Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 Hi, My name is . I'm an almost 40 yo (1/26) mom of 2 beautiful kids. I live in Northern Colorado. I have diabetes. As with most all the folks here, I've been overweight all my life and dieted all my life. I had a period of being thin when I was in college. I taught aerobics then and lived on hardly any food AND still felt I was fat. Others did too. But that's the culture - isn't it? Anyway, my doctor recommended the surgery to me 2 years ago. At the time I wasn't ready. It took 2 years of " I should be able to do this by myself " before I decided I was ready for the surgery. So I started the journey last spring just to hit up against CIGNA. The doctor I was to go to said they were having too much trouble and if I could get precert then they'd see me. I decided to diet one more time. Of course it didn't work. So I started the process again last fall with another doctor that said they'd try. I was denied. I had 28 weeks of dieting, but it was not contiguous. Was in 2 chunks within the last year. grrrrrr. Anyway it was open enrollment so I looked into the other insurance carriers offered by DH's company. I called them all with the group number of the company. Asked if they would cover the procedure in the new year. All said yes. I was sceptical because I had heard Pacific Care was not going to cover it. Called them back. They said yes again. Talked to my doctor. They said they had a letter from PC. So I called them back and told them. They said they'd " have to look into it " . They called back and confirmed. (ok that was 3 calls to get the truth). So I called Athem BC/BS - HMO Colorado. They too said it would be covered. I called 4x's with the group number. Had the last person actually go get the policy and read it. Said it would. So I changed to them. Well, the new year has rolled around and I had made an appt with my doc for 1/7 just to get started. Shoot I already had letters, etc so it was just a matter of changing the name and address to the insurance. Well, my doc said they got a letter saying that starting 4/1/04 they would be covering it, but at a reduced rate. $1,500 at a non-certified facility and $7,500 at a certified facility. Talk about peeing on a fire! AND of course my hospital is non-cert. So anyway, my doctor and I are busy getting my psych eval, and nutritional counseling and hope to get approved. We have set a 2/16/04 surgery date to get it in before the deadline and to get them to pay at the prior level. I've been up and down, but refuse to be beat. I'm guardedly optimistic that I'll be able to get this done at a rate I can afford. So we'll see if I make it. I'm looking forward to participating in this group and to learning more. F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 Hi, My name is . I'm an almost 40 yo (1/26) mom of 2 beautiful kids. I live in Northern Colorado. I have diabetes. As with most all the folks here, I've been overweight all my life and dieted all my life. I had a period of being thin when I was in college. I taught aerobics then and lived on hardly any food AND still felt I was fat. Others did too. But that's the culture - isn't it? Anyway, my doctor recommended the surgery to me 2 years ago. At the time I wasn't ready. It took 2 years of " I should be able to do this by myself " before I decided I was ready for the surgery. So I started the journey last spring just to hit up against CIGNA. The doctor I was to go to said they were having too much trouble and if I could get precert then they'd see me. I decided to diet one more time. Of course it didn't work. So I started the process again last fall with another doctor that said they'd try. I was denied. I had 28 weeks of dieting, but it was not contiguous. Was in 2 chunks within the last year. grrrrrr. Anyway it was open enrollment so I looked into the other insurance carriers offered by DH's company. I called them all with the group number of the company. Asked if they would cover the procedure in the new year. All said yes. I was sceptical because I had heard Pacific Care was not going to cover it. Called them back. They said yes again. Talked to my doctor. They said they had a letter from PC. So I called them back and told them. They said they'd " have to look into it " . They called back and confirmed. (ok that was 3 calls to get the truth). So I called Athem BC/BS - HMO Colorado. They too said it would be covered. I called 4x's with the group number. Had the last person actually go get the policy and read it. Said it would. So I changed to them. Well, the new year has rolled around and I had made an appt with my doc for 1/7 just to get started. Shoot I already had letters, etc so it was just a matter of changing the name and address to the insurance. Well, my doc said they got a letter saying that starting 4/1/04 they would be covering it, but at a reduced rate. $1,500 at a non-certified facility and $7,500 at a certified facility. Talk about peeing on a fire! AND of course my hospital is non-cert. So anyway, my doctor and I are busy getting my psych eval, and nutritional counseling and hope to get approved. We have set a 2/16/04 surgery date to get it in before the deadline and to get them to pay at the prior level. I've been up and down, but refuse to be beat. I'm guardedly optimistic that I'll be able to get this done at a rate I can afford. So we'll see if I make it. I'm looking forward to participating in this group and to learning more. F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 Welcome to the group! I am sorry your having trouble getting all that mess straight, I sarted seeing doubles trying to read all you were going through. I am having signs of diabetes, but not sure. I get dizzy after every time I eat, especially if I have skipped a meal. But can you get dizzy and eat to make it go away? I had to eat a piece of bread this morning cause I just got so dizzy and got a headache! Anyhoot, I haven't been checked for diabetes went to the doctor yesterday if they say nothing about it when they call tomorrow with my thyroid results I am going to mention it. Unless my symptoms get worse. I been having a time with my insurance too. Hell I was told I wasn't enrolled with mine but they paid for my doctor visit yesterday LMAO! I have put on 20 pds in less than 2 months, could that be diabetes?? I was 220 beginning of christmas just found out I am 241. I about cried! THat sux! I wanna do something before I hit 300. I only eat like one time a day, but lately been having to eat a little something here and there to keep from getting dizzy. And headaches, o lord! I'm not being twice an hour like I was yesterday though. Less frequent. I was at the doctors office yesterday 3 hours and peed 6 times. LOL I was getting aggravated! Whats your weight and height. And your goal. I am 5 ft 2, you know my weight, and my goal is 130 pds. I have been trying to convince my husband to like skinny women cause before I die I will be skinny DAMMIT and he loves BBW!! LOL Well goodluck on getting your insurance straight and all. Will be nice chatting with you. > Hi, > > My name is . I'm an almost 40 yo (1/26) mom of 2 beautiful > kids. I live in Northern Colorado. I have diabetes. > > As with most all the folks here, I've been overweight all my life and > dieted all my life. > > I had a period of being thin when I was in college. I taught > aerobics then and lived on hardly any food AND still felt I was fat. > Others did too. But that's the culture - isn't it? > > Anyway, my doctor recommended the surgery to me 2 years ago. At the > time I wasn't ready. It took 2 years of " I should be able to do this > by myself " before I decided I was ready for the surgery. So I > started the journey last spring just to hit up against CIGNA. The > doctor I was to go to said they were having too much trouble and if I > could get precert then they'd see me. I decided to diet one more > time. Of course it didn't work. So I started the process again last > fall with another doctor that said they'd try. I was denied. I had > 28 weeks of dieting, but it was not contiguous. Was in 2 chunks > within the last year. grrrrrr. > > Anyway it was open enrollment so I looked into the other insurance > carriers offered by DH's company. I called them all with the group > number of the company. Asked if they would cover the procedure in > the new year. All said yes. I was sceptical because I had heard > Pacific Care was not going to cover it. Called them back. They said > yes again. Talked to my doctor. They said they had a letter from > PC. So I called them back and told them. They said they'd " have to > look into it " . They called back and confirmed. (ok that was 3 calls > to get the truth). So I called Athem BC/BS - HMO Colorado. They too > said it would be covered. I called 4x's with the group number. Had > the last person actually go get the policy and read it. Said it > would. So I changed to them. > > Well, the new year has rolled around and I had made an appt with my > doc for 1/7 just to get started. Shoot I already had letters, etc so > it was just a matter of changing the name and address to the > insurance. Well, my doc said they got a letter saying that starting > 4/1/04 they would be covering it, but at a reduced rate. $1,500 at a > non-certified facility and $7,500 at a certified facility. Talk > about peeing on a fire! AND of course my hospital is non-cert. So > anyway, my doctor and I are busy getting my psych eval, and > nutritional counseling and hope to get approved. We have set a > 2/16/04 surgery date to get it in before the deadline and to get them > to pay at the prior level. > > I've been up and down, but refuse to be beat. I'm guardedly > optimistic that I'll be able to get this done at a rate I can > afford. So we'll see if I make it. > > I'm looking forward to participating in this group and to learning > more. > > F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 Welcome to the group! I am sorry your having trouble getting all that mess straight, I sarted seeing doubles trying to read all you were going through. I am having signs of diabetes, but not sure. I get dizzy after every time I eat, especially if I have skipped a meal. But can you get dizzy and eat to make it go away? I had to eat a piece of bread this morning cause I just got so dizzy and got a headache! Anyhoot, I haven't been checked for diabetes went to the doctor yesterday if they say nothing about it when they call tomorrow with my thyroid results I am going to mention it. Unless my symptoms get worse. I been having a time with my insurance too. Hell I was told I wasn't enrolled with mine but they paid for my doctor visit yesterday LMAO! I have put on 20 pds in less than 2 months, could that be diabetes?? I was 220 beginning of christmas just found out I am 241. I about cried! THat sux! I wanna do something before I hit 300. I only eat like one time a day, but lately been having to eat a little something here and there to keep from getting dizzy. And headaches, o lord! I'm not being twice an hour like I was yesterday though. Less frequent. I was at the doctors office yesterday 3 hours and peed 6 times. LOL I was getting aggravated! Whats your weight and height. And your goal. I am 5 ft 2, you know my weight, and my goal is 130 pds. I have been trying to convince my husband to like skinny women cause before I die I will be skinny DAMMIT and he loves BBW!! LOL Well goodluck on getting your insurance straight and all. Will be nice chatting with you. > Hi, > > My name is . I'm an almost 40 yo (1/26) mom of 2 beautiful > kids. I live in Northern Colorado. I have diabetes. > > As with most all the folks here, I've been overweight all my life and > dieted all my life. > > I had a period of being thin when I was in college. I taught > aerobics then and lived on hardly any food AND still felt I was fat. > Others did too. But that's the culture - isn't it? > > Anyway, my doctor recommended the surgery to me 2 years ago. At the > time I wasn't ready. It took 2 years of " I should be able to do this > by myself " before I decided I was ready for the surgery. So I > started the journey last spring just to hit up against CIGNA. The > doctor I was to go to said they were having too much trouble and if I > could get precert then they'd see me. I decided to diet one more > time. Of course it didn't work. So I started the process again last > fall with another doctor that said they'd try. I was denied. I had > 28 weeks of dieting, but it was not contiguous. Was in 2 chunks > within the last year. grrrrrr. > > Anyway it was open enrollment so I looked into the other insurance > carriers offered by DH's company. I called them all with the group > number of the company. Asked if they would cover the procedure in > the new year. All said yes. I was sceptical because I had heard > Pacific Care was not going to cover it. Called them back. They said > yes again. Talked to my doctor. They said they had a letter from > PC. So I called them back and told them. They said they'd " have to > look into it " . They called back and confirmed. (ok that was 3 calls > to get the truth). So I called Athem BC/BS - HMO Colorado. They too > said it would be covered. I called 4x's with the group number. Had > the last person actually go get the policy and read it. Said it > would. So I changed to them. > > Well, the new year has rolled around and I had made an appt with my > doc for 1/7 just to get started. Shoot I already had letters, etc so > it was just a matter of changing the name and address to the > insurance. Well, my doc said they got a letter saying that starting > 4/1/04 they would be covering it, but at a reduced rate. $1,500 at a > non-certified facility and $7,500 at a certified facility. Talk > about peeing on a fire! AND of course my hospital is non-cert. So > anyway, my doctor and I are busy getting my psych eval, and > nutritional counseling and hope to get approved. We have set a > 2/16/04 surgery date to get it in before the deadline and to get them > to pay at the prior level. > > I've been up and down, but refuse to be beat. I'm guardedly > optimistic that I'll be able to get this done at a rate I can > afford. So we'll see if I make it. > > I'm looking forward to participating in this group and to learning > more. > > F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 Hi lisa welcome .I know it is hard to be excited when so many times you have gotten the run around,but this time is your time you will have your surgery.I will keep you in my prayers.Keep your head up congradulations on your date.Wasia LAP RNY Dr,Waldrep 12-17-03 304/279/??? > Hi, > > My name is . I'm an almost 40 yo (1/26) mom of 2 beautiful > kids. I live in Northern Colorado. I have diabetes. > > As with most all the folks here, I've been overweight all my life and > dieted all my life. > > I had a period of being thin when I was in college. I taught > aerobics then and lived on hardly any food AND still felt I was fat. > Others did too. But that's the culture - isn't it? > > Anyway, my doctor recommended the surgery to me 2 years ago. At the > time I wasn't ready. It took 2 years of " I should be able to do this > by myself " before I decided I was ready for the surgery. So I > started the journey last spring just to hit up against CIGNA. The > doctor I was to go to said they were having too much trouble and if I > could get precert then they'd see me. I decided to diet one more > time. Of course it didn't work. So I started the process again last > fall with another doctor that said they'd try. I was denied. I had > 28 weeks of dieting, but it was not contiguous. Was in 2 chunks > within the last year. grrrrrr. > > Anyway it was open enrollment so I looked into the other insurance > carriers offered by DH's company. I called them all with the group > number of the company. Asked if they would cover the procedure in > the new year. All said yes. I was sceptical because I had heard > Pacific Care was not going to cover it. Called them back. They said > yes again. Talked to my doctor. They said they had a letter from > PC. So I called them back and told them. They said they'd " have to > look into it " . They called back and confirmed. (ok that was 3 calls > to get the truth). So I called Athem BC/BS - HMO Colorado. They too > said it would be covered. I called 4x's with the group number. Had > the last person actually go get the policy and read it. Said it > would. So I changed to them. > > Well, the new year has rolled around and I had made an appt with my > doc for 1/7 just to get started. Shoot I already had letters, etc so > it was just a matter of changing the name and address to the > insurance. Well, my doc said they got a letter saying that starting > 4/1/04 they would be covering it, but at a reduced rate. $1,500 at a > non-certified facility and $7,500 at a certified facility. Talk > about peeing on a fire! AND of course my hospital is non-cert. So > anyway, my doctor and I are busy getting my psych eval, and > nutritional counseling and hope to get approved. We have set a > 2/16/04 surgery date to get it in before the deadline and to get them > to pay at the prior level. > > I've been up and down, but refuse to be beat. I'm guardedly > optimistic that I'll be able to get this done at a rate I can > afford. So we'll see if I make it. > > I'm looking forward to participating in this group and to learning > more. > > F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 Hi lisa welcome .I know it is hard to be excited when so many times you have gotten the run around,but this time is your time you will have your surgery.I will keep you in my prayers.Keep your head up congradulations on your date.Wasia LAP RNY Dr,Waldrep 12-17-03 304/279/??? > Hi, > > My name is . I'm an almost 40 yo (1/26) mom of 2 beautiful > kids. I live in Northern Colorado. I have diabetes. > > As with most all the folks here, I've been overweight all my life and > dieted all my life. > > I had a period of being thin when I was in college. I taught > aerobics then and lived on hardly any food AND still felt I was fat. > Others did too. But that's the culture - isn't it? > > Anyway, my doctor recommended the surgery to me 2 years ago. At the > time I wasn't ready. It took 2 years of " I should be able to do this > by myself " before I decided I was ready for the surgery. So I > started the journey last spring just to hit up against CIGNA. The > doctor I was to go to said they were having too much trouble and if I > could get precert then they'd see me. I decided to diet one more > time. Of course it didn't work. So I started the process again last > fall with another doctor that said they'd try. I was denied. I had > 28 weeks of dieting, but it was not contiguous. Was in 2 chunks > within the last year. grrrrrr. > > Anyway it was open enrollment so I looked into the other insurance > carriers offered by DH's company. I called them all with the group > number of the company. Asked if they would cover the procedure in > the new year. All said yes. I was sceptical because I had heard > Pacific Care was not going to cover it. Called them back. They said > yes again. Talked to my doctor. They said they had a letter from > PC. So I called them back and told them. They said they'd " have to > look into it " . They called back and confirmed. (ok that was 3 calls > to get the truth). So I called Athem BC/BS - HMO Colorado. They too > said it would be covered. I called 4x's with the group number. Had > the last person actually go get the policy and read it. Said it > would. So I changed to them. > > Well, the new year has rolled around and I had made an appt with my > doc for 1/7 just to get started. Shoot I already had letters, etc so > it was just a matter of changing the name and address to the > insurance. Well, my doc said they got a letter saying that starting > 4/1/04 they would be covering it, but at a reduced rate. $1,500 at a > non-certified facility and $7,500 at a certified facility. Talk > about peeing on a fire! AND of course my hospital is non-cert. So > anyway, my doctor and I are busy getting my psych eval, and > nutritional counseling and hope to get approved. We have set a > 2/16/04 surgery date to get it in before the deadline and to get them > to pay at the prior level. > > I've been up and down, but refuse to be beat. I'm guardedly > optimistic that I'll be able to get this done at a rate I can > afford. So we'll see if I make it. > > I'm looking forward to participating in this group and to learning > more. > > F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 , often it does take years to come to the decision to do this. I certainly did. I do hope you have a speedy resolve to this. Your determination to " refuse to be beat " is great! Joan LAP RNY 11/18/03 Dr. Higa, Fresno, CA 282pre-op/275surg/235/140 jclinton@... another new to the group Hi, My name is . I'm an almost 40 yo (1/26) mom of 2 beautiful kids. I live in Northern Colorado. I have diabetes. As with most all the folks here, I've been overweight all my life and dieted all my life. I had a period of being thin when I was in college. I taught aerobics then and lived on hardly any food AND still felt I was fat. Others did too. But that's the culture - isn't it? Anyway, my doctor recommended the surgery to me 2 years ago. At the time I wasn't ready. It took 2 years of " I should be able to do this by myself " before I decided I was ready for the surgery. So I started the journey last spring just to hit up against CIGNA. The doctor I was to go to said they were having too much trouble and if I could get precert then they'd see me. I decided to diet one more time. Of course it didn't work. So I started the process again last fall with another doctor that said they'd try. I was denied. I had 28 weeks of dieting, but it was not contiguous. Was in 2 chunks within the last year. grrrrrr. Anyway it was open enrollment so I looked into the other insurance carriers offered by DH's company. I called them all with the group number of the company. Asked if they would cover the procedure in the new year. All said yes. I was sceptical because I had heard Pacific Care was not going to cover it. Called them back. They said yes again. Talked to my doctor. They said they had a letter from PC. So I called them back and told them. They said they'd " have to look into it " . They called back and confirmed. (ok that was 3 calls to get the truth). So I called Athem BC/BS - HMO Colorado. They too said it would be covered. I called 4x's with the group number. Had the last person actually go get the policy and read it. Said it would. So I changed to them. Well, the new year has rolled around and I had made an appt with my doc for 1/7 just to get started. Shoot I already had letters, etc so it was just a matter of changing the name and address to the insurance. Well, my doc said they got a letter saying that starting 4/1/04 they would be covering it, but at a reduced rate. $1,500 at a non-certified facility and $7,500 at a certified facility. Talk about peeing on a fire! AND of course my hospital is non-cert. So anyway, my doctor and I are busy getting my psych eval, and nutritional counseling and hope to get approved. We have set a 2/16/04 surgery date to get it in before the deadline and to get them to pay at the prior level. I've been up and down, but refuse to be beat. I'm guardedly optimistic that I'll be able to get this done at a rate I can afford. So we'll see if I make it. I'm looking forward to participating in this group and to learning more. F ---------------------------------------------------------------------------- -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 , often it does take years to come to the decision to do this. I certainly did. I do hope you have a speedy resolve to this. Your determination to " refuse to be beat " is great! Joan LAP RNY 11/18/03 Dr. Higa, Fresno, CA 282pre-op/275surg/235/140 jclinton@... another new to the group Hi, My name is . I'm an almost 40 yo (1/26) mom of 2 beautiful kids. I live in Northern Colorado. I have diabetes. As with most all the folks here, I've been overweight all my life and dieted all my life. I had a period of being thin when I was in college. I taught aerobics then and lived on hardly any food AND still felt I was fat. Others did too. But that's the culture - isn't it? Anyway, my doctor recommended the surgery to me 2 years ago. At the time I wasn't ready. It took 2 years of " I should be able to do this by myself " before I decided I was ready for the surgery. So I started the journey last spring just to hit up against CIGNA. The doctor I was to go to said they were having too much trouble and if I could get precert then they'd see me. I decided to diet one more time. Of course it didn't work. So I started the process again last fall with another doctor that said they'd try. I was denied. I had 28 weeks of dieting, but it was not contiguous. Was in 2 chunks within the last year. grrrrrr. Anyway it was open enrollment so I looked into the other insurance carriers offered by DH's company. I called them all with the group number of the company. Asked if they would cover the procedure in the new year. All said yes. I was sceptical because I had heard Pacific Care was not going to cover it. Called them back. They said yes again. Talked to my doctor. They said they had a letter from PC. So I called them back and told them. They said they'd " have to look into it " . They called back and confirmed. (ok that was 3 calls to get the truth). So I called Athem BC/BS - HMO Colorado. They too said it would be covered. I called 4x's with the group number. Had the last person actually go get the policy and read it. Said it would. So I changed to them. Well, the new year has rolled around and I had made an appt with my doc for 1/7 just to get started. Shoot I already had letters, etc so it was just a matter of changing the name and address to the insurance. Well, my doc said they got a letter saying that starting 4/1/04 they would be covering it, but at a reduced rate. $1,500 at a non-certified facility and $7,500 at a certified facility. Talk about peeing on a fire! AND of course my hospital is non-cert. So anyway, my doctor and I are busy getting my psych eval, and nutritional counseling and hope to get approved. We have set a 2/16/04 surgery date to get it in before the deadline and to get them to pay at the prior level. I've been up and down, but refuse to be beat. I'm guardedly optimistic that I'll be able to get this done at a rate I can afford. So we'll see if I make it. I'm looking forward to participating in this group and to learning more. F ---------------------------------------------------------------------------- -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 welcome to the group, lisa! keep up the good fight. the rewards are beyong worth it. lori h. > Hi, My name is . I'm an almost 40 yo (1/26) mom of 2 beautiful > kids. I live in Northern Colorado. I have diabetes. > > As with most all the folks here, I've been overweight all my life and > dieted all my life. > > I've been up and down, but refuse to be beat. I'm guardedly > optimistic that I'll be able to get this done at a rate I can > afford. So we'll see if I make it. > > I'm looking forward to participating in this group and to learning > more. > > F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 welcome to the group, lisa! keep up the good fight. the rewards are beyong worth it. lori h. > Hi, My name is . I'm an almost 40 yo (1/26) mom of 2 beautiful > kids. I live in Northern Colorado. I have diabetes. > > As with most all the folks here, I've been overweight all my life and > dieted all my life. > > I've been up and down, but refuse to be beat. I'm guardedly > optimistic that I'll be able to get this done at a rate I can > afford. So we'll see if I make it. > > I'm looking forward to participating in this group and to learning > more. > > F Quote Link to comment Share on other sites More sharing options...
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