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WeGettingThere

Gastric Sleeve Patients
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Posts posted by WeGettingThere

  4. Posted

    8 minutes ago, jasmineinmymind said:

    I guess Im lucky. I had HealthNet. I had my initial consultation in October of 2018 and completed the required testing/labs/appointments (probably 10 in all) by December of 2018. I was required to do 3 "weight management" visits with my PCP. Because of the Christmas holiday I was not able to get a surgery date in December but I am scheduled for next Tuesday 1/22. So it took about 4 months. I scheduled all my labs and specialist appointments and I really moved heaven and earth to get them all done as quickly as I could.

    I hope my process is as easy as yours was. I think after my final weight management class they will start scheduling me for tests.

  9. Posted

    11 minutes ago, Kimmie K said:

    I'm still in the pre-op process, but my insurance is Anthem Blue Cross (California - even though I live in Texas). My only requirement is to complete 6 monthly dietician visits and a psych eval although we'll be doing an EGD (esophagogastroduodenoscopy) to check for any existing stomach issues and H. Pylori. My first surgeon meeting on 12/03/18 counts as my first dietician visit so I should be ready to submit by early May. Not sure how long the wait will be from approval to the O.R., so I'm curious about that as well.

    "esophagogastroduodenoscopy" - What a fun word to say!

    My insurance requires 3 months of weight classes and a psych eval. Hope I can get my sleeve during spring break

  10. Posted

    17 minutes ago, Hrsnjs said:

    Agree!! My insurance company especially. Slowly they have been changing their policy to cover less and less. And they still denied even though I met all their conditions! I think they just bank on the fact people will not appeal. I sure was not one of those!!

    Sent from my Pixel 3 using BariatricPal mobile app

    That's what I'm talking about! Fight the power! lol.

    Nah but seriously, good for you. I get discouraged so easily. I would have been moping around.

    Hrsnjs reacted to this

  11. Posted

    32 minutes ago, Hrsnjs said:

    I started the process in December 2016 and had surgery October 2018. I work for the state of West Virginia and our insurance required a 12 month medically supervised diet and 10% of your original weight lost. Took me more like 20 months to lose it. Once that was done, the pre-auth, denial, appeal, approval, labs, psych eval, nutrition classes took about three months all together. So if you don't count my diet period, only a few months. Hope yours goes fast! Mine was so drawn out that I had surgeons change in the practice I was going to, lol!

    Sent from my Pixel 3 using BariatricPal mobile app

    12 months of supervised dieting sounds like a whole lot. I feel like they try everything so we don't get the surgery. Once we complete whatever they need and they see we are serious, they're like "Oh I guess you really want this. Okay here you go."

    Frustr8 reacted to this

  12. Posted

    6 minutes ago, sunkiss1979 said:

    I'm obsessing over this right now. I've had a first doctor visit Jan 10th and did an overnight oximetry test last night at home. On Jan 29th I have 3 appointments. First is a consult with the surgeon and metabolic testing. Second is a DXA scan and third is a nutrition consult. At the first appointment I had, I expressed my hope to get this done ASAP since my line of work gets extremely busy after March. I called my insurance Co. (Capital Blue/BCBS) and asked two different times to find out if there was a 6 month medically documented weight loss needed and I was told both times that it didn't appear so and that it depends on the surgeon. I feel like it could go either way based on the wording in my policy. This is snipped directly from my policy:

    "The patient must have documented failure to respond to >6 months of conservative measures for weight reduction prior to consideration of bariatric surgery, and these attempts must be reviewed by the practitioner prior to seeking approval for the surgical procedure. Some centers require active participation in a formal weight reduction program that includes frequent documentation of weight, dietary regimen, and exercise."

    I have almost 2 years of documented weight loss attempts and a whole list of things I've tried. I'm crossing my fingers and toes that it's enough, but won't be shocked if it's not.

    I have a year of document attempts too! I hope you're good to go!

    Frustr8 reacted to this

  22. Posted

    Listen guys, I knew I wanted this surgery for a long time. I know I want to lose weight so that I'm not diabetic anymore.

    I went to my second weight management class last week and filled out some paperwork.

    One of the questions asked what our goal weight was.

    I have no freaking clue! I'm about to be 22, and I'm a 5 foot 2 female.

    I weigh 205 pounds now. No clue what I would be happy with?

    How did you all decide your goal weight? Did you let your doctor decide for you?

    Thanks :)

    sillykitty and Healthy_life reacted to this

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