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

Kaiser and denial ?!?!



Recommended Posts

My best friend is doing her Options classes through Kaiser in So Cal. Requirements are to lose 21 pounds. She has lost 6 pounds and has a about a month left for her last weigh in. Has anyone gone through this process? We are scared that they will deny her if all the weight has not been lost!!! Advice needed, help please ;)

Share this post


Link to post
Share on other sites

I completed my options classes for Kaiser So Cal in Jan. I only lost about 5% of the 10% they ask you to lose. It didn't seem to be a factor. I think they just want to make sure that you are using the classes to lose weight and holding yourself accountable by doing the food logs and not just ignoring the information. I've only heard of them denying one of the girls but she gained about 20 lbs during the course of the class. Usually, if you make it to the options class you are pretty much approved. So your friend shouldn't stress too much :)

Share this post


Link to post
Share on other sites

Thanks for your help I'm the friend that Sarah is talking about. I have my 9th option class tomorrow and hopefully I lost more weight. If you don't mind me asking who was your surgeon and where did you take your options class? Thanks for your help and if you have any tips for me they would be greatly appreciated.

Share this post


Link to post
Share on other sites

I was told by my doctor at kaiser that if I didn't meet my weight goal that surgery would be cancelled. I am sure every doctor is different but that's what mine said.

Share this post


Link to post
Share on other sites

Thanks for your help I'm the friend that Sarah is talking about. I have my 9th option class tomorrow and hopefully I lost more weight. If you don't mind me asking who was your surgeon and where did you take your options class? Thanks for your help and if you have any tips for me they would be greatly appreciated.

Do you have any comorbodities? I definitely don't think it would be too much of a problem if you did. I was sleeved through kaiser SoCal as well, although I didnt have to go through the options program my surgeon did ask me to lose weight the month prior to my surgery and I was only able to lose 7 and he was happy with it. I think you'll be okay.

Share this post


Link to post
Share on other sites

I was told by my doctor at kaiser that if I didn't meet my weight goal that surgery would be cancelled. I am sure every doctor is different but that's what mine said.

not true I finished my options and will have surgery on Thursday. Just don't gain weight.

Share this post


Link to post
Share on other sites

How does it work do they send your referal to the insurance after your 12th class and then they will send you something?

Share this post


Link to post
Share on other sites

How does it work do they send your referal to the insurance after your 12th class and then they will send you something?

Call Kaiser or look up your co-pay, mine is 250.00

Share this post


Link to post
Share on other sites

Yeah mine is 250. Also when you get approved do they call you or will I get something in the mail?

Share this post


Link to post
Share on other sites

Yeah mine is 250. Also when you get approved do they call you or will I get something in the mail?

no, if you finish your option program you are set to go

Share this post


Link to post
Share on other sites

Yeah mine is 250. Also when you get approved do they call you or will I get something in the mail?

No,your option program is your confirmation

Share this post


Link to post
Share on other sites

Thanks for your help I'm the friend that Sarah is talking about. I have my 9th option class tomorrow and hopefully I lost more weight. If you don't mind me asking who was your surgeon and where did you take your options class? Thanks for your help and if you have any tips for me they would be greatly appreciated.

I did my options classes in the SouthBay/ Harbor City. My surgeon was Dr Belzberg.

I started at 340lbs and I was 319lbs on Monday right befor my surgery.

Share this post


Link to post
Share on other sites

I did my options classes in the SouthBay/ Harbor City. My surgeon was Dr Belzberg.

I started at 340lbs and I was 319lbs on Monday right befor my surgery.

Dr Chin out of Fontana Med Center but my surgery tomorrow in at St. Bernadine in San Bernadeno

Share this post


Link to post
Share on other sites

I did my options classes in the SouthBay/ Harbor City. My surgeon was Dr Belzberg.

I started at 340lbs and I was 319lbs on Monday right befor my surgery.

Dr Chin out of Fontana Med Center but my surgery tomorrow in at St. Bernadine in San Bernadeno

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

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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.
  • 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

    ×