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

Recommended Posts

Went to the dr today for a weight management class. With my insurance we have to have 3 months of weight management classes. Ok...my husband is going to have the surgery as well...so when they gave him his paper work he had like 4 classes. So I was like we only need 3 for our insurance. So I asked them about it today when I went for my 2nd class. The lady told me she was going to check on it and get with me after class. So she comes to me and tell me that Aetna has changed there policy. Aetna took away there loa or something like that (it deals with the cost)...whatever it is, aetna has dropped the office we go to, off that list of meeting that qualification and because they did that we have to do 6 weight managements instead of 3...so my surgery went from October to the end of November or sometime in December....IM REALLY UPSET ABOUT THIS.....

BE BLESSED!!

Share this post


Link to post
Share on other sites

I would be upset too. But look at it this way. There is a reason for everything, whether you figure out that reason or not. God does not just change things for no reason. He has a plan. I was upset when I learned how long it would be before I could get the surgery. But in the end, I was happy with it. It gave me enough time to really come to terms with what I was about to do. It gave me time to truly prepare.

I kept reminding myself that God has a reason, when I finally understood, I was glad.

Your turn will be here before you know it. In the meantime, keep praying, stay engaged with the program and remember patients. :)

Share this post


Link to post
Share on other sites

I too am required by insurance to do the 6 month management program. I will be having surgery either December or January.

I was bummed at first, I could have done 3 months.. but 6 months? I am in my 2nd month now and it is flying by fast. So much to prepare and get ready for.. So much to learn, eating habits and life style.

I would have had the surgery today if I could, but am thankful that I have time to "get ready" for it.

Hang in there and use this time to get ready for a new you!!

Share this post


Link to post
Share on other sites

I would be upset too. But look at it this way. There is a reason for everything' date=' whether you figure out that reason or not. God does not just change things for no reason. He has a plan. I was upset when I learned how long it would be before I could get the surgery. But in the end, I was happy with it. It gave me enough time to really come to terms with what I was about to do. It gave me time to truly prepare.

I kept reminding myself that God has a reason, when I finally understood, I was glad.

Your turn will be here before you know it. In the meantime, keep praying, stay engaged with the program and remember patients. :)[/quote']

Yes are are right!! It would not have been so bad if I knew from the start it was 6 months but I was told 3 months...but ur right God does everything for a reason. Thanx

BE BLESSED!!

Share this post


Link to post
Share on other sites

My program was 6 months. Then it took another 6 months to get a date due to the surgeons being so booked. During that time I was able to tackle things that I was not able to get done during the first 6 months.

Specifically, I worked on losing more weight, tackling head hunger, sipping, timing meals, planning meals, building my leave at work, etc. It also allowed me to get my immediate family on board prior to surgery so that post-op I could recover and not have to explain every little thing to my kids.

It was something I was very unhappy about at the time, but grew to love and appreciate.

Share this post


Link to post
Share on other sites

Be thankful your insurance pays anything. Mine doesn't even give me the option, so I'm self pay. I could have surgery tomorrow if the money fairy showed up tonight. But instead I've spent more than a year saving $$$ for my surgery and still have about 6 months to go, so like the others posters already said, thank God for your blessings and use the extra time preparing for your life changes.

Share this post


Link to post
Share on other sites

I too am required by insurance to do the 6 month management program. I will be having surgery either December or January.

I was bummed at first' date=' I could have done 3 months.. but 6 months? I am in my 2nd month now and it is flying by fast. So much to prepare and get ready for.. So much to learn, eating habits and life style.

I would have had the surgery today if I could, but am thankful that I have time to "get ready" for it.

Hang in there and use this time to get ready for a new you!![/quote']

True!! I will use this time to play around with the Protein shakes. Hopefully I can find a few I can deal with. Thanx!!

BE BLESSED!!

Share this post


Link to post
Share on other sites

Be thankful your insurance pays anything. Mine doesn't even give me the option' date=' so I'm self pay. I could have surgery tomorrow if the money fairy showed up tonight. But instead I've spent more than a year saving for my surgery and still have about 6 months to go, so like the others posters already said, thank God for your blessings and use the extra time preparing for your life changes.[/quote']

Oh wow...I'm happy but I was just a little upset when she told me because I wasn't expecting that but God has it all under control. Im ok now..it was just that moment!! Thanx and I wish u many blessings on your journey.. keep me posted on your surgery!!!

BE BLESSED!!

Share this post


Link to post
Share on other sites

My program was 6 months. Then it took another 6 months to get a date due to the surgeons being so booked. During that time I was able to tackle things that I was not able to get done during the first 6 months.

Specifically' date=' I worked on losing more weight, tackling head hunger, sipping, timing meals, planning meals, building my leave at work, etc. It also allowed me to get my immediate family on board prior to surgery so that post-op I could recover and not have to explain every little thing to my kids.

It was something I was very unhappy about at the time, but grew to love and appreciate.[/quote']

Oh ok..well maybe I can work on some of those things as well..except the kids part because I have none...YET! But Thanx for the info and encouragement.

BE BLESSED!!

Share this post


Link to post
Share on other sites

Oh wow...I'm happy but I was just a little upset when she told me because I wasn't expecting that but God has it all under control. Im ok now..it was just that moment!! Thanx and I wish u many blessings on your journey.. keep me posted on your surgery!!!

BE BLESSED!!

Thanks and you too!

Share this post


Link to post
Share on other sites

Thanks and you too!

Of course!!

BE BLESSED!!

Share this post


Link to post
Share on other sites

BTW, I found a neat way to help me "kill time" until my surgery and still make me feel like I'm moving forward. Each month I give myself a new life change goal. I started taking a daily Multivitamin. Then I weaned off caffeine. Then I started drinking at least 64oz. of Water everyday. I will eventually add in eating slower and chewing every bite until its mush :) and not eating anything after 8pm, walk a little more each day, etc. so by the time I have the surgery, all these things will already be "old habits"

Share this post


Link to post
Share on other sites

BTW' date=' I found a neat way to help me "kill time" until my surgery and still make me feel like I'm moving forward. Each month I give myself a new life change goal. I started taking a daily multivitamin. Then I weaned off caffeine. Then I started drinking at least 64oz. of Water everyday. I will eventually add in eating slower and chewing every bite until its mush :) and not eating anything after 8pm, walk a little more each day, etc. so by the time I have the surgery, all these things will already be "old habits"[/quote']

That makes perfect sense!! I want to start excerising but I have djd and arthritis is my lower back and im only 25 yrs old. So it makes it hard for me to do hardly anything. That's another reason I was really looking forward to having my surgery soon. I've been in pain for over 2 yrs. But I think I need to start knocking things off as well. I dont really drink drinks with sugar...I love diet green tea!!! But thanx. This info has really made me feel better about my not so good news today!!!!!!!!!

BE BLESSED!!!

Share this post


Link to post
Share on other sites

I have Aetna and they required 90 days of nutrition classes/ supervised diet. I finished and they decided that I needed 1 more appt. which seriously was ridiculous... But you jump through the hoops the insurance makes you jump through in order to get what you need. It's just the way it works...

Share this post


Link to post
Share on other sites

I have Aetna and they required 90 days of nutrition classes/ supervised diet. I finished and they decided that I needed 1 more appt. which seriously was ridiculous... But you jump through the hoops the insurance makes you jump through in order to get what you need. It's just the way it works...

Yep. It's crazy. When I 1st started this journey, that's what I was told 90 days weight management. But it's ok!! How long did it take for Aetna to approve you??

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

    • 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.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 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

    ×