Recent Posts

sfmini
on 6/13/10 7:29 am
Topic: RE: Insurance ?
Have you attended a seminar for a surgeon closer to you? That might be easier for you.
Or, find a dietitian close to you and that will limit the columbus trips.
    
jen5239
on 6/13/10 7:26 am
Topic: RE: Insurance ?
Thanks Jody!  I was afraid that since I hadn't done any "official" attempts that they would say no.  I do believe my husband's insurance is Medical Mutual and I think Dr. Myers said they're one that requires six months.  Which sucks cuz if approved that will put me in winter.  And that drive in the winter plus trying to get motivated to go out and exercise in the winter?  Ick!  But it will be something I have to do. 
sfmini
on 6/13/10 2:06 am
Topic: RE: Insurance ?
They are asking those questions to help you document any official attempts at weight loss which could get you approved quicker. They also asked for weight records from your primary care doc, those are vital to show a 5 year history of obesity.
I did no official programs, just kind of gave up ahead of time because I knew the stats, and that I would have ended up even heavier than I was already. Because of that, I had to do the six month program before getting approved, but that was my insurance company's requirement. Others only require 3 months, some, none.
Don't sweat this one.
    
jen5239
on 6/12/10 11:58 am
Topic: Insurance ?
So today I went to the seminar and am so totally psyched to have this surgery!  My only concern besides whether my insurance will cover it is they gave us forms to fill out to help speed the process up...for them to issue to the insurance agency.  Well one question they want answered is how many programs you've tried to lose weight.  Like weigh****chers etc.  And they want documentation proving you went and how long...blah blah blah.  Well my concern now is that I only went to one place...the rest I've done on my own.  So will the insurance agency think that's not a good enough try???

Does anyone have any ideas on this or is anyone like me and did qualify for the surgery?  Just wondering.

Thanks,
Jen
jen5239
on 6/12/10 9:04 am
Topic: RE: FREE WLS SEMINAR AT BARIATRIC TREATMENT CENTERS IN COLUMBUS
Thanks Jody,

I'm so glad to hear that others hate fish too.  I don't know why but that's what's stuck in my head that I'll have to eat.  But I am so pumped after going to that seminar!!  I really am!  I really think I can do this with this surgery!  I'm so afraid that I'm getting my hopes up and my insurance won't cover it.  But I'm trying to stay positive!  Guess what else!  I've not had a Pepsi in over THREE WEEKS now and I haven't had ANY POP AT ALL in a week!  I've just decided I don't like the taste well enough to even bother.  So water it is and some of those diet powder thingys to add to water.  They don't thrill me either but at least it's a little flavor.  My problem is diet drinks (besides the horrible after taste) and water both leave my mouth soooooooooooooo DRY!  I feel like I'm chewing on a cotton ball most of the time.  And that's just crazy.  But I do.  Do you have that problem?  I don't even know what "edamame" is!    I don't like humus at all...gives me shivers just thinking about it.  But I can handle chicken, not a bean fan at all.  Never heard of "Chobani" either.  We don't have Krogers around here any more.  So...

One thing that kind of bums me out is that we live so far away!  I won't get to make use of the workout facility OR the support group meetings.  That would be sooooooooo awesome to have the opportunity to go to those!  I'm so pumped!  I can't wait to hear from them to see if the insurance will cover this.  OH PLEASE OH PLEASE OH PLEASE!

Anyway...forgot to ask...how did you do at the show?  I'm so going to try to come to the one in August!  We passed so many fields on the way to Columbus today with so many horses in them.  Ya' know what...if I do have this surgery?  I told John (my hubby) my gift to myself if I reach my goal will be to go to like Marmon Valley Farms and go for a horseback ride!  That way I know I wouldn't kill the poor horse by climbing on it's back! 

Anyway turning into a book.  Hope to hear from you soon!  Take care!
Jen 
sfmini
on 6/12/10 8:48 am
Topic: RE: Anotone use OSU Bariatric Center
Someone from work went to OSU, a few of us went to Fresh Start. I am very happy with the FS program, especially the 3 month membership to McConnell Heart Health Center. Think I am going to join even though it is expensive. Really nice folks, great facility and classes.
    
sfmini
on 6/12/10 8:42 am
Topic: RE: Are you going to the Cincy Event?
I'll be there, already have my room reserved and found a roomie so we are set.
Looking forward to it.
    
sfmini
on 6/12/10 8:39 am
Topic: RE: FREE WLS SEMINAR AT BARIATRIC TREATMENT CENTERS IN COLUMBUS
Hey Jen, I hate fish, won't touch the stuff. The dietians will work with you to find foods that you like so don't sweat it. I eat chicken, refried beans, black beans, cheese, deli turkey and ham, hummus, veg, sugar free popsicles and pudding and jello, hamburger, turkey burger, black bean burger. Mostly eat from the outer perimeter of the grocery store. Yogurt, the best ever is called Chobani, got it at Kroger and I have that every day for breakfast.
Just think, that 2 hour drive will cure you of your highway fears! The six months will just fly by, mine did.
The visits are just one per month so not a bad trip at all.

My favorite lunch right now is a whole grain high fiber high protien wrap with hummus, deli meat, cheese, and roll it up. I eat half and the other half makes another meal. Also love edamame.
    
jen5239
on 6/12/10 5:18 am
Topic: RE: FREE WLS SEMINAR AT BARIATRIC TREATMENT CENTERS IN COLUMBUS
Hi,
Thanks for writing me back.  The seminar was GREAT!  I'm very excited now.  I still have that horrible voice inside my head telling me I can't do this but it's not as loud as it was before.  Now I just have to wait to see if my insurance will cover it.  I'm hoping!  Can't figure their website out to see...but I'm thinking it's Medical Mutual and I believe Dr. Myers said it's a six month wait with them.  But that's ok.  I'm willing to wait.  The only thing that really stinks is it's like a little over a 2 hour drive for me.  And I'm not a happy highway driver.  I hate driving!  Get very scared.  And if I have to wait that long it'll be going into winter and that's gonna stink too!  But that's ok! 

So what types of foods are the dieticians pointing you towards?  I pray it's not only fish.  Cuz I so can't eat fish...BLECK!  Hope to hear from you again soon.  Thanks again for dropping me a note.
Jen
Erica Wilson
on 6/11/10 11:39 am - Barberton, OH
Topic: RE: Medicaid
I am not familiar with Paramont Advantage but have Buckeye and was approved after their required 6 month MD supervised diet and exercise program. I know my surgeon said if I was on Caresource I would need to switch because they don't like to cover. Call your member services department and maybe they can help. Also speak with the person at your surgeons office who submits the approval to the insurance. If no luck insist on a different carrier or straight medicaid.
hope this helps.
Erica Wilson
Totally Worth It.

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