurance companies don't want to pay for it. I agree; and I think I even wrote that in a letter to my insurance company--that it would cost them less in the long run. I've read of people being denied over and over, and though it's discouraging, I'm going to keep bugging them until they get tired of me--if it comes to that.
Debbie
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| Wed Aug 13, 2008 9:51 pm |
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BARBCCRN
Joined: 15 Nov 2005
Posts: 1448
Location: Las Vegas,baby!
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OK so I'm 8 1/2 months out...down 125+ lbs(lost 23 lbs pre-op) down from a tight size 26 to a comfortable size 14. My happiest accomplishment...my CPAP pressure has gone from 15 down to 9!!!! And my retitration study was over 50 lbs ago. I'm still on my BP medication...so far!!!
_________________ EVERY SILVER LINING HAS A TOUCH OF GREY
-Grateful Dead
CLICK HERE FOR MORE INFO~ http://tinyurl.com/69q52a
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| Thu Aug 14, 2008 11:58 am |
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carla
Joined: 01 Jul 2007
Posts: 120
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| Thu Aug 14, 2008 12:16 pm |
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BARBCCRN
Joined: 15 Nov 2005
Posts: 1448
Location: Las Vegas,baby!
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You sound much like me,Carla. I'm 5'3". I was 318 at my highest weight. I feel awesome!!! 8 1/2 months since surgery and I n weigh 193 lbs. WOW!!!! What a difference. I showed DH a pic from last August and he said he never saw me as being that big. My goal weight is 130lbs. I'd love to reach that by my 1 year surgiversary on Dec 6 but not likely. I definitely want to be that weight by next April 7...very significant...the BIG 5-0 BDAY!!!!!!!
_________________ EVERY SILVER LINING HAS A TOUCH OF GREY
-Grateful Dead
CLICK HERE FOR MORE INFO~ http://tinyurl.com/69q52a
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| Fri Aug 15, 2008 4:52 am |
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carla
Joined: 01 Jul 2007
Posts: 120
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April 7th is my mothers b-day. She will be 90. That would be a wonderfull birthday gift to yourself.I know I'm still in here I just have to find me. My husband and daughter will be back stateside next summer so I will have help, I talked to my insurance co and they said the medical portion is covered they just need to be sure I qualify, so maybe it won't be too bad. time will tell.I have my first appointment aug 26th.
>^..^>
Carla
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| Fri Aug 15, 2008 8:26 am |
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carla
Joined: 01 Jul 2007
Posts: 120
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My insurance company sent me a packet of info explaining what they do and do not cover! cool. The person I talked to said the surgery costs a lot less than CICU or stroke recovery, and a high percentage of wls patients lose their co-morbiditys along with their weight. I still have to qualify but we are off to a good start.
>^..^<
Carla
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| Wed Aug 20, 2008 7:07 pm |
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carla
Joined: 01 Jul 2007
Posts: 120
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They said because of my health problems it could be as soon as christmas for my surgery, I still have to jump through the hoops, but they are pushing to get it done while I'm still well enough to handle it. So far ins is supporting it. I'm not going to get excited yet .
>^..^<
Carla
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| Sun Sep 07, 2008 5:04 pm |
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BARBCCRN
Joined: 15 Nov 2005
Posts: 1448
Location: Las Vegas,baby!
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Carla- it is so much less stressful when the insurance companies are open minded and do realize that your comorbidities will improve/disappear with weight loss surgery. I feel like a new person and am thankful that Cigna handled everything so readily. I'll keep my fingers crossed for you. Keep us updated. My surgery was last Dec. 6th...an early and BEST Christmas present ever!!!!
_________________ EVERY SILVER LINING HAS A TOUCH OF GREY
-Grateful Dead
CLICK HERE FOR MORE INFO~ http://tinyurl.com/69q52a
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| Wed Sep 10, 2008 12:44 am |
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carla
Joined: 01 Jul 2007
Posts: 120
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bad mamogram and scarey core biopsy results ,have everything on hold. I've been clear for 10 years, I'm supposed to be safe.  I want to just curl up in a ball and cry.
Carla
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| Wed Sep 10, 2008 7:23 pm |
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