spoiltmom

I had female surgery done in May and they gave me a Scopolamine patch at the hospital. It was the best thing ever! No nausea at all and no drowsiness.

Okay thanks! I'll call again Monday. We have a Family Case Manager-she's an RN maybe that's who I need to be asking.

Another question I have is I called my insurance company and asked if they required a 6 month diet and they told me that my plan didn't specify that it required that. All it specified was a BMI of 40 or a BMI of 35 with co morbidities. Then when the surgeon's office called last week she said I talked to your insurance company and they do require a 6 month diet. She told me to stay on my diet and after she received all my medical records she would submit everything at that point. So how can I be sure they actually require the diet and she's not just telling me that? Does that make sense?

I'm sort of confused and in limbo right now. My surgeon's office called last week and told me to stay on my diet b/c my insurance DOES require a 6 month supervised diet. They said they are waiting on my medical records and then they will submit it to my insurance company. So I don't know. I'm scared right now to lose any weight at all, but I'm also very unhappy with my appearance:( I just keep telling myself to deal with it for a little longer and then I can finally start my last diet ever you know?

Currently my BMI is 37.1. I have hypertension, sleep apnea and arthritis in my knees. My surgeon's office started me on a supervised 6 month diet the first week of June. Last week they called and said stay on the diet your insurance does require it. Then they said they'd get all my medical records together and then send it to my insurance. So I get approved before doing the 6 month diet or what? I'm confused about that and I'm scared to lose weight now since I'm so close. Also I'm only 30 so I've never had my cholesterol checked. If it were high would that help? What I mean is should I get it checked? Thanks Everyone!

I'm so glad you posted this b/c I'm in the exact same boat! My BMI is 37 with comorbidities. My insurance requires a 6 month diet first but I'm scared to lose any weight now.

I have United Health Care and I tried calling to see what their requirements are but they said my employer's plan doesn't list the requirements. My surgeon requires you to fill out these papers b/c he sends it in with your predetermination.

I don't even know how to answer some of this stuff. There's a list of like 60 diets and you have to put which ones you've tried and when you tried them and how much you lost. I can't remember any of that stuff. I know which diets I've tried but I'm not sure about dates or losses:( It's going to take me a week to get through this paperwork.

Okay she said the fact that I'm on a C Pap machine should get me qualified automatically. In the meantime though I've been started on a supervised diet. Now if I lose too much my BMI will dip below 35 b/c it's at 36.7 right now. So how do I do the supervised diet and keep my BMI from falling too much? Also I had a baby 2 months ago. If you look at my weight before getting pregnant my BMI was only 34. Will they look at that and disqualify me? It was 34 b/c I had lost weight- almost 45 pounds to be exact but it was all slowly creeping back on. My weight would have gone back up rather I'd gotten pregnant or not. I can't keep my weight below 215 without constant dieting and that's still a BMI of 35.5 I think. My last rambling is I called my insurance company to see if they require a 6 month supervised diet and the lady said my plan doesn't say it requires anything. All my plan states is that if your BMI is over 40 OR 35 and over with one comorbidity then it's a covered benefit. Also if this does go through once I start the Pre OP diet IF I lose too much before surgery will it still be covered anyway?

Hmm, Okay I called my insurance company and asked them what is required as far as a supervised diet and the lady said she had no idea. She said all my plan states is that it will be covered if your BMI is 40 or over OR a BMI of 35 with one comorbidity. That's it. So what does that mean? The surgeon is going to submit a pre dertimination but not until they have all my paperwork ready and that could take another 3-4 weeks.

What I mean is yesterday I was told it would likely be a six month process b/c most insurance companies require a 6 month supervised diet first. But the lady said she wouldn't really know until my insurance tells her and she won't even try to find out for at least 3 more weeks. Is there a way that I can call and just ask them what the requirements are?

And I'm so nervous already! My BMI is 36.6 but I have high blood pressure and sleep apnea. Per my insurance company all you have to have is a BMI of 35 with EITHER high bp or sleep apnea- you don't have to have both. So I'm assuming I'll qualify but I'm sure it's not that simple now is it? Are there any questions in particular that I should be asking tomorrow?

Thanks! I'm so nervous about going in tomorrow and I really hope this works out. You know what my biggest fear is? That the bariatric coordinator is going to think I'm not FAT ENOUGH for Lap Band. I mean I qualify per my insurance guidelines and I'm definitely overweight by a lot but I don't look just hugely obese you know? I'm so anxious and ready to get the first appointment over with. As a plus though the coordinator was very, very friendly and extremely reassuring on the phone. I'll definitely check out your blog! ETA: I'm hoping I don't have to do a 6 month pre op diet or anything but I know it's possible. My cousin had Lap Band about 4 months ago. She has the same insurance as me and she was scheduled within 3 weeks of her first consult with no problems and no preop diet requirements.

I'm just starting this process. I go on Tuesday to see what my insurance requires before they will cover it. They told me they cover it at 100% and that I definitely qualify so I'm hopeful! Anyway before I do this I want to make sure I fully understand everything. Is there anything you absolutely cannot eat after Lap Band? After having the surgery are there any lifting restrictions? I'm a stay at home mom to a 9 year old, 3 year old and 2 month old. Will I still be able to lift and hold my baby?

So how does that work anyway? I'm going to see the bariatric coordinator to get things started on Tuesday. If my insurance requires a pre op diet how do I do it and not lose weight? What I mean is in the past I've been able to lose weight but I'm never able to keep it off. So how do I diet and not let my BMI go down?

Wow! Congratulations! Maybe I'll be just as lucky. I'd love to get it done before the end of this year that way it won't cost me anything.

I've been overweight for 12 years now. Nothing has changed about my weight but suddenly now that I have admitted to dh that I actually qualify for Lap Band and our insurance will cover it I'm feeling so insecure:( I want this done so badly but I know that at some point I'll have to tell my other family members I'm trying to get it done and at that point I think I'm going to feel even worse. They are so judgemental and I carry my weight pretty well so people are always shocked when they find out that I weigh a LOT more than they thought. Dh understands why I want this done and he's supportive and so is my Mom but I'm not sure everyone else will be. I know this post makes no sense and I'm just rambling but I'm feeling so many things right now.

Thanks! I have an appt on Tuesday to meet with the Bariatric coordinator at the surgeon's office. She said I will fill out paperwork and she will verify my insurance benefits and then we will discuss how the whole process works. Now how does this work? If my insurance requires me to do a supervised diet plan first then what happens? What I mean is I've done diets in the past and yes I can lose weight But I can't get anywhere close to a healthy weight or goal weight and it always comes right back. Since my BMI is only 36 if I lose any weight at all then I won't qualify anymore right? Or am I not understanding?

What is your BMI? DId your insurance pay for Lap Band or did you have to? I'm just curious. My BMI is 36 but I also have high blood pressure, sleep apnea, bad knees and depression. My insurance says I qualify so I'm hoping they will pay if not at this point Dh and I may just finance it.

I'm a 30 year old mom of 3. I weigh 220 and I'm 5 foot 5. I have hypothyroidism, mild sleep apnea, high blood pressure and knee problems. I've been overweight since I was 18. On my SIL's advice I called my insurance company today and they told me that I qualify for Lap Band by their standards. She said my BMI is 36- She said it only has to be 35 with one qualifying condition. I'm currently at 100% for the rest of this year so I'm thinking about calling and scheduling a surgeon appt next week. How does this all work? I have United Health Care. My cousin also has United Healthcare and she checked into it and was scheduled and approved for surgery within 2 weeks. That seemed fast to me. I will be using the same surgeon she used. So what all does the process involve? I have tried Weight Watchers in the past and I got down to 176 and gained it all back. I've weighed at least 190 since I was 21. I'm at 100% b/c I had a baby in March. He was born 3 weeks early b/c my blood pressure was too high. I'm now done having children. I had my tubes tied last week and I'm now ready to get this weight off for good.