As long as I stay in network and do everything that the insurance requires which was 1.  Join a gym and get fitness verification, 2. EKG, 3. Ultrasound of the gallbladder, 4. Nut and Psych, 5.PCP letter of support and Endoscopy.  I have everything done and my next appt is the 16th  my first appt was 9/4  so hopefully I will have a surgery date in November.  I am so glad my insurance didn't require the Dr to do a supervised diet for 6 months.    Thanks so much for every ones help.  Funny how the only thing I am worried about is the Insurance.

I think what you are experiencing is very common.  I know I really struggled with self-sabotage, as well as developing other addictions after surgery.  I went to some therapy and now use the 12-step program of Overeaters Anonymous in conjunction with weight loss surgery support group and a nutritionist to stay on the beam.  You did a wonderful thing by reaching out here.  I still believe support is key.  No one understand what happens to us like those of us who have been through it.  Barix in Langhorne has a meeting this Saturday from 11 a.m. to 1:30 p.m. -- open to everyone!

Jan,

Been a while since I posted on this board, I do post regularly on the Over Fifty Forum, which has a lot of old timers (years post-op), who support one another in various ways, through accountability threads such as What are you Eating and Commitment to Moving. . .  it's all about trying to encourage one another through transparency, no one, at least not on the board, ever makes a negative comment, it's just many of us need to hold ourselves accountable and that's what we're trying to do. 

There are some really dedicated people who've gone on about their business and are doing amazingly well,but then there are a good many of us who've taken a detour, the good thing about detours is that usually you can find you way back to where you need to be. 

So if you'd like to join the party, come on over to Over Fifty Forum or just stay in touch.  .  .

Hugs, Laureen

I currently have Medical Assistance for Workers with Disabilities - specifically Amerihealth Mercy (now Amerihealth Caritas). I called them to ask if they cover DS (they covered my lap-band). They had me call back with the CPT? codes and I found as many as I could online and they booed them all. I was looking into UPMC For You and I found this doc http://www.upmchealthplan.com/pdf/PandP/MP.040.pdf which makes it seem like they cover it, but because I am not a member when I call they are like well we miiiiight cover it iiiiiif..... Like, just tell me yes we have ever or have not ever covered a lap band to ds revision. Also, other than Abington Hospital there are no other vetted DS surgeons in PA so it will most likely be out of network as they must provide out of network service if they do not have 2 providers in the service area. I have been researching Greenbaum and Roslin as they are within a few hours of me. The only thing UPMC would tell me is that your PCP just writes a letter telling them the name of the surgeon and they follow through with the rest of it. On that note I definitely meet medical criteria - BMI is 53, sleep apnea, HTN, Type II Diabetes, high cholesterol.