Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

I had to have 5 years of documented weight. Your 6 months is child's play. Your doctor can't possibly know the requirements of every single insurance company he works with.

Share this post


Link to post
Share on other sites

I had to have 5 years of documented weight.

I did too but through records. I just asked the doctors I'd used over the last 5 years to send in the records. Did you actually wait 5 years?

Share this post


Link to post
Share on other sites

You guys all docs are not the same some dont take the time to inform and others

My surgeon has an insurance lady who on the first consult asked me who my insurer was and they had a stack of requirement sheets for each insurance carrier. She pulled out the one for my insurance. Took 10 seconds. So, yeah, there should be someone in the office who has a pretty vast knowledge of what the major carriers require. Regardless of the type of doctor, that's a major part of how they get paid so someone in the office has to know.

Share this post


Link to post
Share on other sites

I think I will grab a box of tissues and commiserate with you. Good thing I am not an emotional eater; I eat when bored.

Share this post


Link to post
Share on other sites

I am going to barix clinic and they gave me all the requirements of both my insurance, which was only a psyche eval, and the surgeons requirements which were endoscope, sleep study and cardiac clearance. I am glad that my doc had these requirements as it ensures that I am healthy enough to deal with the surgery and the recovery process. Hang tight Gelen's change, it will happen you just have to follow the rules set. Good luck!

Share this post


Link to post
Share on other sites

They game me a list but something told me to call the ensurance to see if i need anything else to qualify and i got the 6 month surprise. I did all the phyc and ecg and blood and all i needed was ugi. Damn im so mad i had no clue.

Share this post


Link to post
Share on other sites

I kno how u feel guess what happen to me my previous insurance didn't require a 6 month so when I found out the company I worked for was changing ppo providers and the insurance was changing beechstreer to Aetna with in a month I decided to follow Aetna requirements and I need a 6 month so I'm will be in my third at the end of this month ... It's frustrated cause we just want to start our journey but this has allowed me to start dieting track my food and change a view thing

Share this post


Link to post
Share on other sites

They game me a list but something told me to call the ensurance to see if i need anything else to qualify and i got the 6 month surprise. I did all the phyc and ecg and blood and all i needed was ugi. Damn im so mad i had no clue.

That stinks some insurance coordinators are better than most. I went to a doctor who had a bariatric coordinator who did not return calls. I actually switched offices to another practice. Life is too short to deal with ratchet arse bariatric coordinators. I am a stressor so I need someone on their job. I am sorry for your troubles, I hope things get better.

Share this post


Link to post
Share on other sites

You and I both

Share this post


Link to post
Share on other sites

Hello everyone I need a personal buddy too go through this process with. I have a date for August the 21 and believe me I can't wait.

Share this post


Link to post
Share on other sites

My insurance company had their requirements online. However, I called them to double check. Then when I went to my initial surgical consult, I met with the insurance coordinator who confirmed all the requirements. I'm sorry that not all doctor's offices do their jobs so well. But that's why we have to be our own advocate. Believe it or not, the six months go by really fast. Hang in there!

Share this post


Link to post
Share on other sites

Saw my PCP today for my first weigh in for my 6 month diet. Had I been at 40 BMI I would not have had to do this. I was 39.18! I understand how frustrated you are! My PCP summed it up pretty well, she said that I need this 6 months to prepare myself for this major life change and proove that I am serious and capable of following the strict diet recommendations that this type surgery requires. I felt much better about the situation after that. Start the diet for the first full day tomorrow and signed up with a fitness center today. Here we go! Let's do this!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BlSm12

      Does anyone know, how long it takes for Medicare to approve surgery?
      · 1 reply
      1. aravenclawrebel

        I think it depends entirely on what guidelines you're being referred under. I had that kind of insurance through the state as a low-income person for 10 years and even though I was over 400 lb for 10 years they denied me. All based on the fact that I did not have diabetes. I switched insurances once I was offered a different kind of coverage from work and was approved within two months

    • NickelChip

      I got a little bag of samples when I saw the nutritionist last week. Turns out I much prefer the Celebrate 45 Tropical Twist vitamins to the Bariatric Fusion orange flavor, so I've placed an order for those and the sweet treat assortment of calcium soft chews, which were almost dangerously tasty. The Unjury chicken soup was better than the other brand I tried, but not enough to buy it. And their vanilla shake was vile. I just can't do artificial sweeteners, and probably not vanilla unless I add something to it to mask the flavor. The aftertaste was so strong and I had a vague impression of drinking baby formula. So far the only ones I've really liked have been the orange and peach flavored Syntrax Nectar Naturals, so I'm going to get two vegan fruit flavored options in case I have trouble with whey after.
      · 0 replies
      1. This update has no replies.
    • Longview Lady

      PS: Also, the 'My Surgery' section of my profile - how do you edit/update that section??  I want to put my height, weight, etc. there but can't find edit button.   
      Can someone help me with that?  
      Thanks in advance.  
      · 0 replies
      1. This update has no replies.
    • Longview Lady

      I'm new here and unsure how to reply/respond to people. Guess I'll figure it out, or maybe you can help me a lil. lol.  A lil direction would be nice.
      I'm still wrapping my head around having this surgery to lose weight. I have completed all requirements, in 2022, and now it's a waiting game.  I missed a call in Aug. to have the surgery. 1st call I have missed in years and it had to be THAT one!   I was so upset at myself and then fell back back that weekend to my ol' comfort food; ice cream.  I fall from time to time but then get backup on my Johnny Wayne Saddle and do better. 
      I have been waiting so long I forgot what the specific surgery is called. 🤔.  It's the one where my stomach will look like a banana.  I just want this done so I can be on my way to a healthier and more active person, and hopefully feel physically and mentally better and better sleep too. We'll see. 
      Wishing everyone a safe and successful surgery. 
      Shawna 😁
       
      · 3 replies
      1. New To This23

        Has anyone messaged you and helped?

        If you go to the top of the page and click on your user name there will be a drop down that will allow you to do things from there. The interface on this site is a little wonky and could use some improvement, basically, you'll kinda have to click around until you find what you want to edit/update.

        I tried adding stuff to my albums and it uploaded the same things twice and I can not delete the duplicated picture. If you add a ticker and later you want to update it, like you lost more weight or you're closer to a certain goal, you have to go through the whole ticker choosing process again. The site can be a little frustrating.

      2. NCL04321

        you dont have to go through the whole ticker thing again. Just click on your name then surgery then click on progress. There you can change your height and weight. The weight will carry over to the ticker

      3. New To This23

        Thank You @NCL04321

    • BeanitoDiego

      Today was my 1 month followup, 5 weeks post surgery. My dietician gave me a gold star review for my post op diet, and I graduated to Stage 4 of my program. Stage 5 should be approved in November, and that is the forever way of eating.
      I had to go to a post op nutrition class as part of my appointment today. There was a young lady in there that had been eating WAY off diet, and she was not doing well... She had been eating fast food, but peeling the buns off, eating vegetables that were not well-cooked, and eating all kinds of foods that were not part of the detailed instruction that everyone in this program receives. We had SO many caveats from Day One to not try to jump ahead on the schedule for the foods that we eat. I was baffled that someone would decide to eat off program, especially so soon after surgery. She became tired of the liquids & soft foods, so she chose to eat ahead.
      The result of her skipping ahead was that she had experienced a lot of vomiting & foamies, a lot of pain, and was unable to drink any fluids. She started feeling flushed and faint in class and had to be sent to the hospital to get some IV fluids.
      The discipline that one needs for bariatric surgery cannot be overstated. We have to dig deep mentally and physically to get through surgery itself, learn new things, manage medications, and really lean into that crucial change of mindset and behavior. I hope that this young lady is able to get herself together to make the most of her surgery.
      · 1 reply
      1. Longview Lady

        Great post. Thank you for the insight/update. So happy to hear you are doing so well. Keep up the good work.

        I am still waiting for my surgery...though classes were completed 9/2022. I don't like the waiting game. But I will say that my 'surgery buddy' mentioned this site and am happy I'm hear and hope to gain support and insight for my surgery.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×