Greatly discouraged
OK, 2 weeks ago I am having great dreams about the surgery and then bam! all of the posts about TRS Activecare BC/BS requiring a year of medically supervised weight loss has just completely discouraged me. My husband has now started to have major doubts and I just don't feel like I can handle a year. I mean, if I do try a year of a medically supervised diet, I will still be 100 lbs. overweight and that is with a 100 lb. loss! I will still qualify for the surgery! I have not gotten the denial yet (I know, why borrow trouble) but I have just cried all weekend, this just isn't fair! Just when I finally come to the place where I am at peace and not afraid. Any words of wisdom?
Janet, I am not insurance-savvy, and I went through NeWeigh. They did the filing with insurance co. for me, but I did provide them with the information regarding weight loss attempts, et****pt a copy of the diet list that I gave NeWeigh in case you're interested in it as a template. Good luck with this. Just don't give up.
Hugs from Linda
Hi, Janet,
Don't feel like the Lone Ranger I too an doing the pcp diet thing. Mine is only 6 months. I did not have any supervised diets within the 2 year time allowed. I'll diet but I'm not planning on killing myself. I'll be satisfied with a small steady weight loss. There are days when I want to beat the insurance company, and there are more days when I just want to say why am I wasting my time? I'll regain it anyway, it just delays the surgery. If I had a lot of $$ I'd do it self pay and have it done now. But I don't know if any related procedures (endoscopy, mri, etc.) would become my responsibility, too. So I yoyo back and forth. I guess you just have to decide whether waiting is worth the cost. I don't want to wait either.
Spinning Diva Joanne
Janet,
I remember how stressful and scared I was this time last year...waiting for insurance approval. I think most of us on the board can relate to how you feel right now. You are NOT alone. This is a good place to find encouragement and to talk to others when you are feeling discouraged. Hang in there and it is nice to meet you!
Connie
318/228/140??
Even if you lose 100 pounds and still have a BMI large enough they should do the surgery. I started my six month diet plan and dropped 44 pounds and still qualify for the surgery. My insurance requires a BMI of 40 or 35 with co-morbidities. ( joint pain, depression, diabetes, sleep apnea, etc)
Make sure your pcp documnets any of the above. I hope this helps..
PEACE
cant really add to what others have already said--so will just ditto--"dont give up on ur surgery". who knows, perhaps in 6mo to 1yr while u are dieting and losing some--ur liver will shrink and that will be better for the surgery, the rest of ur body will be better off for during surgery and for recovering easier afterwards, and maybe by then there will be an even better or more perfection done with these surgeries and u will have that benefit.--best wishes,
lc
It took me 15 months until i got my surgery..just keep going. You know deep down the chances of losing 200 lbs. and keeping it off on your own are nearly impossible. During this time, try to lose steadily and do whatever exercise you can; it will ease your recovery. Or you can throw in the towel! {No choice there!} Still a Diva minus 44 lbs.
p.s. stay on the message board and read up on the insurance sight; you'll have to stay active on your case with the insurance company, but you'll persevere. BTW if you are doing a doctor supervised plan; they look at starting weight and BMI for surgical consideration.