dahlia123
Member
- Joined
- Sep 29, 2016
- Messages
- 20
Hello! Pending insurance approval, I will be having a revision from VSG to DS with Dr. Sudan on November 15th.
Please do not shame me into oblivion, but I previously used the account vsgtods on here. Although, apparently I used a fake email address to create it. And an unusual password. Because now I'm unsure of how to log into that account. I have been burned on previous WLS forums which were really spammy, so I thought I would be clever and use unusual information. However, joke's on me because I just don't have the brains to keep up with decoy emails/usernames/passwords. I have used my real email when setting up this one, and I apologize for any confusion. I'm sure I broke or am breaking a forum rule for having two accounts. I'm trying to be transparent, and I'll delete the other one if I ever figure out how.
Journey to WLS: I had the VSG in May 2010. Lost about 100 pounds, gained about 150 pounds. I did not maintain at all. Pretty much as soon as I stopped losing, I started gaining. I feel no restriction with my sleeve. My endoscopy and barium swallow tests did not reveal any strictures, and Dr. Sudan does not want to do a resleeve. So, I will just be getting the switch portion of the surgery in November.
I am really interested in seeing how the insurance part plays out. My insurance (sponsored by my place of employment) is a self-funded plan administered by United Healthcare. I am required to work with a Bariatric Nurse Case Manager (NCM) through United/Optum in order to have surgery. The very first thing I did when I decided I wanted to consider revision was to call United to see about my eligibility, and they assigned me a NCM who called me the next day. I had read my plan, and it specifically stated that only 1 WLS surgery was covered per lifetime. Obviously, I have already had an operation, which was self-paid. I did not think I would qualify. However, I told the NCM in our very first conversation that my first procedure was self-pay, and she said that it wouldn't count against me for the insurance requirement. The NCM and I have spoken several times since that first conversation, and every time she assures me that the previous operation will not count. I won't believe her though until I get the approval. I haven't seen many people post about insurance after a self-pay procedure, so I just wanted to put my experience out there. I will definitely let people know if I get approved or denied.
Please do not shame me into oblivion, but I previously used the account vsgtods on here. Although, apparently I used a fake email address to create it. And an unusual password. Because now I'm unsure of how to log into that account. I have been burned on previous WLS forums which were really spammy, so I thought I would be clever and use unusual information. However, joke's on me because I just don't have the brains to keep up with decoy emails/usernames/passwords. I have used my real email when setting up this one, and I apologize for any confusion. I'm sure I broke or am breaking a forum rule for having two accounts. I'm trying to be transparent, and I'll delete the other one if I ever figure out how.
Journey to WLS: I had the VSG in May 2010. Lost about 100 pounds, gained about 150 pounds. I did not maintain at all. Pretty much as soon as I stopped losing, I started gaining. I feel no restriction with my sleeve. My endoscopy and barium swallow tests did not reveal any strictures, and Dr. Sudan does not want to do a resleeve. So, I will just be getting the switch portion of the surgery in November.
I am really interested in seeing how the insurance part plays out. My insurance (sponsored by my place of employment) is a self-funded plan administered by United Healthcare. I am required to work with a Bariatric Nurse Case Manager (NCM) through United/Optum in order to have surgery. The very first thing I did when I decided I wanted to consider revision was to call United to see about my eligibility, and they assigned me a NCM who called me the next day. I had read my plan, and it specifically stated that only 1 WLS surgery was covered per lifetime. Obviously, I have already had an operation, which was self-paid. I did not think I would qualify. However, I told the NCM in our very first conversation that my first procedure was self-pay, and she said that it wouldn't count against me for the insurance requirement. The NCM and I have spoken several times since that first conversation, and every time she assures me that the previous operation will not count. I won't believe her though until I get the approval. I haven't seen many people post about insurance after a self-pay procedure, so I just wanted to put my experience out there. I will definitely let people know if I get approved or denied.