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Has Anyone Been Approved Without Having To Do The 6Mos Supervised Diet......



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Has anyone been approved without having to do the 6mos diet requirement. If so, what did you include in your paperwork, in order to get it approved????

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IT ALL DEPENDS ON WHAT YOUR INSURANCE REQUIRE. MINE REQUIRED A PSYCH EVAL,NUTRITIONAL CONSULT AND BMI WITHIN A CERTAIN RANGE. YOUR SURGEON WILL REQUIRE DIFFERENT TESTS AS WELL. HOPING TO SUMMIT PAPER WORK THIS WEEK :biggrin5: HOPE THIS HAS BEEN HELPFUL..GOOD LUCK!

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Mine required a five year weight history but no supervised weight loss. I have bcbs.

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Has anyone been approved without having to do the 6mos diet requirement. If so, what did you include in your paperwork, in order to get it approved????

Yes! I did But I'm a Diabete. I have sleep apnea,hypertension. I all included all of the diets I have tried.

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Of course, people have been approved without the 6MSWL. HOWEVER, that is because their plan did not require it of them. You have to speak with your insurance in regards to what they have to receive in order to approve you. I did a 6MSWL starting in February of 2011 and I finished August 2011. I was approved. You can get through this, but definitely find out what your insurance requires.

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Hey neighbor! I hope to be approved without the 6 months as my insurance supposedly doesn't require it. I have Empire BCBS. Good luck!

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It definitely depends on what your insurance requires. I had my first consultation on June 6th and was sleeved July 20th. I have BCBS and they only required a psych eval. I also took one nutrition class as a part of my pre-op testing day.

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Its hard for me to determine what was my surgeon's required info and what was my insurance. I didn't have to do any supervised diet for my insurance but I did have to do a written account for my dieting history for the surgeon's office. I started dieting at 9 so it was a lot to try and remember!

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The BCBS plan my company has requires 6 months dr. supervised diet. I am almost finished with month 2.

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i have BCBS and all i needed was the 5 year history , pysch eval and physical. also my BMI was 59 and i had hypertension and severe back pain. from start to finish everything took about three months

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Hi! I had Empire BCBS and my plan did not require the 6 months supervision. My BMI alone did not qualify me for the sleeve but I had co-morbidities which did qualify me. Between the high blood pressure and arthritis that tipped the scale. I had to jump thru a bunch of hoops (stress test, psych eval, h-pylori testing, nutritionist) but my Doctor's office was fabulous in submitting all the paperwork.

Every insurance company and every plan is different.

Good luck!

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All plans by BCBS are NOT equal. BCBS offers complete insurance and management plans for self insured companies who pick the level of plan coverage. So there is no solid right answer to your question - it all depends on your plan, carrier and perhaps employers selected coverage.

I have insurance but elected to go self pay to avoid this 6 month (tytpically longer) and the hassle that went with it. It's not for everyone but it worked for me.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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