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Insurance Questions.. Again!



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Ok, i am overly anxious! And I am just curious if any of you sleevers sent in your information and thought you needed the 6 month diet, but were approved without?

My insurance is NOT clear with it and surgeons office "thinks" i may need it but submitting all past diets etc to see what insurance says.

I started the 6 month diet in april with my primary physician but I would love to get started sooner if i could! :)

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All insurance companies are different and all doctor's offices are different. My bariatric group requires the six month diet regardless of what your insurance requires because they found their patients do better overcoming bad habits in advance and learn to be accountable with what they put in their mouth by making them do the journal visits with the dietitian and nutritionist, meetings, psychological testing and visits with their psychiatrist. Several years ago I decided to have surgery and I went to to another place and I cried so hard and was so upset about the six month wait. I had issues with the psychological testing because I was so upset, and then I lost my insurance and quit the program.

I went back to another place a few years later and another 50 pounds heavier. They said 6 months pre-op diet, etc. same thing different group. I got pneumonia that first month and dropped out because I couldn't follow the plan, I was drinking orange juice and it felt like too much to do write my food down. I gained another 25-30 lbs. I decided when I got back over 300 lbs I was done. I pulled out all the old pamphlets and the diet and I found Myfitnesspal.com and started the high Protein & low carb diet and started losing weight on my own. I finally decided to make the call and get an appointment and rejoin the program after I started losing on their plan of low carb, low Protein and after I realized I could chart my food & Water. I lost weight before my first appointment. The six months went fast, I have been approved. I have my shakes for me two week pre-op Protein shake diet, I quit caffeine so I won't have withdrawals after surgery, and I know now why they make you do it. It took a lifetime to get to this point, I have learned tools over the past six months to help me through the next phase, the surgery.

I am sure there are a lot of people that succeed without having to do the six month program, but in reality, we got overweight because we found ways to cheat ourselves and we always went back into old patterns of behavior (many of us are yo-yo dieters). I have followed the program through starting before Halloween on my own and through the program through Thanksgiving, Christmas, New Years, Valentines Day, St. Patricks Day and Easter Dinners with the family. I'm on a better road than I was ever on.

If you have to do the six months pre-op diet, don't just nix the idea like I did. I ended up gaining so much weight, and in worse health and I would have been way on the other side of surgery by now had I stuck with it.

Good Luck.

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      · 0 replies
      1. This update has no replies.
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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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