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OneFinger
Member Since: 09/16/10
[Latest Posts]

Topic: RE: Lap Band or Gastic Bypass??
I consider lap band for years but was nervous about having it done. I had a few friends that were banded. They lost some weight but seemed to have constant problem with adjustments. A couple actually had it removed.

Then a co-worker found out that RNY was covered by our insurance. After seeing his success I looked into it. My insurance really discouraged lap band surgery and was very supportive of RNY.

I had the surgery 18 months ago and couldn't be happier. I reached my goal weight in about 6 months and have been able to maintain without any problems. Several other co-workers and / or family members have since had RNY. All share the same success.

After seeing the success of RNY, I'd have a hard time suggesting or recommending lap band. I just don't see the long-term benefits. Yes, RNY requires a more strict lifestyle change. But, it's a procedure that I believe has a better success rate and fewer complications.
High Weight = 310     Surgery Weight = 300   Dr's Goal = 200   My Goal = 190    
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Jessica G.
UT
Member Since: 05/02/11
[Latest Posts]

Topic: RE: Mental Health Eval Question
They just want to make sure you are will to make the change and don't have any behavioral conditions that may get in the way of your weight loss plan.

Like can you make a change? Make sure you are not anorexic or bulimic.  I thinks its pretty hard to be denied unless you are not willing or have issues with change or commitment.
~*Jessica G.*~
Doing 6 month supervised diet
    
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Jessica G.
UT
Member Since: 05/02/11
[Latest Posts]

Topic: Lap Band or Gastic Bypass??
This is my first post! I am currently doing my 6 month supervised diet before I can be banded to get it covered by insurance. A little over view, I considered Lap Band many years ago and kept putting it off thinking I could lose the weight and do it myself only to become heavier. The Hubby and I decided to try and have a baby before getting the surgery after two years of trying and some fertility help we were still not pregnant and decided to just go ahead with the weight loss 6 month supervised diet. One month before my 6 month supervised diet was going to be completed and having done all my pre-surgery lab work and my psych evaluation, I found out I was pregnant! I was so bummed and upset. Now I was only going to get bigger.

Well I had my baby girl Dallas (9lbs 4oz / 22.5 inches) 8 weeks ago and couldn't be happier! I love her so much and she was worth the wait and starting over. I did develop gestational diabetes with my pregnancy which has gone away now. I only gained 12 lbs with my pregnancy which I lost 13 lbs by my 6 week postpartum visit.

So here I am and having to start my 6 month supervised diet again. Insurance states is has to be 6 consecutive months. Also my OBGYN asked me to really look into Gastric Bypass RNY. She had the surgery and would prefer that surgery because of the success rate and less complications further down the road!
~*Jessica G.*~
Doing 6 month supervised diet
    
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ConfusedInUtah
UT
Member Since: 03/05/12
[Latest Posts]

Topic: Mental Health Eval Question
 I am going to be doing my mental health eval this coming week- what exactly are they looking for? My friend has me scared that I am going to say something wrong and my insurance will deny it because of this- 

my insurance criteria states: A-n evaluation by a­Iicensecl.mental health professional provider that specifically evaluates all of the following: any mental health or substance abuse conditions; the .emotional reaclinessand ability ofthe individual to make and sustain lifestyle  and the  adequacyof the individuafs support system

Has anyone does a mental health eval for insurance that was approved and can give me some help!! 
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Skinnygirlme
UT
Member Since: 02/15/12
[Latest Posts]

Topic: New here!
 I've been on the main OH forum for a while and just learned about this one! Want to say hello! 
  I believe in me...the best is yet to be!                        
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BlondeOne
Roy, UT
Member Since: 05/12/10
[Latest Posts]

Topic: RE: Anyone here have Independence Blue Cross??
Oh, I just saw it in your title.  OOPS!  I don't have any idea on that company...

        
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ConfusedInUtah
UT
Member Since: 03/05/12
[Latest Posts]

Topic: RE: Anyone here have Independence Blue Cross??
 The insurance is Independence blue cross- it is through my husband’s work- I just hate my doctor’s office answer which is 1-52 weeks-

 

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BlondeOne
Roy, UT
Member Since: 05/12/10
[Latest Posts]

Topic: RE: Anyone here have Independence Blue Cross??
Who is your insurance through?

I have Altius Federal and once everything was submitted it took like 2 weeks to get back to me.  The insurance has 30 days to decide and get back to your surgeon.  Once they get back to the surgeon, the surgeon's office will call you and set up a surgery date, which will be scheduled about a month or so out.

        
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BlondeOne
Roy, UT
Member Since: 05/12/10
[Latest Posts]

Topic: RE: Approved!!
It shouldn't take too long.  Once it's been submitted to the insurance, they have 30 days to get back to you.  After that, the surgeon will call you letting you know it was approved and about a month or so out will be your surgery date.  

        
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BlondeOne
Roy, UT
Member Since: 05/12/10
[Latest Posts]

Topic: RE: Finally!
So I met all conditions and my surgery is set for March 12th! I can't wait!!
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ConfusedInUtah
UT
Member Since: 03/05/12
[Latest Posts]

Topic: Anyone here have Independence Blue Cross??
 Putting in my paperwork tomorrow.. Just trying to see if anyone has this insurance and can tell me how it went with getting an approval. Time? Did they ask for me then their policy states they will want? Any info would be great :) 

Thanks!
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Bellaafwifey
hill afb, UT
Member Since: 01/12/12
[Latest Posts]

Topic: RE: Approved!!
 CONGRATS TO HIM! I am waiting for my first letter and I feel like I have been waiting forever. I am so nervous and anxious. My doctor was so suppotive. He put my referal in on friday morning, how long should it take?
Much love,
Sarah
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Kim Gyurina, Events
Manager at OH

Irvine, CA
Member Since: 08/29/07
[Latest Posts]

Topic: HOPE AND HELP FOR THE PAIN OF REGAIN TOPIC ON CRUISE!
  Hello Friends! 

We're very happy to announce two important topics for the OH cruise in March that will be presented by Colleen Cook from Bariatric Support Centers International:  1: Hope and Help for the Pain of Regain and 2: The Success Habits of Weight Loss Surgery Patients


We've been hearing that some members are looking for cabin mates to split the cost of the OH cruise in March!  Be sure to visit http://www.obesityhelp.com/events/2012-Obesityhelp-Cruise.ht ml , scroll down to the bottom where comments are so you can all talk about it and share info, or post on the message boards!  There's still room according to Royal Caribbean, and the more, the merrier!  There is one cabin left in our block, and still many outside our block, so come cruisin' and get recharged. Book at 1-800-401-9948. Our OH code is 2201863! 

This is going to be a great time to get very good information (and a suntan) and support from Dr. Stapleton, Colleen Cook and Bo McCoy in our conference sessions at sea!  Join us! This is a great way to make some new friends from around the country...we're aiming to really have some fun! 

      
Kim Gyurina
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seanbear66rn
Dracut, MA
VSG (04/06/12)
Member Since: 11/24/06
[Latest Posts]

Topic: LGBT forum invitation
Hello,
I just wanted to let people know   there is a forum for the community and anyone who is friendly and want to stop by. I was very active 3 years ago and would like to see it become active again.   It is listed under  "weight loss related"

I am not attempting to offend anyone. I understand that some might not agree with me posting. I am doing it to help LGBT people. Everyone has the right to not agree. I respect that.

                                                             Thank You !
    
                                                                    Sean


If you have trouble finding it just PM me
Sean  
 
YOU CANNOT GIVE SOMEONE HELP........YOU CAN OFFER HELP,  IT IS UP TO THE OTHER PERSON TO ACCEPT  OR REJECT IT !!!
  
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Carmen C.
Member Since: 09/25/08
[Latest Posts]

Topic: RE: anyone have success with Intermountain Healthcare??
I work at iHC. I have to wait 8 more months before I qualify for gastric bypass. I am trying to appeal it now, but recently got denied.. I was thinking of appealing again..
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mama_of_two
UT
Member Since: 03/18/09
[Latest Posts]

Topic: Has anyone had Non-Trad Medicaid pay for Sugery without a Disability?
My husband is a Full time Student and niether of us are working right now. So we are on Non-Traditional Medicaid.  The Weight Loss Center said that only Trad. Medicaid will cover WLS if your BMI is over 40 (which mine is).
Has anyone else had surgery using Medicaid here in Utah?
Thanks for your help!
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BlondeOne
Roy, UT
Member Since: 05/12/10
[Latest Posts]

Topic: RE: Finally!
Hopefully so... I'm keeping my fingers crossed.

        
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rnkkm
UT
Member Since: 06/01/11
[Latest Posts]

Topic: RE: Finally!
I think it sounds like you have met everything Altius requires. 
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BlondeOne
Roy, UT
Member Since: 05/12/10
[Latest Posts]

Topic: RE: Finally!
http://www.bmiut.com/

Maybe provide your insurance with this link ^^^

        
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BlondeOne
Roy, UT
Member Since: 05/12/10
[Latest Posts]

Topic: RE: Finally!
That is way wierd because the Salt Lake Regional hospital has two Dr.'s that are registered at that center of excellence.  That is the only way that my Dr.'s would be approved.  I wonder what listing they were looking at.  I would fight that if I were you, or maybe just call them and tell them that the one is SLC is in fact a COE.

My Dr. stated last year when I saw her that she would have me do the 2 week pre-op diet of drinking only liquids so it would shrink my liver and she could go in laprascopically, so that's the freakiest thing that I think I'm looking ahead at.

Well, good luck, and yes keep me posted for sure!

        
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