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Insurance Requirments

I have been reading a lot of your post and it seems that most usually have 8 to 9 month process leading up to surgery. I know some of this is because pre op testing, but I was wondering if this is also because the insurance required a 6 month diet program? I know a lot of them do so I was wondering if the 8 or 9 month process included this for most of you. My insurance doesn't require this so I'm just trying to get an idea.

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Hello,

I did not have to do the 6 month diet with BCBS- IL. My first appointment with the surgeon was May 23rd and I was sleeved on July 17th. It probably could have been a week sooner but getting the psych eval in with my work schedule was a challenge.

Hello,

I did not have to do the 6 month diet with BCBS- IL. My first appointment with the surgeon was May 23rd and I was sleeved on July 17th. It probably could have been a week sooner but getting the psych eval in with my work schedule was a challenge.

im curious what happens at the psych assessment? mine is the 28th of this month. why is it 2hrs?

  • Author

im curious what happens at the psych assessment? mine is the 28th of this month. why is it 2hrs?

I too am curious about this. Is this something that everyone has to do or just if the doctor sees fit?

I too am curious about this. Is this something that everyone has to do or just if the doctor sees fit?

from what I am reading, everyone has to. I think.

  • Author

from what I am reading' date=' everyone has to. I think.[/quote']

Well fooey! Lol I guess I'll no for sure on 22nd. Patience is not my virtue! Lol

I wasn't required to have a diet for months, and my insurance approved it in 3 days! But it did take months for me to actually get to the surgery because my iron was so low and I had to take some meds to get my ulcers cleared it was about 6 months to get everything finalized. So I am scheduled for my surgery the 27th! It really depends on the insurance and the person

  • Author
I wasn't required to have a diet for months' date=' and my insurance approved it in 3 days! But it did take months for me to actually get to the surgery because my Iron was so low and I had to take some meds to get my ulcers cleared it was about 6 months to get everything finalized. So I am scheduled for my surgery the 27th! It really depends on the insurance and the person[/quote']

Your almost there! It will be here before you know it! :)

The psych eval is kind of dumb. You fill out a questionnaire, you talk a bit and then they tell you that you are an emotional eater.

The two hours accounts for slow readers, I was in and out in 40 minutes.

Oh and the bill was 595 bucks. Total scam.

  • Author
The psych eval is kind of dumb. You fill out a questionnaire' date=' you talk a bit and then they tell you that you are an emotional eater.

The two hours accounts for slow readers, I was in and out in 40 minutes.

Oh and the bill was 595 bucks. Total scam.[/quote']

So if they find you an emotional eater does that mean that they won't approve you? The handbook I was given at my initial consultation talks a lot about how being an emotional eater could mean your not a good candidate for the surgery. I admit openly that I'm an emotional eater.

The psych eval is kind of dumb. You fill out a questionnaire, you talk a bit and then they tell you that you are an emotional eater.

The two hours accounts for slow readers, I was in and out in 40 minutes.

Oh and the bill was 595 bucks. Total scam.

WHAT???? OMG I hope they let you make payments and don't expect it upfront!! Insurance doesn't cover any of it??

My insurance has an annual deductible that had to be met and this put me over the top for the year. The worst thing and I am disputing is that they did not cover the required NUT appointment. They flat out denied it. How can they require something and then not cover at least part?

About the emotional eating, I just acknowledge the issue and said that I knew the sleeve was not a magic fix and just a tool to help me get to my goal and successfully maintain.

Im confused on whether the insurance is making see NUT, physical and phsyc eval or if surgeon is, but im gonna find out because if insurance requires it and doesn't help pay for any of it them im disputing it too!!

  • Author
Im confused on whether the insurance is making see NUT' date=' physical and phsyc eval or if surgeon is, but im gonna find out because if insurance requires it and doesn't help pay for any of it them im disputing it too!![/quote']

I don't blame you! I know that my surgeon requires the nutritionist, but I'm not sure about the rest.

I don't blame you! I know that my surgeon requires the nutritionist, but I'm not sure about the rest.

well, they are all gonna have to deal with payments..lol I just cant wait to have it all over with and find out if Im approved. so done with these crazy appointments. I have to drive an hour to all of them, I live in Illinois and these appointments are in St. Louis,mo the surgery is in St. Louis too, but I don't mind driving it for the surgery..lol

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