Amazing!

bytheriver
on 5/18/12 2:59 am - Puerto Rico

I have been trying to get  a  VSG for the last 2 years, the first thing, my insurance company mentioned a 6 mo. diet, I did a year diet, lower my cholesterol and lost 35 pds; never the less, when i went to submit my request, thinking I had everything I needed, the insurance co. wanted a 6 mo. consecutive diet, i had to have had 6 doc visits, and more bollony added with the sleep study. I started my 6 mo. diet back on April, 2 mo. already and had my sleep study done, but NOW, today, I found out that my employer is dropping United Health Care and swithching to Aetna, go figure. Our new policy, effective 07/01 doesn't cover WLS, doesn't have that  stupid ryder. So, now, WTH! I'm so pissed and upset, this is just ridiculous, you know.

I cant do self pay, my credit is so messed up. I just lost my house, last year, consequentely of loosing my husband to his battle with Hep C. I can't afford a loan, at this moment. I just can't beleive this mess!!!!!

I'm gonna put this on hold, because I don't have the nerve, really, to stomach this, at this point in time in my life. Perhaps, I should just get my self committed and call it the day, OMG!

ronniesnana
on 5/18/12 3:23 am
Things are rough right now but dont give up. Work on getting your credit fixed. I am sorry about your husband but with time things get better. I am going through a divorce right now and my insurance doesnt cover wls either. I am looking into borrowng money. did you check into care credit? it might be high interest but your life is worth so much more. hang in there.
(deactivated member)
on 5/18/12 3:25 am
VSG on 10/18/12
I'm so sorry for all that you have been through. I have been wanting WLS since 2008, but gave up on the hope's for it, since my current job stopped covering it in 2009! LOL  I finally started again last summer, to get a month before surgery and have my insurance canceled. I was like you, my husband was not working, I had a 9 month old baby and jacked credit so definitely could NOT afford a loan. (since I had loans out already paying for my mother's funeral who had recently passed away) I was bitter, and angry, and just devastated. But I kept at my health. I lost about 40lbs on my own...jus****ched what I ate, and pretended I had the sleeve. So I upped protein, and exercised..and just I guess you could say "praticed" for when my time would come for wls. I knew it would come eventually, because I prayed for it every night. Last September my hubby finally got a job after being laid off  for 3 years....and just so happened his policy DID cover wls. So here I am again... I only tell you this to offer hope. You are in my thoughts and prayers, if you need someone to talk to,..or vent to.. PLZ hit me up. God bless! (p.s someone earlier posted listings of companies that DO cover wls...if possible maybe you can check it out? )
bytheriver
on 5/18/12 3:29 am - Puerto Rico
Thanks, I know, Im not gonna give up, but right now, I just have to put my mind on something else because it is what it is and I can't let this take the better of me, not at this point.
(deactivated member)
on 5/18/12 3:34 am
VSG on 10/18/12
I agree! I just want to wish you the best, and just know that we are rooting for you (and def Praying) Many Blessings!
lose4good2012
on 5/18/12 3:57 am
On May 18, 2012 at 9:59 AM Pacific Time, bytheriver wrote:

I have been trying to get  a  VSG for the last 2 years, the first thing, my insurance company mentioned a 6 mo. diet, I did a year diet, lower my cholesterol and lost 35 pds; never the less, when i went to submit my request, thinking I had everything I needed, the insurance co. wanted a 6 mo. consecutive diet, i had to have had 6 doc visits, and more bollony added with the sleep study. I started my 6 mo. diet back on April, 2 mo. already and had my sleep study done, but NOW, today, I found out that my employer is dropping United Health Care and swithching to Aetna, go figure. Our new policy, effective 07/01 doesn't cover WLS, doesn't have that  stupid ryder. So, now, WTH! I'm so pissed and upset, this is just ridiculous, you know.

I cant do self pay, my credit is so messed up. I just lost my house, last year, consequentely of loosing my husband to his battle with Hep C. I can't afford a loan, at this moment. I just can't beleive this mess!!!!!

I'm gonna put this on hold, because I don't have the nerve, really, to stomach this, at this point in time in my life. Perhaps, I should just get my self committed and call it the day, OMG!

Can you request that a different policy that includes WLS be given to you when they renew and you pay the difference in the premium?  We offer that to our employee's.  If they want to upgrade they just pay the difference.  I would check with your Human Resource Director, and or Insurance Agent to see.....Worth a shot! 
Snowberry
on 5/18/12 4:22 am
VSG on 04/10/12
 I'm glad to hear you aren't giving up.  I tried to get weight-loss surgery about four or five years ago.  I went through the sleep study, the psych evaluation, the supervised diet, lost the required ten percent of my body weight....and during my fifth month of my supervised diet, I found out I had breast cancer after a routine mammogram.  So after losing all the weight and going through all the program, I wasn't allowed to continue to surgery.

So I took a break and dealt with the cancer.  I had three surgeries, a year of chemo and seven weeks of radiation.  So after that was all done, I went back to try to schedule my VSG.  I was then told I had to start the program all over again.  Another six months of supervised weight loss.  Another psych evaluation.  Lose five percent of my starting weight (they'd lowered the requirement from ten percent to five in that year).  And all that even wouldn't have been so bad...except I couldn't do any of that until I'd been cancer free for three years.  So I had to wait another two years before I could even reapply.

Of course in those three years, I gained back the 23 pounds I'd lost the first time around and another 30 on top.  So I finally got approved again last summer, went through everything all over again, lost the weight and had the surgery.  Right now, I am just back around the weight I was when I was diagnosed with cancer.  So it took me nearly five years to go through the program not once, but twice, lose some, gain some, have surgery and get back to the weight I was when I started.  Oh and deal with cancer along the way.

But, I am now sleeved.  And though I am only now back to where I started, I will continue to lose.  It wasn't easy to get here, but it was so worth it.  I never expected it to take this long to get here or to be so complicated, but I never gave up hope that I'd get here.  You will get here one day too.  It may mean you have to have a different job or save your income tax returns for a few years so you can self-pay, or maybe you will qualify for a loan after your credit has improved.  But you can get here and It will be worth it.   Just be careful in the meantime and don't gain fifty pounds while you are working to get there like I did!

      
Boppie2012
on 5/18/12 4:46 am - Dunedin, FL
I, too, tried to get wls about five years ago and they kept denying me. Well I lost 80 pounds on Medifast and was down to 208. I then lost my job due to an on the job injury and gained back everything plus more and ended up with major back problem that the back dr told me for a year needed surgical intervention. I had it scheduled for January and he then told me I was too fat and if I lost enough weight I wouldn't need surgery! Then started on the wls journey again and here I am at 4 weeks post op. Please don't give up, even go to the support group meetings and maybe they can offer some ideas as well. I'll be praying for you.
bluemems
on 5/18/12 6:13 am - NJ
VSG on 04/30/12
You can try going to your HR rep to see what they can do to help you with this.  Sometimes when you are a in the middle, you can continue to go forward with that insurance comapny to get through the procedure - or they can work with the new company to make an exception to cover you.  Hope it all works out for you.
Most Active
×