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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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well' date=' 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[/quote']

That is far! I'm only about half an hour from all the doctors. And I totally understand about the pmt thing. It's expensive to get and stay healthy.

well. I will be done with everything next week! Monday I go to surgical weight loss support group ( just have to attend one) and then Wednesday I have physc eval...THEN IM DONE YAY!! surgeons office said to wait 5 days after my last doc appointment and then call them to set up appointment with surgeon, so Im gonna call on the 5th ( 5 business days later) and I am hoping to hear from insurance on approval by the end of next month!!

  • Author
well. I will be done with everything next week! Monday I go to surgical weight loss support group ( just have to attend one) and then Wednesday I have physc eval...THEN IM DONE YAY!! surgeons office said to wait 5 days after my last doc appointment and then call them to set up appointment with surgeon' date=' so Im gonna call on the 5th ( 5 business days later) and I am hoping to hear from insurance on approval by the end of next month!![/quote']

Well good luck!!! Keep us posted! I hope everything goes according to plan. :)

  • Author
well. I will be done with everything next week! Monday I go to surgical weight loss support group ( just have to attend one) and then Wednesday I have physc eval...THEN IM DONE YAY!! surgeons office said to wait 5 days after my last doc appointment and then call them to set up appointment with surgeon' date=' so Im gonna call on the 5th ( 5 business days later) and I am hoping to hear from insurance on approval by the end of next month!![/quote']

Well good luck!!! Keep us posted! I hope everything goes according to plan. :)

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.

just found out that my psych eval is only $255....phewww!! NUT is $275...guess I will see if insurance pays any of it.

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just found out that my psych eval is only 255....phewww!! NUT is 275...guess I will see if insurance pays any of it.

It's crazy how each area seems to fluctuate so much in price and the way they so things. My first visit with nut is 175. I'm not sure about the rest. I know my insurance doesn't pay for the nut, but I hope it's helps with the rest.

I met my surgeon august 29 2010. Scheduled surgery the middle of October for mid december. I did not have to do a required diet before surgery.

It's crazy how each area seems to fluctuate so much in price and the way they so things. My first visit with nut is 175. I'm not sure about the rest. I know my insurance doesn't pay for the nut, but I hope it's helps with the rest.

so how far are you now? getting your appointments done? I went to my surgical weight loss support group tonight, and Wednesday is my Phsyc eval and then Im done! just gotta met with surgeon and see what insurance says. Tonight was fun, learned a lot. They had guest speakers who had bi pass but none with the sleeve. But still encouraging! What do you have left to do?
  • Author
so how far are you now? getting your appointments done? I went to my surgical weight loss support group tonight' date=' and Wednesday is my Phsyc eval and then Im done! just gotta met with surgeon and see what insurance says. Tonight was fun, learned a lot. They had guest speakers who had bi pass but none with the sleeve. But still encouraging! What do you have left to do?[/quote']

Well I met with my surgeon as planned on the 22nd. I really liked him and he was very knowledgable. I hit a small snag. He wants me to lose 50 lbs before surgery. It isn't an insurance requirement, it's his requirement. So I have started working my way towards this goal. I meet with my nut the first time on Sept 13 and she is going to help with a plan to get me to that 50 lb goal. I've started on my own and would really like to go in at least 10 lbs down so they know I am serious. Meanwhile I have to schedule an upper GI, as well as pulmanologist to make sure my lungs can withstand the surgery. I also have a ton of labs to do. So far that's all I know. I'm glad to hear that the support group was helpful! Keep me posted on whats going on. Your almost there!:)

oh no! they talked about that same thing youre having to do in the support group tonight. Tey said there is a lot of risk having surgery if your BMI is 60 or above so the surgeons require weight loss first. I know you can do! back in the day I could lose 50 in two months (with diet pills lol)...not any more! lol ya, I am getting close and very nervous about what insurance will say. But I cant wait to find out! after Wednesday we will see! good luck, and kick butt! YOU CAN DO THIS!!!!!!!

I met with my surgeon on the 22nd. They scheduled my surgery for October 23rd. I have my psych eval on Sept 10th and have to see nutritionist also (waiting for a call back to schedule that) baring any hang ups with my insurance I should be good to go :)

I met with my surgeon on the 22nd. They scheduled my surgery for October 23rd. I have my psych eval on Sept 10th and have to see nutritionist also (waiting for a call back to schedule that) baring any hang ups with my insurance I should be good to go :)

Congrtas! I cant wait till everything is sent to my insurance, probably in a couple weeks, gotta met with surgeon after my last appointment this wed. and then just wait and see. I am so nervous!! I do not want a denial letter or call!!

I know. It will all be way more real after i hear back from my insurance with an approval. Good luck to you!

  • Author
oh no! they talked about that same thing youre having to do in the support group tonight. Tey said there is a lot of risk having surgery if your BMI is 60 or above so the surgeons require weight loss first. I know you can do! back in the day I could lose 50 in two months (with diet pills lol)...not any more! lol ya' date=' I am getting close and very nervous about what insurance will say. But I cant wait to find out! after Wednesday we will see! good luck, and kick butt! YOU CAN DO THIS!!!!!!![/quote']

Apparently my insurance is easy peasy and not that strict bc I met with the insurance lady right after the surgeon and she said that with my health issues and Weight I met the requirements. I already know what my portion of the surgery is and everything, which isn't as bad as I expected. I think you will be fine with your insurance! I know you are nervous though! And thanks! I'm trying to kick butt....lol. I did really good yesterday. I only had 1301 calories. For my size that's is really good! Hopefully I can keep it up. I'm worried about the weekend more than anything.

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