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

Recommended Posts

So I have done my 6 months of time which included PCP supervised diet, 4 meetings with a registered dietician, met with my surgeon, met with psych, met with my surgeons dietician... Every hoop I have jumped.

Now my surgery is scheduled for July 29 the and pre op for 18th. Awesome right!! Well my coordinator said that July 1st she sent in paperwork. I checked with my insurance July 5th and nope nothing. Granted it was a short week...

So my insurance lady I talked to call early Monday and they said they would fax everything on the 8th... Well I just got informed that they sent it in yesterday morning.. My insurance lady said the utilization team hasn't entered it so we have it as pending but once it gets entered it shouldn't take long for an answer... OK great but they technically have 14 days to decide which puts me really close to surgery.... And what if they deny me then what??? Should I move everything back if I don't hear before my preop date?? Should I go ahead with preop and start my liquid diet and pray it happens. I know if I did my liquid diet for nothing I would be super angry!!!

Has anyone else gone through this?? I am so mad cuz if she would have sent it in on July 1st I would have had extra time maybe even to appeal a denial..

Sorry for the long rant I am beyond annoyed!!

Share this post


Link to post
Share on other sites

I would do the pre op diet anyways because you would be even madder if you don't do it and then you do get approved in time but then still can't have the surgery because you didn't do the stupid diet...just a thought. Good luck! :)

Share this post


Link to post
Share on other sites

Definitely do the diet as planned, and keep your fingers crossed about the approval. If you have done everything the insurance company has asked you to do pre-op, and it sounds like you have, then you should have no problems getting approved. And, you definitely want to have the diet started when you get the approval notice. Otherwise, if you don't do the diet now and you get approved, you will have to reschedule your surgery for later. The worst that can happen if you don't get approved---you do the diet and lose a few pounds on the diet. Stay positive and best, best wishes to you!!

Share this post


Link to post
Share on other sites

I agree with the others that you should go ahead and do the diet. The pre-op diet is not a big deal. The time you spend on it is less than a blip in the course of your life. Try not to focus on it. It is just one more box you have to check off before the surgery.

Share this post


Link to post
Share on other sites

I would go ahead and do the diet because if worst case scenario, then at least you will be sure your liver has shrunk which is safer for surgery. :P

Share this post


Link to post
Share on other sites

My insurance company approved me in about a week (CIGNA) so hopefully you will hear soon.

Share this post


Link to post
Share on other sites

I used to be a utilization review nurse. It will go through - don't worry. Your doctors office will be on top of it and would have already brought up any red flags should there be any. As long as you are sure it is covered on your insurance plan and you meet the criteria - you should be fine. FYI - keep calling - sometimes your kind pestering can cause someone to take an extra step and push things through a little faster!

Good luck - you are getting ready to take the most amazing adventure!!!!!

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

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 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

    ×