Insurance six month supervised program

janiee · December 11, 2006

I need one of those!!LOL!!

LuckyGirl · December 11, 2006

I don't know if the weight loss is specifically what they are looking for. I went for many months and would lose and gain a couple of pounds. They still approved me based on my visits - not my weight gain/loss. Make sure your doctor writes or dictates everything down. Make sure you talk about weight related stuff - can't sleep, knees hurt, feel shaky if I don't eat... all things they can document to put in your chart. Good luck - and the time goes by fast!

NimbleBean · December 14, 2006

I'm in 3 months into my medically supervised diet. I see my doctor (visits paid by insurance) monthly, and she has me see a nutritionist weekly (these visits paid by me!). I've lost over 30 lbs. so far. My BMI was 41.7 prior to the diet; worried that if I lose too much the BMI will drop enough to cause the insurance company to say 'no' to covering the surgery.

Feels silly to pay money each week to the nutritionist and then sabotage the potential for weight loss. But, I know I need the lap band. I will not be able to sustain this weight loss without this tool.

By the way, the nutritionist, who has never had a weight problem herself, is completely against the lap band. No surprise there! But, my doctor is supportive.

Starting weight: 287 :grouphug:

Current weight: 254

Goal w/surgery: 152

LuckyGirl · December 14, 2006

That's awesome that you are losing weight! But... if your insurance says a certain BMI to get the lapband you may need to slow down a bit. I gained and lost during my supervised visits but my intention was never to lose too much and kick myself out of the ballgame. I know it's a game we play but remember the insurance is playing a game too - insisting on the visits hoping you will lose so they don't have to pay - craziness!

janiee · December 28, 2006

One month down and five more to go. :bananapartyhat:

Praying that I will be banded in June or July!!

TracyinKS · December 29, 2006

It is someone that 'rich' people have that follow you around and slap your hand everytime you reach for food...

I WANT THAT JOB!!!!!!!!!!!!!!!!!:biggrin1:

KittyBoozie · January 16, 2007

Ya I too have to go threw 6 months of nutri. couseling. I'm not sure if I am going to have to pay for it or not. Anyone know?

Kitty (Healthnet HMO)

Missy22 · January 16, 2007

I also had to wait 6 months. My surgery was approved 1 day after the inforamtion was submitted. I never missed an appointment and did exactly as they asked me to do. The time goes by so fast. They payed 80% I only had to pay my deducltible and the 80% it wasnt much. Wish you the best!!