Bethanyblondie

Hi Eeyore! Welcome! I just finished up my six months of supervised dieting (lost a whole eight pounds! Yeehaw!) and am about to have my stuff submitted to insurance. My initial consult with my PCP was sort of nerve wracking...but once I asked her about lapband she was very supportive. I think it helps if you go in very informed about the process...I knew I had to do six months of supervised dieting, I knew I had to get a mental health check, and meet with a nutritionist, and so on. Just make sure you are clear on what your insurance requires and if your plan covers bariatric surgery in the first place too. My doctor and therapist were both very impressed with the amount of research I had done, and that I had realistic expectations of how the lapband works. I personally didn't have a lot of questions for my doctor, since I had researched everything beforehand...I just more asked her if she would be supportive of it and do my weight checks every month for insurance. She was wonderful and would try and write as much detail down as possible at each of my weight checks, and she wouldn't make me feel rushed. It's been a long process...but it honestly gave me time to really reflect on all of it (and I decided to go to therapy the whole time too...even though I didn't have to), and I still feel more determined than ever that this is the right path for me. I also proved to myself that I could stick to something...I committed to the six months of Weight Watchers and going to the doctor every month, going to the surgeon consultation, the five hour nutrition class, the therapy sessions. There's been so much to do, and some of it has been a pain in the butt...but I am so excited now that I could be actually getting this surgery in the next couple of months. I've tried to be "extra" thorough jumping through all of insurance's hoops so that I will get approved right away. We'll see! I'm hoping to get my stuff sent off for approval in the next week or so! So....long story NOT short...research the surgery, research your insurance requirements, and get started ASAP! Good luck!

I totally understand how you all feel! I have had several of my friends say, "But you aren't big enough to get that surgery, are you?" And then I feel forced to tell them my weight, so they can understand I really have a LOT to lose. OR, I'll get the questions that elude that I am trying to take "the easy way out" by getting WLS, which really ticks me off since I know, especially after all I've read and researched, that I will still have my work cut out for me to lose all my weight. Getting the lap band does not suddenly make it easier to get up at 5 a.m. to go work out, and it does not keep you from eating all the foods you shouldn't. I am still going to have to work hard...but it's a tool to help me that I just don't think I can succeed without now. Controlling portion sizes will be a HUGE help for me...since I can eat as much as my husband who is 6'4! People just don't understand and aren't very sympathetic when they haven't been really overweight. My sister once said, "I just don't understand why you can't cut back on calories and exercise more like the rest of us have to." I explained to her that when you have a huge appetite you can only fight against that for so long before you're going to give up. She said she didn't realize I had such a big appetite...so that seemed to help. I don't expect everyone to understand or be supportive of me getting the lapband, but my husband is very very supportive and I plan on making it work for me...so that's really all that matters in the long run. People will make their stupid comments and we'll just know we are better people than that!

Hi there. I'm a couple of days away from my last doctor's appointment that will complete my six months of supervised dieting that my insurance requires before I can submit my stuff for approval. Believe me, I've had all the same fears and anxieties. I was NOT overweight in high school, but put on a ton of weight after my dad died of a brain tumor when i was twenty. My wonderful husband has literally been with me through "thick and thin" because he met me when I was fifteen and a hundred pounds lighter than I am now. I went to see a psychologist back in June for my mental health check (another requirement of insurance), and I decided to keep going even though I didn't really have to. I've really grown a lot in the last ten months since I've started this lapband process and I am still determined that it is the right thing for me to do. I sometimes do feel like "damaged goods" since even when I lose weight I'm going to still have the stretch marks and possible saggy skin. But I have to decide what is worse...being 100 pounds overweight and feeling unhealthy and tired, or having a few stretch marks and maybe a little bit of saggy skin that probably no one will really notice? And my husband is supportive of me getting plastic surgery if necessary once I reach my goal weight. Don't know if you ever watch the Biggest Loser or not, but they sure have shown that you can lose a ton of weight and come out looking pretty darn good without plastic surgery. Granted, we won't be working out eight hours a day with a celebrity trainer, but working out and lifting weights will be the key to tightening up the skin as we lose the weight. I know I won't be a supermodel at the end of this. And honestly, that's okay with me. I just want to be "normal." I want to be able to bend over without feeling this big stomach in the way...or cross my legs comfortably...not shop in the plus size section anymore...not carry around the weight of two people...and to be healthy and a good example for my little daughter. That's what is really important. And I've learned this year that I really like who I am. I have great friends and family around me and I have realistic expectations of this lapband process. This is the right thing to do! Hope this helps a little!:frown:

I've got a couple more months of my 6 month supervised diet left. I've been jumping through all the insurance hoops and think I'm on track. I'm just curious if anyone who has Cigna insurance has been approved recently? Was it a hard process, or if you fulfilled all the requirements did you get approved right away? Just curious what kind of experiences you have had if you are under Cigna. I just keep being told Cigna is about the most difficult insurance to get approved through. So I'm a little nervous!

tcb girl, I hope all goes through with Cigna...although I thought you only had to have 24 months of proof for your BMI/weight? Your insurance person may have already had all the info she needed. They seem to know how it all works backwards and forwards. Richj, I am curious how you are doing since it's been a bit since your surgery?

I have told my close family and friends, which some are co-workers, so I'm sure some more people at my work know...but no one really has asked me about it. I had to have a big talk with my mom and my sister about it because they weren't super thrilled with the idea at first, but now they seem to be excited for me. I'm not hiding it, but I'm not real vocal about it either. I figure once I have surgery and people start noticing any weight loss I'll probably have to explain myself more. But I am not afraid for people to know...but not everyone understands this decision so I don't feel the need to make it a big deal right now.

Oh...and I don't have any co-morbidities either and my surgeon still thinks I'd be a great candidate and seems to think I should get approved, so we'll see!

At my surgeon consult I talked to the lady who submits your paperwork to your insurance and she knew just about everything about every insurance and exactly what you need for everything. You might try asking the same kind of person at your surgeon's clinic for what needs to be included in the letter. Mine provided me with what info needs to be included in each doctor's visit I have to go to (I have to go 6 times during six months of supervised weight loss). I was concerned too about documentation, but you can use any medical records from anything over the last five years. Any check up where your weight was recorded should be fine. Hope that helps!

Don't stress about the psych evaluation, it won't be bad at all. I started this lap band process a long time ago, and only have about eight weeks left of supervised diet to go to fulfill all the insurance requirements. I started seeing a psychologist back in June and have gone a couple times a month since then. I could have gone just once, but I thought I'd try to learn something from it. It's definitely helped me resolve some issues and I still want to go forward with the surgery more than ever! Just find out from your insurance what specific questions your psychologist needs to cover with you in their report. I just had my surgeon consult on Jan. 2nd and the lady who submits everything to insurance knew exactly what questions needed to be covered in your physician visits and your psych evaluation. But don't be afraid of the process...it's a lot of work and time consuming, but it gives you lots of time to make sure this is what you want to do. I've been going through the motions since May and I am almost there! Good luck and don't worry!

I finally had my surgeon consult today and he thinks I'm a perfect candidate for the Lapband! I too, have fears that somehow it won't help me, but I do have realistic expectations that it is a tool to help me, not a miracle "will do all the work for me" kind of thing. My husband is 100% supportive of me getting the surgery too, so that helps. I'm so excited to make such a positive step for my health! But the more I read on here, the more calm I get that I probably will do great with the band.

I am in month three of my 6 month supervised diet, and I've lost some weight, and now I've gained a few pounds over the holidays...but overall am still down a couple of pounds from my beginning weight. I think most of all the insurance companies want you to just fulfill the requirement of 6 months with doc visits to show your dedication to a lifestyle change. My insurance doesn't say any certain amount is required to be lost before the 6 months is up. But, I am trying to learn something in this six months, so I do hope to lose about 10% of my body weight by the time the 6 months is up. Just a thought!

Thank you for the thorough information! I'm sure that makes getting insurance approval easier when you put in all that work and dedication. I definitely think I'll show that sheet to my PCP. I know I've gained a few pounds from all the Holiday food lying around...but overall I'm still down a few pounds since I started my 6 month diet plan. Thanks for your help everyone!

I am in month three of my six month diet plan. I am following Weight Watchers since it is an approved diet through Cigna. But I know a lot of people get turned down still by insurance because their physicians didn't "document" enough information every month. Mine asks me about my weight loss, exercise, and sometimes just if I have any other issues (like reflux, depression, etc). Is that enough information? Anyone have a specific template they had to follow?

That info does help...thank you. Seems like we are pretty much documenting the same thing. I worry about having to fight for approval since I really don't have a two year history of co-morbidities, but my BMI has been pretty much over 40 the last six years, so I'm hoping that will be good enough!

I, too, now have found myself laughing, crying, and nodding in agreement to all 18 pages of this post. It's nice to know we all understand each other and really aren't alone in this weight battle. Here are a few things I won't miss in the future: -Always pulling my shirt down to hide my hanging belly -Holding my head up a little extra to reduce my chin size -Shaving off facial hair that I now grow because being overweight has messed up my hormones (my doc is thinking PCOS, which is cured by LOSING weight of course!) -Feeling suffocated when I clip my toenails -Feeling like a contortionist trying to figure out how to pull up pantyhose -Having to use baby powder under my boobs and all my rolls so they won't get rashes -Being told I have a pretty face -Being told I seem so confident "for my size" -Being told it doesn't matter that I'm bigger -Being the biggest girl in my group of friends -Fearing I'll pass on my weight issues to my daughter There are so many things to look forward to... -Feeling feminine -Feeling pretty just because I am (not "for a fat girl") -Finally being pretty, smart, confident, and have a HOT bod too! -Knowing I'll "fit" anywhere -Crossing my arms and legs comfortably -Shopping for any clothes I want -Being an inspiration to others!

I am frustrated. i went to a weight loss seminar at the bariatric center at SkyRidge Medical Center in LoneTree (Denver), Colorado on August 20th. They had us leave our contact information and we were told we would be contacted to set up a consultation with Dr. Frank Chae. I wait a month. No call. I write a thread on this forum asking if anyone had waited that long. One person answered saying they thought he was out of town or something. So I call the office and leave a voicemail (my only option of course) asking to be contacted to set up an appointment. i wait another MONTH. NO CALL. I have left another message this morning, practically begging someone to just return my call. My husband says I should just take my business elsewhere, but I'm under Cigna insurance and it's hard to find surgeons that are willling to work with me. I've had one office tell me they really didn't want to work with me if I had Cigna. I had been recommended (from this site) to see Dr. Chae because his office worked really well with Cigna. Has anyone else dealt with Dr. Chae's office? Is this typical? Or should I just move on elsewhere?:thumbup: