Aug 26, 2015

Damn Insurance (╯°□°) ╯︵ ┻━┻

6 MORE months. Really? I have done 5 years of diets, read all the books the dietitians gave me last time. The problem isn't that I don't understand emotional eating and how it affects me. The problem isn't that I don't understand portion sizes. food choices or calorie intake but because some idiot putting together the insurance policies decided they could weed out enough people from getting the surgery and save the insurance company money, they decided to delay treatment for an illness 1/2 a year.

I am more than a little bugged. UHC has policies that allow for 6 months OR documentation of a diet and exercise plan for 3 months but because the committee that was formed by ADP/CDK to decide bariatric benefits didn't have anyone suffering from morbid obesity on it.

And so it goes. It looks like there is no other choice if I want to get weight loss surgery. Of coarse I can lose weight without the help of WLS. It is not the solution, it is a tool. But would you frame a house if you only had a spoon available for the next 6 months to drive in the nails or would you wait the 6 months until you could get the hammer?

3 comments:

  1. Either way, the time will pass. Do what you can now, to make the transition to post-op life easier. Like you said, it's a tool, not a solution. You'll need to eat better and eat less and move more then - so start now, and you'll have a head start!

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  2. Mike, I just came across your blog and am glad I did.
    Let me just say that I'm extremely impressed by your success. For you to achieve what you have, on your own, with your own stick-to-it attitude is very inspiring to me.

    Now, you don't know me from Adam and you have no reason to take heed to anything I might say but, from someone who has been there, I'd encourage you to really reconsider having the weight loss surgery.
    I had the gastric bypass surgery a number of years ago and have regretted having done so. Not going to lie, I lost a ton of weight in the first eight months but had a hell of a time during that time. .... Long story, short, I eventually gained all the weight back and now still struggle with the physical side-effects. I'd be more than happy to communicate with you about my experience. I just wouldn't want anyone to go through what I did and if I can help someone from making a big mistake,I'd like to.

    Sorry if I seem like I'm trying to burst your bubble but truth is, the collateral damage after the surgery is no joke.

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  3. You've got this, Mike. I really don't think insurance companies get it. My insurance wouldn't cover my WLS, so I had to pay out of pocket. I could have scheduled my surgery within weeks, but I waited for almost three months. Take this time and prepare mentally. Grieve for the food that you know and love now. You'll bury it eventually. I promise if you follow the plan, you won't even crave it. I'm a food addict, so I totally get it.

    I know it was not easy to make this choice, and it came with a lot of thought and research. RMAP is a fantastic facility with world class experts. You'll be well supported, and I'm excited for your success.

    You're down to just north of 4 months now, right? Easy peasy. Let me know if you want to chat.

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