Almost There..for Pre-Approval or DIS-Approval

(deactivated member)
on 7/26/11 12:42 am
Well, I have completed the labs, Psych, and Gallbladder Ultrasound.  My ribs are SORE from the ultrasound! She had to mash that thing down in there. She did tell me I have an awesome liver and Gallbladder.  I don't drink so I guess that's paid off. lol Just have to do the NUT appt. which is scheduled for Sept. 12th.  Maybe I'll be able to get it done sooner, but I have to pay out of pocket for it, and I am going out of state in Aug so I won't have the extra cash until then.  Still, I am scared of doing all of this - and being disapproved.  I had a Pulmonary test the beginning of the month to check my lungs because I am having to use my inhaler more often.  Stress incontinence, knee and back pain, and GERD.  Just not sure if my insurance will approve me based on those issues with my BMI only being 37.3. "Only" LOL So weird to be fat - but not fat enough. I just pray pray PRAY that I will get approved and be able to start a new life in the new year....
MajorMom
on 7/26/11 2:01 am - VA
I'm wishing you good luck. Have you had a sleep test to see if you have sleep apnea?

--gina

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
                                 ******GOAL*******

Starting BMI between 35 and 40ish? 
Join us on the
Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

(deactivated member)
on 7/26/11 2:50 am
Ahh yes! I almost forgot.  I go to see my PCP on 2 Aug, and then I am HOPING that she will refer me for a sleep study.  This will also be my 2nd visit for doctor supervised diet. My ins. requires 3 months. I just hope it all works out, because i am miserable. I have put my hopes in this process - and getting approved.
lerkhart
on 7/26/11 2:22 am
Good luck with your test and getting approved.  Keep us updated on your progress.
Linda
14.5 lost pre-surgery  5'1 1/2"                                      LW-Apple-Gold-Small.jpg image by PlicketyCat
Ruthie D.
on 7/26/11 2:58 am - Mayer, AZ
Have you asked your insurance to send you the documentation showing what the criteria is to get approval for WLS?  That way you would know for sure where your BMI needs to be, or what co-morbidities are needed, etc... and not be blindsided.  I'm sure your doctors will do everything they can to document your records in the best light possible. 

On the 3 month supervised diet, can you gain weight without jeopardizing yourself?  I would think that is exactly the kind of results they want to see...
       LIFE'S a REACH...    and then you FLY!!!   
           HW = 224, SW = 204, CW = 124, GW = 119           
Eliza55
on 7/26/11 3:45 am - PA
I agree 100% with Ruthie.  Once you know their rules, you can meet them exactly.  For my insurance, you needed one of the big three:  Coronary artery disease, diabetes, or sleep apnea. 
Good luck, which ever way you go.
Eliza
Consult:239   SW:217  1mo:195  2mo:182  3mo:169   6mo:139  9mo GOAL CW: +2 from underweight
  
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