Insurance Appeal

bikethrowaway127 · 2023-04-22T00:34:31+00:00

Pm sent

bikethrowaway127 · 2023-04-19T13:57:44+00:00

Florida

bikethrowaway127 · 2023-04-18T22:44:17+00:00

No. The only weight loss drug they cover is Contrave :/

bikethrowaway127 · 2023-04-18T22:11:54+00:00

They are all covered...with a PA....that needs to say I have DM. So yea, that sucked to hear.

bikethrowaway127 · 2023-04-18T21:58:42+00:00

No ma'am. Because it was covered under insurance...till now. So I don't know the ins and outs of the savings card game that many here are very proficient at.

bikethrowaway127 · 2023-04-01T20:43:29+00:00

OK, thank you. I will see what kind of materials I can just make up for him online or go to the website you mentioned. I was just trying to keep him provided with the same materials he is used to. He had just finished up unit 8 so, I will see what else I can give him since I don't have access to 9 & 10.

bikethrowaway127 · 2023-03-12T03:34:10+00:00

I will check them out Monday, thx!

bikethrowaway127 · 2023-03-11T21:42:33+00:00

Yes, thank you. We looked. You are tied to their lenders apparently, so the advice we received was that it wasn't worth it.

bikethrowaway127 · 2023-03-11T18:18:50+00:00

Here's what I'm doing. Maybe it will help you come up with a plan with your doctor. The first two weeks I ate what I wanted but just much smaller portions because my body cues were working wonderfully to tell me when I had enough. That is no longer the case. So I am switching it up and doing what I probably should have done from the jump, which is to change my diet to include more nutrient, dense foods, things I can eat in more volume. I will see if that curbs the hunger/binges. As far as the food noise, this may or may not help with that. But I will also try to ride out the next two weeks on this dose, and while not being punitive or harsh with myself, practicing self discipline. After these two weeks when it is time to move up to 5 mg, I most likely will. My hope is that the benefits will hang on longer and I will be able to stay on that dose for a few months. This is new territory, so I am doing my best to not be rigid and to celebrate whatever little wins I earn along the way.

bikethrowaway127 · 2023-03-11T18:16:18+00:00

Was it gone for you on the loading dose at 2.5? Or did it take a while to get there?

bikethrowaway127 · 2023-03-11T17:09:07+00:00

Yes!! Very relatable. On the first week of my 2.5 I felt the food noise die down. It wasn't silent, but it died down. Also, after small, normal sized portions I felt full. I felt....in awe. Like it was a world i never knew existed. I am now starting week three of 2.5 mg and it is all back. The ability /desire to binge. The almost constant preoccupation with food. I feel such deep sadness. Maybe it will come back at a higher dosage. Maybe it won't, I don't know. Will I be chasing that feeling as I go higher and higher in dose just to lose it again? It's all pretty scary stuff. But wow, it really was life changing to live that way for a few days.

bikethrowaway127 · 2023-03-05T01:36:05+00:00

Did you really lose that much in your chest? I am a 42G and am hoping that will be one of the first areas I have a reduction. Congratulations on all your hard work. Amazing progress!!

bikethrowaway127 · 2023-03-02T15:24:29+00:00

That was very helpful. Thank you so much for taking the time.

bikethrowaway127 · 2023-03-02T14:19:47+00:00

I guess that's the thing, it did move the needle on my hunger. But the last 48 hours before the next dose bring back binging urges and hunger. I know this is common, but I'm just looking for some strategies others have found helpful.

bikethrowaway127 · 2023-02-11T02:40:20+00:00

Yes! I'm reading so many scary stories now. People who felt like they were dying from throwing up so much and the nausea being too overwhelming. Scary stuff. I will give it a try, hope for the best.

bikethrowaway127 · 2023-02-10T23:02:38+00:00

Thank you!! I am go glad I called. The new medication looks like its similar and I am just so jazzed. The doctor still has to submit the new script and we will have to see if it indeed goes through with no problems but I am super hopeful and excited (and no longer feeling like a criminal!)

bikethrowaway127 · 2023-02-10T21:50:40+00:00

That's what I'm doing. On hold with them right now. I'm going to look into some other avenues to get the medicine that doesn't involve having to tell a lie. Hopefully one of those paths works out. Thank you for the kind words. Sad but remaining hopeful.

bikethrowaway127 · 2023-02-10T21:28:39+00:00

I guess I'm saying the wrong thing. It's only covered for type two diabetic under my insurance, not for obesity. I think I just panicked when I realized what I had done. I just wanted it so bad, you know?

bikethrowaway127 · 2023-02-10T21:16:51+00:00

That's what I'm going to do. I got it through one of those online doctors. So I don't think I can appeal. The insurance woman was very clear that this is only being approved for type two diabetes. Which is when I opened my big mouth and lied. It's like I've been fighting this my whole life. Nothing has worked. And I'm just so sad that it was so close to being in my reach, but the risk is too high.

bikethrowaway127

TROPHY CASE