Lori H.
Kennewick, WA, USA
Surgery date scheduled - BMI: 40.8
Surgery Type: Duodenal Switch
Member ID: Huntley979540457
Surgeon: Adrian J. Heap M.D.,F.A.C.S.,F.R.C.S.(C)


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Today is January 19th and I have been doing hard research about this surgery for over a month now. I have been thinking about about it for over six months, after seeing quite a few people that have had it done. I've been doing some hard thinking and I know this is the right course for me. I have tried every diet imaginable, but nothing works. I have an appt. on Monday with my regular dr. to get a referral to a surgeon. I called my insurance to see if they would cover this, and they said if a surgeon within my network did it and if it was medically necessary. My goal this next week is to make that happen. I am basically a healthy person, so that is the only thing that worries me is that they won't find it "necessary." If anyone has any suggestions for me, feel free to email.

February 3, 2001
I got my referral to the surgeon in my area. I've heard nothing but good things about him, so that makes me feel good. My appt. is on Monday. This weekend, I am working on my list of all the diets I've been on, and all the problems I see physically and emotionally as a result of my weight. I have definately decided I want the surgery, but I'm am so nervous about the insurance approval process. I have United Healthcare, and my husband is with the Operator Engineer union, so I figure with two of them I might have a good chance. I just want to make sure all my ducks are in a row when the initial paperwork get in. I have an aquaintance that had the insurance approve within a month and two weeks after that, had the surgery. So I am imagining in 6 weeks this could be happening for me!

March 17, 2001
Well, I'VE BEEN APPROVED! My date is April 9th. It took about a month to get the word from my insurance. It was a LONG month, but was well worth it. It was approved right off the bat! I will be having the duodenal switch. I am both excited and nervous. I will keep you posted.


Surgeon Info:
Surgeon: Adrian J. Heap M.D.,F.A.C.S.,F.R.C.S.(C)
I have my appt. on Mon. (2/5/01). From what I have heard from others here and first hand here locally, he is a great doctor.
Insurer Info:
United Healthcare, Select EPO
I must say that United HealthCare (so far) as been great. I did have to call them a few times to see if my paperwork was in their system yet. It took a month, but that was the way my doctor submitted it (snail mail). The insurance co. would have preferred a phone call, which have made it much faster. But they were very nice to me on the phone when I was bugging them every week. I just hope I get the same service thoughout the procedure. I would recommend this company to anyone. I had no problems whatsoever. With BMI of barely over 40 and no real comorbidities, I got really lucky with this insurance co.