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Re: Medicare and UHC

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I made an appointment in August to see Dr. Herron for an intial consult

in November. My appointment was moved up to October 25. I had all of the

pre-surgical testing done before that appointment. I was able to sign

the surgical consent at that October appointment. I have Empire

BCBS/United Health Care and the experience of many is a quick approval.

We'll see about that as I should have news of insurance approval before

Thanksgiving. I think you are very smart to address your weight early in

life! There's nothing wrong with combining a desire for better health

and a more attractive appearance. Good luck to you.

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Hi, Doreen! You are not crazy :-) It is a very normal thing to want

to look good! Especially at 23 years old. You are young enough that

your weight may have not effected your health as much as it will in

the years to come. When I was younger, I was able to tolerate the

weight much easier. I am now 46 and have many weight related health

problems. Guess what? Even though my main objective is to be

healthy, I am excited about looking good, too! :-)

I have a wonderful husband, when we fell in love, I was MO. But it

sure is easier to meet guys when you are slimmer, too bad but it is a

fact. ESPECIALLY because you will feel better about yourself and

come across with confidence :-)

I say you are not crazy, I wish I would have had been able to have

surgery years ago before my health was so messed up. I have been

blessed with a wonderful life full of love from others. I am really

looking forward to loving myself even more without always hating the

fat! Did I make any sense??? LOL

I first looked into the Fobi RNY, my final decision for DS was easy

because I loved the part about eating normally, I love meat, I have

chronic constipation now, would never want a chance of " dumping " , not

having to throw up all of the time (I'd rather poop any day!), normal

quantities of food as time goes by and so on, best long term weight

loss without regain, and so on and so on...

Hugs, Wanda, pre-op with Dr. Husted - appealing insurance denial

> Were most of you unsure at first if you wanted to go with the

gastric bypass

> or this procedure and what made you make your final decision to

have

> BPD/DS...what finally convinced you.

> feel so guilty over wanting to look good taking such priority in my

mind.

> Please someone, reassure me that i am not crazy. Thanks a million

and God

> bless all of you. Love, Doreen V.

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Hi Doreen,

I dont mean to burst your bubble, but I had UHC and they did

everything in their power (including lie to the insurance

commissioner's board) to get out of approving my surgery... It was a

terrible experience which took 7 months to win. I did win eventually,

and its worth it, but if I had not done my research, etc. there would

have been no way I would have gotten approved. Check your policy and

dont take no for an answer if they give it to you... and, dont settle

for the RNY if you really want the DS. Good luck!

Sue.

post op 9/11/01

Dr. Warden

Ocean Sps, Ms

> Hello everyone,

>

> My name is Doreen V. I am 23 yrs. old, and interested in the BPD/DS

procedure

> with Dr. Herron of Mt. Sinai Medical Center in NYC. I was

wondering if

> anyone had Medicare or United Health Care insurance cover this

procedure and

> what did they require? I don't really have many physician supervised

diet

> attempts, most of my diets have been like Weight Watchers,

Craig, and

> other programs like that...but not well documented. Does anyone know

recent

> info as to how long the wait is for a first consult with Dr.

Herron?

> Were most of you unsure at first if you wanted to go with the

gastric bypass

> or this procedure and what made you make your final decision to have

> BPD/DS...what finally convinced you. I really want to be sure i am

making the

> right decision. I am young and want a good future ahead of me and i

want the

> procedure with the best, most long-term weight loss success. I can't

help but

> feel i want to look good and feel good but i can't seem to get the

looking

> good part out of my mind as what seems so important to me. I know i

should be

> doing this for health reasons, and don't get me wrond, I am, but for

some

> reason i can't shake the feeling that looking good is so important

to me. I

> am at the age where i want to get a boyfriend and eventually get

married. I

> feel so guilty over wanting to look good taking such priority in my

mind.

> Please someone, reassure me that i am not crazy. Thanks a million

and God

> bless all of you. Love, Doreen V.

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Doreen,

I have Medicare as my primary with GHI as secondary. Medicare covers DS as

long as you have a comorbidity, high blood pressure, Type 2 diabetes,

arthritis, I think the DS site has the entire list. You need to find a

doctor that accepts Medicare, not all of them do.

As for looking good, there is nothing wrong with that. My health is the

most important thing I want, but I keep looking at the skinny ladies on TV

and want to be able to look like them too. And I'm a lot older than you,

55. I wish I could have gotten this surgery when I was your age for both

health and appearances.

Rita Black

Open DS, Dr. Macura

4/23/01 400 lbs, BMI 63

5/1/01 391 lbs, BMI 61

5/22/01 368 lbs, BMI 58

6/21/01 350 lbs, BMI 55

7/31/01 328 lbs, BMI 51

5/22/01 368 lbs, BMI 58

6/21/01 360 lbs, BMI 55

7/31/01 328 lbs, BMI 51

8/23/01 320 lbs, BMI 50

9/25/01 306 lbs. BMI 48

10/21/01 295 lbs. BMI 46

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Doreen,

When I had this surgery in August, I was 2 weeks shy of my 24th

birthday. My main motivation was that my BMI was 58 and my body was

starting to deteriorate. My knees and lower back were in constant

pain and I had GERD and a family history of diabetes. Yet, with all

that said I wanted to finally look good.

I have been overweight since age 7. And I was sick of constantly

feeling that life was passing me by. I not only had to deal with

prejudices of others, but I was starting to hate myself so much that

I was shutting myself away from society. And I too want a boyfriend

and a husband and all that life has to offer. I want to swim and ski

and run like everyone else my age.

So, don't feel bad that you want to " look good " . I know society

places impossibly high standards of beauty on girls our age, but

there is nothing wrong with wanting to be healthy and attractive.

-- In duodenalswitch@y..., Eysonjesus@a... wrote:

I am young and want a good future ahead of me and i want the

> procedure with the best, most long-term weight loss success. I

can't help but

> feel i want to look good and feel good but i can't seem to get the

looking

> good part out of my mind as what seems so important to me. I know i

should be

> doing this for health reasons, and don't get me wrond,

> reason i can't shake the feeling that looking good is so important

to me. I

> am at the age where i want to get a boyfriend and eventually get

married. I

> feel so guilty over wanting to look good taking such priority in my

mind.

> Please someone, reassure me that i am not crazy. Thanks a million

and God

> bless all of you. Love, Doreen V.

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