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Got a question, hope someone can answer... Has anyone tried that Medifast diet patch b4? Thanks for any comment. 2nd question I got is.. Tomorrow, 12/18 I will be 40 years old. I chose to do lapband.

Surgery.

As a gift to myself for better health (diabetes, high chol) and a better outlook on life. I take thyroid, diabetes, 2 depression and 2 mood stabillizers which have made me put on SOME of my weight. If it were not for the pills, maybe I'd be 175-200 pounds instead of 260. My dilemma is a long one..

From day one I wasnt thrilled with my hospital. I only chose it because I have medicaid and they are the closest hospital that accepts it. I had wanted the band and at my psych eval I was pretty much told it was a waste of time and to go for bypass. Same thing by the same person at my 1st support group. I complained about "band bias" and it wasnt that bad in my second group...yet in the back of my mind for months I've been wondering is the band worth it. Ive sought guidance from this board and others.

Ive only met him twice...in Sept for 15 min and yesterday. I expressed my concern that I take several meds that increase appetite. His response was that the band is just a "stupid piece of plastic" and that I will probably cheat by eating ice cream and pudding if I got the band so I should go for bypass. Im worried about dumping so he said he'd do the sleeve and wouldnt give me the band. I guess hearing it out loud made it really sink in....I just cant go through with having my stomach stapled or cut.

Running.

Late". I signed off on consent for the lapband for.

Surgery.

On 1/3/11. He wasnt thrilled but it's my body! I've been through WAY too much illness with my mental issues...multiple hospitlizations, electroshock therapy...even attempts on life. Maybe I'm a pain in the ass. I didnt want the doctor to tell me what I wanted to hear. I just wanted piece of mind. If the band was a waste for someone like me why didn't he tell me back in Sept when we first met? He knew about my meds and history.



Today I get a call from the person who gets Medicaid authorization from the hospital letting me know if I wanted the.

Surgery.

I would have to pay for it plus the anesthesia! You see....I have a Medicaid deductable of $850 EVERY MONTH. I've been paying for all my pre op tests and most of my visits out of pocket on a credit card (thank God no interest for 1 year....but still have to pay it). I have a high deductable because I "make too much money" on disability. Thats what happens when you work 20+ years on the.

Books.

Full time. I would have gone back to work already but wanted the.

Surgery.

First. I figured it would just be easier. I had been told by my Bari coordinator that I needed one more clearance in October by the Pulm. Then I was told I had.

Sleep.

Apnea and needed to do a second test with a.

CPAP.

In Nov. Then I went to the Pulm about 3 wks later and was told I needed to repeat the study again because I didn't.

Sleep.

Enough. (I paid for 2 of the 3 studies which was about $700. I was initiallly told I had to pay for alll 3). Had to wait till Dec to see the Pulm. He clears me on the 7th..see the surgeon yesterday and now I'm told since I didn't meet the deductible for Jan I'd have to either pay up front or wait to meet the deduct. I have spent over $3000 out of pocket and submitted to Medicaid 3x and they just keep saying I didn't meet my deductible.

I should now have a credit from the extra money spent. I was also told by Medicaid that I could carry ove rmoney I spent where I didnt meet the deduct (about $600 in Aug and $750 in September) and apply that towards December and January's spendown (I get MediCARE in February....had I known alll this bs with medicaid I would have waited!!) The person I spoke with today told me that is not true....if you don't meet the deduct and spend money you cant carry it over..

From day ONE I let the hospital know I had a deductible. The Bari coordinator never heard of it. The head of the clinic where I did all my visits never heard of it. They just kept telling me not to worry and that they would work something out. They had me sign off on emergency Medicaid. The person who processes Medicaid asked IF I WAS UNDOCUMENTED.and that I couldnt apply for emergency Medicaid (does that mean if I was here illegally I'd qualify??).

I must really sound like some kind of nutcase with my long ass posting. The thing is...who else understands the obsticles of weight loss.

Surgery.

? At this point I dont know what will happen. All I know is I should have been banded already. At least I can eat on my birthday, although I'm still trying to follow the liver shrink diet. Thank God my Medifast diet lets you have food!.

Thanks to all for "listening". Have a great nite/morning!..

asked May 09 at 03:41

Sadie
's gravatar image

Sadie
27


That's a good question. I'm not sure what is the right answer to your question. I'll do some investigation and get back to you if I bump into an good answer. You should email the people at Medifast as they probably could answer your Medifast question..

answered May 09 at 04:48

Miley
's gravatar image

Miley
2304

Thank you for your comments and support! I thought about RNY and Gastric Sleeve. If I had the guts I would do it. I just am too afraid and at times wish I was not...

answered May 09 at 06:05

Corey's gravatar image

Corey
1727

Sorry to hear about all your insurance issues, just.

Reading.

About it made me feel a little nuts. My insurance covered my.

Surgery.

Mostly and luckily the only thing I had to pay upfront was $400 for the nutritionist and.

Exercise.

Therapist for a year. Luckily I was able to deduct $100 from each paycheck since I worked at the hospital that was doing my.

Surgery.

But they did say they would work out things with me if necessary..

As far as the.

Lap Band.

I work with two different ladies that have had different successes. One has lost over 130 pounds and is doing very well with it. Yes she does have an occassional "sweet" treat, but doesn't seem to get carried away with it. However she has had several days that she gets sick, especially when they "tighten the band". She actually has been "sicker" than I have been with the bypass. The other one however, I'm not sure she has lost anything, everytime I see her she is putting some type of candy in her mouth and eats sugary foods instead of higher protein healthier foods.

And it is YOUR choice. I initially had every intention of doing the.

Lap band.

.. and then thought I would do the gastric sleeve when I did more.

Research.

The Surgeon suggested I do the RNY, he thought my success would be better off, but he let me make the decision after I was completely informed about all procedures and potentional dangers of all three..

My question is this.. is your insurance deductible and overall coverage going to be better in February? I know you want this done.. asap, but if waiting for 2 more months would make it more affordable.. should you not wait? The.

Surgery.

Can still be rescheduled, nothing is set in stone...

answered May 09 at 07:32

Dean's gravatar image

Dean
4597

My current hospitalsaid that Medicare (my new insurance) will not cover weightloss.

Surgery.

Medicare's website says yes. You can have Medicaid and Medicare with or without an HMO attached....the government determines that. I'm hoping that if I get a Medicare HMO it will cover. Trying to find out what you're going to get ahead of time is like going to a fortune teller. You never know if what you're told is true. All of this is confusing! I have always had private insurance until a year ago.

Ive heard so many good things about them. The hospital I'm at has a good rep as far as surgeries and I'm not knocking that. Its just left a bad taste in my mouth...

answered May 09 at 08:41

Katherine
's gravatar image

Katherine
2298

You don't sound like a nutcase, it's sounds very frustrating, can't blame you. I can't relate at all, I live in Ontario and the only thing that was not covered by the gov't for me was my.

Optifast.

Liquid diet.

I had to be on pre op for 3 weeks. Other then that every test, every visit with different people from the Barieatric team I had to see was covered. However here in ontatio if you want the Lapband.

Surgery.

You have to pay for that out of pocket. The Gov't here covers RYN and the Sleve and all testing to get it done..

Good Luck and try to keep your head up......

answered May 09 at 08:49

Brendan's gravatar image

Brendan
2976

You don't sound nutty at all girl. You sound tenacious an well informed if you really want to know. Well all I'd want to say to you if you were someone I loved is whatever you have to do to change yourlife for this road of health and activity, just do it..

As for the band, sleeve or gbs, that's between you and the doctors. Do I have an opinion, you bet GBS. Period! But I'm a lay idiot who only knows this. FYI I lost about 160 lbs in approx 9 mo. Now mind you I was a bike rider before and rode from day one post op. Great on the knees if they get sore.

Walking.

But I never really went nuts for.

Exercise.

Until about 6mo out. That was my break through point. I started.

Walking.

And the rest is history.

I wish you luck and success in your journey!.

Lu..

answered May 09 at 09:45

Journey
's gravatar image

Journey
2406

I have never heard of such with medicaid...I was a medicaid patient in NC and paid a one time one hundred dollar program fee, and a one time 30 dollar physical assessment fee...other than that it was my 3 dollar co-payment, and thats it...there was no such thing as a deductible...and my.

Surgery.

Was 100% covered....

I had roux-en-y lapproscopic bypass in September, and have been very pleased with my decision...for me...number one..I had alot more weight to lose...I didn't want to inconvienence of having to do the fills/unfills/ refills...all that crap, and with all the.

Research.

On the band slips and complications, it just made more sence to me to go this way...I have lost about 170 pounds now..give or take a pound or two..it depends on the day...and I don't weight everyday...I lost 125 pounds pre-op...

That medicaid thing blows me for a loop. what kind of medicaid requires an $850/month deductible? that is nuts...medicaid is for those of us without insurance options...those of us with needs...disability, etc..just like you said...so I don't get that...not on your part...on the part of your state...Mine was covered so completely...now I do know I was the last person in NC to be granted this.

Surgery.

They told us that while I was still in the hospital. so for me, this was truely a gift..

I sure do.

Hope.

You get this straightened out....

And I agree...don't be afraid to stand your ground...medicaid patient or not...you are still the boss...they are still being PAID to take care of YOU!..

answered May 09 at 10:36

Colton's gravatar image

Colton
924

I talked to a girl just the other day who told me her sister lost 100 pounds with the.

Lap band.

It can happen. You have to be willing to go for fills I think where they make adjustments. You have to be very dedicated and follow the program. No one should push anyone to have a.

Surgery.

That they are afraid of unless maybe a doctor if it is life or death (I think)... You can.

Lose weight.

With the lap, in fact over three years studies say it evens out with other surgeries. This process is a lot of hoops for everyone. I had to think it over for five years... Once I got started, well it has taken since May and I will have the.

Surgery.

Sometime in January. You will probably have a much easier recovery with the band. Regarding the hunger issue, it is tough. I am presurgery and I am really hungry right now and I have already eaten. sigh. But from what I hear, no matter what the.

Surgery.

, it is just a tool and we all have to deal with our Medifast food issues anyway. I think it is great you are on here with the support group. I am thinking about finding an OA group here or an in person support group..

Blessings on your journey... don't give up..

Val..

answered May 09 at 11:52

Sarah
's gravatar image

Sarah
4713

I have Fidelis with Medicaid anfd I don't have a deductiable!..

answered May 09 at 12:12

Keira
's gravatar image

Keira
3942

I live in Colorado and I have Medicaid. I paid 200 for my nutritionist, $3 co-pays, and a $10 co-pay for the hospital. The rest was paid for 100%. Maybe you should call Medicaid yourself and find out what the issues are. Don't hang up until you get all your questions answered. Maybe they don't pay for the.

Lap Band.

Plus with the.

Lap Band.

And a $850 monthly deductible, you'll have to pay for all the fills yourself..

My cousin got the.

Lap Band.

In July and he has lost 50 pounds. I went for the.

Lap band.

And heard about all the long term complications it had vs the complications of the GBS. I changed my mind and had the GBS. I am 17 days post op and the last time I checked I was down 18 pounds. I didn't want a foreign object in my body for the rest of my life. The band can slip anytime for the rest of your life. Plus, you'll have that plug thing that they put the needle in right under your skin and you will be able to feel it.



Lap Band.

, there is a lot of cheating room and with the GBS, not so much..

You do what you need to do for you but you really should call Medicaid yourself...

answered May 09 at 13:04

Dennis's gravatar image

Dennis
4486

Tomorrow, 12/18 I will be 40 years old. I chose to do lapband.

Surgery.

As a gift to myself for better health (diabetes, high chol) and a better outlook on life. I take thyroid, diabetes, 2 depression and 2 mood stabillizers which have made me put on SOME of my weight. If it were not for the pills, maybe I'd be 175-200 pounds instead of 260. My dilemma is a long one..

From day one I wasnt thrilled with my hospital. I only chose it because I have medicaid and they are the closest hospital that accepts it. I had wanted the band and at my psych eval I was pretty much told it was a waste of time and to go for bypass. Same thing by the same person at my 1st support group. I complained about "band bias" and it wasnt that bad in my second group...yet in the back of my mind for months I've been wondering is the band worth it. Ive sought guidance from this board and others.

Ive only met him twice...in Sept for 15 min and yesterday. I expressed my concern that I take several meds that increase appetite. His response was that the band is just a "stupid piece of plastic" and that I will probably cheat by eating ice cream and pudding if I got the band so I should go for bypass. Im worried about dumping so he said he'd do the sleeve and wouldnt give me the band. I guess hearing it out loud made it really sink in....I just cant go through with having my stomach stapled or cut.

Running.

Late". I signed off on consent for the lapband for.

Surgery.

On 1/3/11. He wasnt thrilled but it's my body! I've been through WAY too much illness with my mental issues...multiple hospitlizations, electroshock therapy...even attempts on life. Maybe I'm a pain in the ass. I didnt want the doctor to tell me what I wanted to hear. I just wanted piece of mind. If the band was a waste for someone like me why didn't he tell me back in Sept when we first met? He knew about my meds and history.



Today I get a call from the person who gets Medicaid authorization from the hospital letting me know if I wanted the.

Surgery.

I would have to pay for it plus the anesthesia! You see....I have a Medicaid deductable of $850 EVERY MONTH. I've been paying for all my pre op tests and most of my visits out of pocket on a credit card (thank God no interest for 1 year....but still have to pay it). I have a high deductable because I "make too much money" on disability. Thats what happens when you work 20+ years on the.

Books.

Full time. I would have gone back to work already but wanted the.

Surgery.

First. I figured it would just be easier. I had been told by my Bari coordinator that I needed one more clearance in October by the Pulm. Then I was told I had.

Sleep.

Apnea and needed to do a second test with a.

CPAP.

In Nov. Then I went to the Pulm about 3 wks later and was told I needed to repeat the study again because I didn't.

Sleep.

Enough. (I paid for 2 of the 3 studies which was about $700. I was initiallly told I had to pay for alll 3). Had to wait till Dec to see the Pulm. He clears me on the 7th..see the surgeon yesterday and now I'm told since I didn't meet the deductible for Jan I'd have to either pay up front or wait to meet the deduct. I have spent over $3000 out of pocket and submitted to Medicaid 3x and they just keep saying I didn't meet my deductible.

I should now have a credit from the extra money spent. I was also told by Medicaid that I could carry ove rmoney I spent where I didnt meet the deduct (about $600 in Aug and $750 in September) and apply that towards December and January's spendown (I get MediCARE in February....had I known alll this bs with medicaid I would have waited!!) The person I spoke with today told me that is not true....if you don't meet the deduct and spend money you cant carry it over..

From day ONE I let the hospital know I had a deductible. The Bari coordinator never heard of it. The head of the clinic where I did all my visits never heard of it. They just kept telling me not to worry and that they would work something out. They had me sign off on emergency Medicaid. The person who processes Medicaid asked IF I WAS UNDOCUMENTED.and that I couldnt apply for emergency Medicaid (does that mean if I was here illegally I'd qualify??).

I must really sound like some kind of nutcase with my long ass posting. The thing is...who else understands the obsticles of weight loss.

Surgery.

? At this point I dont know what will happen. All I know is I should have been banded already. At least I can eat on my birthday, although I'm still trying to follow the liver shrink diet. Thank God my Medifast diet lets you have food!.

Thanks to all for "listening". Have a great nite/morning!..

answered May 09 at 14:27

Joselyn
's gravatar image

Joselyn
3811

Wow, Im frustrated for you just.

Reading.

Your post! It sucks that you have gone through so much crap already. Heres hoping you stay determined and it all works out!.

You probably already know this, but in case you dont: in many circles, gastric bypass is considered a cure for type 2 diabetes. People in my program have had an immediate reduction in the need for medication that cant be attributed to weight loss. The doctors say they dont understand, yet, why it works, only that it does. Someone in my group this week said they had planned on having the lap-band until they found out the benefits of Roux-en-y on diabetes. They are almost completely of the diabetes meds, now..

With all that said, it is ultimately your choice and this isn't a moral issue. You'll make the best decision for yourself..

(hugs).

JJ..

answered May 09 at 14:32

Alan's gravatar image

Alan
4661

Thanks to everyone for responding and birthday wishes :). I give credit to those who have done RNY or GS. For me RNY dumping is just too risky because I do not tolerate artifical sugar. I would be restricted because of this. As far as it being a cure for diabetes...I've heard that but not convinced it will do that for me. My Mom and non junk Medifast food or eating 165 pound 5'8 Dad have it and mine could be hereditary.

My other RNY hesitation is that dont want to lose too much too fast. This may sound strange, but it's happened in the past when I suffered from H-pylori, Hepatitis A and a Hernia and I looked sickly. Stomach problems run in my family such as colitis, colon cancer and intestinal blockage. Im not comfortable taking out most of my stomach because of this. I wish I had the guts to do something more radical.

In February I will have Medicare and switch to the hospital I wanted to begin with YAY!. I have made calls to Medicaid (my currrent ins), as well as checked with Social Security, Human Resources Admin. In NYS, you are allowed to make no more than $780 monthy. So its...MY DISABILITY MONEY minus $780 = $850. That excess is my monthly deductible. Yes it's crazy but that's what you get for working on the.

Books.

Most of your life...

answered May 09 at 14:50

Sawyer's gravatar image

Sawyer
182

In TN I can only make 902 a month and keep my medicaid and I make only slightly less than that so I feel your pain. The people who have paid in are the ones that have to pay out the most. I know people who have never worked a day in there life and are able bodied and have more given to them. Ugh! Happy Birthday and Medicare guidelines are slightly less forbidding...

answered May 09 at 16:15

Nasir's gravatar image

Nasir
3492

Dealing with insurance is a pain. Also, there is a bias against lap bands because 1) they require a lot of maintenance; 2) they can slip; and most important 3) they can be defeated by a milkshake. Now, that doesn't say they don't work. However, a surgeon who has seen 1,000s of cases can take a look at a patient and their case history and simply know the likelyhood if it will, or won't, work. And, sadly, if you were an illegal alien, they'd probably already have you through.

Surgery.

, recovering at a Hilton, and receiving big fat government assistance checks without a future bill to ever pay. I'm a little biased this way, because I know illegals pay no medical bills, no car insurance and ususally, no taxes. Plus they get fast tracked in some health care facilities, because the government kickback for treating them as trauma cases is immediate and is completed with little scrutiny so I've been told by a hospital administrator friend... Very sad indeed.....

answered May 09 at 17:40

Talon's gravatar image

Talon
2507

A friend of mine had.

Lap band.

And is down 190 Go with what you want, in the end it is your body...

answered May 09 at 18:41

Luke's gravatar image

Luke
3872

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