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  1. #1
    Gastric Sleeve Member Doodle_mom's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/05/2017
    Surgeon
    Sherman Yu
    Join Date
    Aug 2016
    Last Activity
    07-31-2018 09:50 PM
    Location
    Galveston County
    Posts
    78
    Said "Thanks" 56 Times
    Was Thanked 63 Times in 44 Posts
    Said "Welcome to Gastric Sleeve" 8 Times

    Talking It pays to be persistent

    I began my journey back in July of 2016. Found a doctor, was told insurance would pay, finished my cardiac eval, psychological eval, weight management classes, etc. I was at the point of scheduling my endoscopy and surgery when I was told by my surgeons office, my insurance now said I needed to be covered under my policy for 36 months. What 36 months? After I spent over $500 to get ready for this? When didn't someone figure this out before I was so invested? Come to find out that my insurance benefits changed at the new benefits year which began September 2016 which added the clause "covered for 36 months".

    Needless to say I was not going to sit still for that since I had already begun the preparation and was invested emotionally, mentally, and monetarily. I am happy to say that after 3 months of communicating with my insurance and employer, the 36 month stipulation has been waived for me and now I am back on track to getting this done.

    I am very excited to be back on track. All this occurred last week. So I will contact my surgeon's office on Monday to get the ball rolling again.



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  3. Gastric Sleeve Surgery With Weight Loss Agents
  4. #2
    Gastric Sleeve Member Fatbgone's Avatar
    I have had a gastric sleeve.
    Name
    April
    Surgery date
    11/09/2016
    Surgeon
    Dr Marcelo Hernandez
    Join Date
    Jun 2016
    Last Activity
    03-11-2020 04:06 PM
    Location
    Goddard, KS
    Posts
    56
    Said "Thanks" 0 Times
    Was Thanked 35 Times in 30 Posts
    Said "Welcome to Gastric Sleeve" 8 Times
    Blog Entries
    7

    Default Re: It pays to be persistent

    Congratulations! I'm always happy to hear that someone got their insurance to pay. Keep us informed.


    "I'm not losing weight! I have no intention of finding it again!" - Author unknown


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  6. #3
    Gastric Sleeve Member
    I have not had a gastric sleeve.
    Name
    Nita
    Surgery date
    03/09/2017
    Surgeon
    Dr Philip Lou Chin MD
    Join Date
    Oct 2016
    Last Activity
    12-03-2017 05:31 PM
    Location
    Cali Girl
    Posts
    193
    Said "Thanks" 81 Times
    Was Thanked 111 Times in 79 Posts
    Said "Welcome to Gastric Sleeve" 5 Times

    Default Re: It pays to be persistent

    I was so happy to read this. That is great news. Good job on not just giving up


    Weight @ Consult: 301 (11/11/16)
    Pre OP Appt: 269 2/28/17
    Surgery Date: 264 3/9/17
    1 Week Post Op: 256.9 3/16/17
    2 Week Post Op: 250.0 3/23/17
    3 Week Post Op: 248.1 3/30/17

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  8. #4
    Gastric Sleeve Member Tamera2's Avatar
    I have had a gastric sleeve.
    Name
    Tamera Anderson
    Surgery date
    01/24/2017
    Surgeon
    Dr Mario Almanza
    Join Date
    Jan 2017
    Last Activity
    02-04-2024 03:59 PM
    Location
    Vancouver Wa
    Posts
    914
    Said "Thanks" 440 Times
    Was Thanked 673 Times in 472 Posts
    Said "Welcome to Gastric Sleeve" 1,539 Times

    Default Re: It pays to be persistent

    Good luck and hope everything comes together for you. Exciting to see someone else get this life changing opportunity :
    Highest weight- 288 / Wt at Surgery 268
    1 month 236 -29lbs 2 month 214 -22lbs 3 month 206 -08lbs 4 month 196 -10lbs 5 month 185 -11lbs 6 month 178 -7lbs 7 month 172 -6lbs 9mos -12lbs 156 13mos later wt.144lbs, Wt.138 -150lbs in 15mos

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  10. #5
    sraebaer
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    Default Re: It pays to be persistent

    Great news!

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  12. Gastric Sleeve Surgery With Weight Loss Agents
  13. #6
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    10/31/2015
    Surgeon
    Dr. Bollo
    Join Date
    Feb 2017
    Last Activity
    03-13-2017 07:16 AM
    Posts
    41
    Said "Thanks" 1 Times
    Was Thanked 18 Times in 13 Posts
    Said "Welcome to Gastric Sleeve" 0 Times

    Default Re: It pays to be persistent

    Yep, you pay for the insurance, I've never given them the ability to tell me no! Good job.
    241 2/20
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  15. #7
    Gastric Sleeve Member Christie13's Avatar
    I have had a gastric sleeve.
    Name
    Christie
    Surgery date
    11/03/2016
    Surgeon
    Dr. Wright
    Join Date
    Nov 2016
    Last Activity
    09-12-2019 04:13 PM
    Posts
    5,169
    Said "Thanks" 978 Times
    Was Thanked 2,940 Times in 2,192 Posts
    Said "Welcome to Gastric Sleeve" 1,465 Times
    Blog Entries
    97

    Default Re: It pays to be persistent

    So happy they grand fathered you in with that clause. So exciting. Hope you get your date soon!



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  17. #8
    Gastric Sleeve Member ghost_ryder's Avatar
    I have had a gastric sleeve.
    Name
    Greg
    Surgery date
    08/23/2016
    Surgeon
    Dr Doyle
    Join Date
    Jun 2016
    Last Activity
    11-26-2018 07:18 AM
    Location
    Maryland
    Posts
    1,008
    Said "Thanks" 186 Times
    Was Thanked 855 Times in 568 Posts
    Said "Welcome to Gastric Sleeve" 677 Times

    Default Re: It pays to be persistent

    We are our own best advocates. Way to stick up for yourself.



    HW - 341 - June 1
    SW - 319 - 8/23 (-22)
    1mn - 286 - Sept 23 (-33) -total 55
    2mn - 274 - Oct 23 (-12) -total 67
    3mn - 263 - Nov 23 (-11) -total 78
    6mn - 238 - Feb 23(-25) - total 103
    9mn - 230 - May 23 (-8) - Total 111
    10mn - 226 - June 23 (-4) Total 115
    11mn - 226 - July 23 (0) Total 115

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