Hello.. I just had my nutritionist apt today and yesterday the visit with the surgeon. Should see the psych in the next couple of days. But, i'm having some insurance fears, as we found this:

NHP covers bariatric surgery for:

Medical necessity for bariatric surgery is established when all of the following criteria are met:

Individuals who are at least 95% of predicted adult stature who are:

1. BMI greater than or equal to 40 (mine is 43)

3. Documented failure of attempts to sustain weight through less intensive, physician supervised methods, such as diet, exercise, behavior modification programs and pharmaceutical interventions ; (in which we are confused if this means that they r going to require a 6 months with supervised program. or if just my medical records, ww attempts, prior weight loss surgery done in 2007 (called Intragastric Ballon - BIB) which didn't worked.) Would those be enough? They already told to expect my surgery to happen by end of march if they approve me...so im very excited and afraid to not get approved?!!! Anyone???

First, they did not require the seminar, i didnt go.

Second, ur bmi being less than 40 but with ur co-morbities is probably ok, but u can always wear some ankle weight to add some extra lb hahaha i went wearing my snow boots, jacket, etc lol i weighted 8+lb hahaha

My pcp just wrote the medical necessity letter like for who it may concern, and the referral she sent it in the name of my surgeon, ur pcp will only need one special surgeon's number.

You can tell ur pcp that is a surgeon that u had good references, and u want to do it with him..

I think its going to work!

You dont have an idea how your words help me! Thank you and again good luck in your journey!

Ankle weights of 5, 10 or 20? lol what u think?

Hahahahaha 5 each ankle should be fine haha u need to able able to walk lmao

I'm sure you wont need this, just drink lots of Water and have a big meal lol with ur comorbidities u r fine!

jjejejejej just kiddin but thank you lol

Hi friend!!

In my searching about insurance guidelines, and reading and reading I found this in NHP:

Documented failure of attempts to sustain w

eight through less intensive, physician supervised methods, such as

diet, exercise, behavior modification programs and pharmaceutical interventions;

I dont have any documented attempts or nothing like that, all my life I just lost pounds with over the counter diet pills, some exercise, etc, but I cant documented that......what do you think? Maybe I can write a letter? I dont know....

Any advise or opinion I appreciate!

Well my pcp had lots of reports of my past visits saying i was trying something lol from weight loss clinics, to personal trainers, etc.

Every single page of my medical records she mentioned about my failed attempts lol it was even sad to see the word "obese" in all of then

So, that may have worked, plus my 1 year record with weight watchers...

Hi! I will try, I dont have any "documented" failed attempts, but I will try... I booked my first appointment with your doctor! Thank you for the help and advise....How are your pre-op diet!!??? Keep in touch!

Well my pcp had lots of reports of my past visits saying i was trying something lol from weight loss clinics' date=' to personal trainers, etc.

Every single page of my medical records she mentioned about my failed attempts lol it was even sad to see the word "obese" in all of then

So, that may have worked, plus my 1 year record with weight watchers...

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@Braziliangirl how was your surgery?? How are you?? Keep in touch please!

I see all you people from mass. I also have NHP just starting the process. Just curios where did you or are you having your surgery. I am going thru MGH weight center. Trying to get input. Thank you.