Recent Posts

Lori F.
on 11/21/11 3:28 am - Chula Vista, CA
Topic: RE: Cigna questions
Cigna sucks. But follow everything to a "t" and then you can fight and appeal. I've lost four times, but I am still not giving up. My surgeon's office did a 6 month supervised diet at his office. I did lost a bit, and you may too, but you will still be MO, I assume. And you may gain it back, as we all know. You won't know unless you try!!!!
Pre-band highest weight: 244
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW:
260 (yes, with the band!) 
Current Fill: 5cc in 10cc band
BMI: 49
Nan2008
on 11/20/11 11:41 pm - Midland, MI
Topic: RE: X post APPROVED !!!
CONGRATULATIONS!!!  And today is the 21st so you must be having your surgery today! 

Welcome to the loser's bench!!

Nan

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
PurplePresident
on 11/20/11 1:40 am
Topic: RE: BC/BS PPO Michigan, Plastic Surgery
It raises my hope too! I am on NC state employee BCBS and I am in need of a lot of skin removal. 40+pounds of skin. I have dealt with issues of depression and I feel it coming on again. I don't think it is all due to my excess skin, but I know that it is one factor. One that I know how to alleviate. At my highest I weighed about 500 lbs. I am now at 210. I can't find clothing because my arms have so much excess skin that the sleeves don't fit. My grand daughter asked me  "why are your knees so big?" I wanted to cry. I have skin pooling and even my calves are baggy. I have come so far and I should be thrilled but I'm only sinking further into hopelessness. I don't know what to do. I know it's not gonna come to me, but I can't see where to go or what to do.       

Mica A. Welsh     Hi / pre-surg /currnt / goal  480 / 333 / 199 / 189
  
    

                                
Suzanne B.
on 11/19/11 12:44 pm - OR
Topic: RE: Crying need advice
Hi,

Don't give up that easy.  See if your PCP will help you with an apeal letter to them.  I know that some people have been turned down two or three times.

Hugs,
Suzanne
Suzanne B
Eugene, OR
Dr. Aceves
10/21/2008 
Start lbs 225
Now 120
Suzanne B.
on 11/19/11 12:41 pm - OR
Topic: Why you should not price shop when you are self pay

Hi Everyone,

If you are trying to figure out what doctor to go to here is something I just had sent to me from another Web Site. First I need to say, I did a lot of research on which doctor was going to be the best for me.  After about 6 months of looking Dr. Aceves was by far the leader in so many ways.  I knew what excellent care I was going to receive.  I realize that some of you are price shopping around for the best price.  Honestly this is the ONE time in your life you shouldn't be price shopping.  There is a reason why "other doctors and other hospitals charge less."  You GET less care from them.

**********************************************************

Here is what someone sent me from another site. 
Screen Name from other site is "Her Moojesty"

This is what she posted.
"When you leave Jerusalem Hospital you get nothing except a box of Cipro, Naprosen, some antiacids, and a diet sheet.. No real instructions about follow up care whatsoever. Oh yeah, they have never heard of Universal Precautions either. Be certain to bring your own alcohol swabs, and have them handy, because when they spike your fluids bag or give you medication by IV push, they just cram the needle in the line, no alcohol used!!!!! It made my skin crawl. You won't see anybody using gloves much either. Only the lobotomist used them, never the post op nurses, who DID NOT speak English by the way. It's a miracle I came out of there without an infection, or worse. Of course, it has only been a few days. And, the sheets on my bed at the recovery house weren't "clean". Somebody's drain had leaked on them. OMG. I have never been so glad to get out of a place in my life."
**********************************************************************
I hope that if you are sitting out there trying to figure out who you are going to have do your WLS that you will think of what she wrote.  She did pay less, but could have also received an infection or worse.

I have NEVER in my life been to any US hospital that was as clean as the one Dr. Aceves and his staff have.  This is why I am so PRO Dr. Aceves because it is a established fact that he is the best and you are in excellent hospital along with Dr. Aceves and his staff to take care of you.

Please be safe and make the right choices for yourself.

Hugs,
Suzanne

 

Suzanne B
Eugene, OR
Dr. Aceves
10/21/2008 
Start lbs 225
Now 120
Havalina
on 11/19/11 6:48 am
Topic: Should I get my hopes up?
I posted a short while ago that my husband's employer changed our insurance. The new insurance has an exclusion for the removal of any hanging skin. It does not state unless medically necessary etc. Well, I was planning to have my panni done as soon as this Dec before the change. So, I called the insurance company ( twice actually) and on both calls with two different reps, I was told that the exclusion can be waived in cases that they do believe are a true medical necessity and that the criteria has to be met. Now, I do meet all of their criteria..but I don't know! I have read many people on this board and others that an exlcusion is just that and there is nothing that can be done. It just don't make sense to me that both reps told me to have the Doc. send in everything and make sure it is shown why its medically necessary. Any insights? Should I have some higher hopes? Why wouldn't they just tell me its excluded period, if there wasn't a chance?
 VSG  Aug 9, 2010 with Dr. Shieh in Fort Myers, FL    
HW 366 Day of Surgery 334
PS: Extended TT, Arm Lift, Fat Transfer to the rear 6/6/2012.
    
WoolyBully
on 11/16/11 9:50 am - MI
Topic: RE: BC/BS PPO Michigan, Plastic Surgery
thanks for the response, that takes a load off my mind.

Unless it becomes medically necessary, I would rather wait so I only have one surgery.

I am still loosing, (163 lbs so far with about a 100 to go) so I hope to be ready for it around this time next year.

Thanks again.

Gary
gonetothedogzz
on 11/15/11 7:24 am - OH
Topic: RE: Ohio Molina approved
Hi Amy,

Congradulations on your date. I am currently starting the process with Molina and like you have been morbidly obese for over five years. I have MS, lower back problems, arthritis, and sleep apnea and was glad to see that they didnt have you do the six months of dieting which leads to my question as I am hoping that I dont have to as well. What makes Molina decide to have some do the six months of doctor supervised dieting and not others?

Thanks


MaMaMaRTiNeZz
on 11/15/11 7:03 am - Los Angeles, CA
RNY on 11/01/12
Topic: United Heathcare/Pacificare for Public Employees

I have an HMO through UH and am currently under HealthCare Partners Network iPA Pasadena. When my Primary doctor requested approval for Bariatric surgery consultation is was approved immediately and I was sent to Association of South Bay Surgeons which is a HCP approved Bariatric Surery Facility. Even though it is about 1 hour from where I live, I travel to Torrance for my appointments with Surgeon and will be admitted to Torrance Memorial for my actual procedure. GB, Lap-Band, DS, and VSG are all covered 100% with NO deductible or copay under my insurance for either of these procedures. Revisions are also 100% covered. I am a Public Sector employee and I thank God everyday for my job because it has terrific benefits (I paid NOTHING to have my son via C-Section in a Top California Methodist Teaching Hospital with S-O-A Facilities). I am just wondering if anyone here has medical insurance due to being a County/State/Government employee and if the process to get approved for Gastric Bypass was smooth. I have a BMI of 45 which automatically qualifies me but I am also Pre-Diabetic with Asthma and a history of bone problems in my feet/ankles because of the weight. I have also been in my Bariatric Surgical Program since March 2010 and documented weight checks ranging from every week to every month or so, very consistent history of seeing the surgeon, nutritionist, nurse practicioner, and doing regular weigh-ins. Also, I have a regular schedule of seeing my Primary Care Physician for my co-morbidities as well. It has taken me almost 2 years being in this program to finally submit for authorization. I am hoping my history will give them enough info to approve me. Please let me know if anyone has similar insurance to me and what the process was like. Thanks :)

              NOTHING tastes as GOOD as SKINNY FEELS...

 Starting Pre-Op Weight: 305     Weight On Day of Surgery: 297 

  
          
                    

    

MichiganGal
on 11/14/11 10:55 pm - Tecumseh, MI
Topic: RE: BC/BS PPO Michigan, Plastic Surgery
BCBS of MI is a great insurance to cover removal of excess skin on the abdomen.  You will meet the criteria so when your ready the procedure will not need to be pre-authorized.  You should wait until the weight loss has slowed down or stopped.  Although, in some cases with a high BMI it is medically necessary to remove the skin before all of the weight has been lost.
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