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

Recommended Posts

So I had my seminar today, and am super stoked about this. One negative to it is I have to do 1 WHOLE year of supervised diet which I can totally deal with but it does kinda suck because I was hopeing for only a 6 month diet. But I was told if I could switch to another insurance which is still part of my insurance just a different plan. Then I would only have to do 6 month diet. Which is awesome! So I'm going to talk to my insurance to make sure there will be no penalties and see about switching to this other plan. I still am going to see tbhe doc and everything will basically roll over and I won't have to start over. So far I have the seminar done off the check list of requirements. So here ill list what insurance requires.

-seminar

-class attendance (which is educational classes there are 2 before surgery)

-consult with surgeon (which is next week on 8/30)

-5 years of past med records (weight documented 2-3office visits a year... which I have)

-BMI 35- with 1 co-morbidity (my bmi is freaking 55 and I have high blood pressure)

-12 months of physician supervised diet (unless I switch plans then only 6months)

-psychological eval (with MMPI what the heck is mmpi lol)

-pulmonary clearance

-cardiac clearance

-letter of recomendation from pcp (med necessity)

-documentation from pcp on smoking cessation for min of 6 months (not sure what this is!)

-maintain food diary (not sure for length of time will def ask surgeon)

-physical activity log (same as food diary ask surgeon)

I'm extra excited that I've gotten this taken care of and I'm very suprised that it really isn't too much asking for except the length of time it takes! I'm just excited about this whole thing, and my surgeon is very honest and careing. And he seemed definitely great! So I'm just excited to see what the next year brings! Because I've been trying to get this taken care since 2010 and since I found a doctor who knows what they are doing now I can actually get this done! I cheers to that. Oh and found out the drug screen and alcohol and tabacco screen too (which I don't smoke or do drugs but occasionally have a drink! So idk how that's gonna work out!)

Share this post


Link to post
Share on other sites

So I had my seminar today' date=' and am super stoked about this. One negative to it is I have to do 1 WHOLE year of supervised diet which I can totally deal with but it does kinda suck because I was hopeing for only a 6 month diet. But I was told if I could switch to another insurance which is still part of my insurance just a different plan. Then I would only have to do 6 month diet. Which is awesome! So I'm going to talk to my insurance to make sure there will be no penalties and see about switching to this other plan. I still am going to see tbhe doc and everything will basically roll over and I won't have to start over. So far I have the seminar done off the check list of requirements. So here ill list what insurance requires.

-seminar

-class attendance (which is educational classes there are 2 before surgery)

-consult with surgeon (which is next week on 8/30)

-5 years of past med records (weight documented 2-3office visits a year... which I have)

-BMI 35- with 1 co-morbidity (my bmi is freaking 55 and I have high blood pressure)

-12 months of physician supervised diet (unless I switch plans then only 6months)

-psychological eval (with MMPI what the heck is mmpi lol)

-pulmonary clearance

-cardiac clearance

-letter of recomendation from pcp (med necessity)

-documentation from pcp on smoking cessation for min of 6 months (not sure what this is!)

-maintain food diary (not sure for length of time will def ask surgeon)

-physical activity log (same as food diary ask surgeon)

I'm extra excited that I've gotten this taken care of and I'm very suprised that it really isn't too much asking for except the length of time it takes! I'm just excited about this whole thing, and my surgeon is very honest and careing. And he seemed definitely great! So I'm just excited to see what the next year brings! Because I've been trying to get this taken care since 2010 and since I found a doctor who knows what they are doing now I can actually get this done! I cheers to that. Oh and found out the drug screen and alcohol and tabacco screen too (which I don't smoke or do drugs but occasionally have a drink! So idk how that's gonna work out!)[/quote']

Looks like you are getting your ducks in a row. About the plan switch isn't January "open season" for your insurance change. That's only 4 months away. So iif you keep doing the supervised diet by the time you switch it will only be 2 month!

The documentation from pcp on smoking cessation is only a requirement if you are a smoker and you say your not and never have been. So its just what they require of smokers and doesn't apply to you! Yeah!

As to the psych veal with MMPI that stands for Minnesota Multiphasic Personality Inventory it provides clear, valid descriptions of people's problems, symptoms, and characteristics in broadly accepted clinical language. It has ten validity scales and a host of supplementary scales. Basically it is an interview that asks many questions then determines your strongest personality traits. Your counsellor should be a bariatric specialist so that she/ he can interpret your results and apply them to WLS. You can then see how your personality with be impacted by the surgery and what you specifically should be looking out for your personal pitfalls based on your results. It can be a great tool for you.

About the food diary I use myfitnesspal you can access it on a smart phone with an app and on the computer(you need the computer to input your person caloric goals and carb Protein fat ratios. Then you can keep track of all you eat and summaries of how you did on a weekly or monthly basis. Oh and you can log your exercise in it also.

Oh one more thing the cardic and pulmonary clearances are usually comorbidity driven. Meaning you only need the ones that apply to you. For me that means a definite cardiac clearance (I have Atrial fib and high blood pressure) but no asthma copd or other pulmonary issue so I do not need a pulmonary clearance.

Hope that helps and good luck!

Share this post


Link to post
Share on other sites

This definitely helps thank you sooo much! And I have to get both cardiac and pulmoary because I have high blood pressure and asthma (although my asthma hasn't bothered me for a long time like it used to I have to get both clearances!)

But thanks sooo much you like answered everything for me! I'm definitely excited, and I'm not sure if january is or not! I was talking with my mom and there are 2 different open enrollments for my insurance (but I only get 1) we aren't sure if it was july or if its in like january/febuaryish! Haha we are caling my insurance tomorrow to double check everything with them. So I'm happy to say soon ill be having my bypass done and feeling tons better about myself! I cannot wait for this life changing event!

Share this post


Link to post
Share on other sites

You can do it. Remember we didn't gain in one day so can't lose in one day.

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

    • ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 3 replies
      1. AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

        Congratulations! You're making excellent progress and looking amazing!

      3. BabySpoons

        So proud of you Cat. Getting into those smaller size clothes is half the fun isn't it?. Keep up the good work!!!!

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 1 reply
      1. BabySpoons

        That's brilliant! You've done amazing!! I should probably think about changing my profile picture at some point. Mine is the doll from Squid Games. Ironically the whole premise of the show is about dodging death. We've both done that...

    • 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! 😞
      · 1 reply
      1. kezbeth

        I may have to have gall bladder surgery during my weight loss surgery. Not thrilled about it either but do not want 2 recovery times. Just want it over with.

        Thanks for your post. I may need to rethink my decision... :(

  • 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

    ×