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Lost!

Hello I am in the process of trying to get the gastric bypass.. an I just feel like I'm in this constant confusion.. the surgent keeps sending me for all these tests an everytime I try an ask questions from anyone in his office I don't get any answers.. I have no idea what I should be doing to prepare myself or my house

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Welcome!!! What stage are you at? Like I have to do 6 months supervised weight loss insurance required. I and most others have to have same test and some more test then others. Such as EKG ENDOSCOPY PULMONARY FUNCTION TEST AND BLOOD WORK PSYCH EVALUATION. Each doctor and insurance company differs in what they require prior to surgery

  • Author
Welcome!!! What stage are you at? Like I have to do 6 months supervised weight loss insurance required. I and most others have to have same test and some more test then others. Such as EKG ENDOSCOPY PULMONARY FUNCTION TEST AND BLOOD WORK PSYCH EVALUATION. Each doctor and insurance company differs in what they require prior to surgery

I've had all tests done an they say they don't send things to insurance untill after my tests.. so I don't even know if my insurance is going to require the 6month dieting. I've been on everything even the doctor office diet pills but my gyno stopped me on that because I have pcos. I'm just lost in what steps are next an what not. I'm not really getting answers.

What insurance company do you have? You can always call them and ask the requirements and to even see if your policy covers it

  • Author
What insurance company do you have? You can always call them and ask the requirements and to even see if your policy covers it

Blue cross .. that's a good idea

I have BCBS Highmark. I know BCBS requires 6 months supervised weight loss

Are you going through your regular doctor? I am trying to figure out where your at in the process like do you already have a surgeon and he ordered the tests?

  • Author
Are you going through your regular doctor? I am trying to figure out where your at in the process like do you already have a surgeon and he ordered the tests?

I'm going thru a surgent. I've had all testinng done an psych eval.

If they are a good bariatric surgeon with a good staff they should have a check list that you go thru. First call your insurance company and see what they require. If you are having tests now you need to make sure they carry over to next year. Because if you are required to have a 6 months supervised diet you will be into next year for your surgery date. You have to be proactive and the first place to start is with your insurance company.

Hello! I also have wellmark blue cross (of Iowa.) And I know there are several diff plans just in Iowa. I started this journey in april, had my initial consult with the surgeon, my nutritional consult, my psyc evaluation. When I received the eob (estimate of benefits) it was paid out as an out of network provider.. the surgeon was in the wellmark provider group but no longer a "Blue choice" plan provider. CONFUSING! And can't believe no one In their office could have said that during all my visits. I had called bcbs several times and they can not and will not release bariatric requirements. It must go thru your surgeon. (Really makes me crazy) long story short .. I changed surgeons, and couldn't be happier ! This surgeon had everything laid out and has kept me well informed. I did have to have the 6 month supervised diet. Make sure you're comfortable with your surgeons and their staff! If you're not getting the answers you need, maybe you should look into other offices.

Ps.. I originally was wanting the "sleeve" after going to this surgeon he told me that with all my stomach problems (caused by gerd) there was no way I was a candidate for that type of weight loss surgery. (Things happen for a reason! ;) )

Keep your chin up! This is a long journey but keep thinking about the long term outcome! I am scheduled for surgery next Friday. ;)

I have BCBS Horizon I called them and they sent the entire info packet to me. I new what I had to do, before the surgeon told me. Call they will help you. If you have proof if all the doctors weight loss you participated in that half the battle.

  • Author
Hello! I also have wellmark blue cross (of Iowa.) And I know there are several diff plans just in Iowa. I started this journey in april' date=' had my initial consult with the surgeon, my nutritional consult, my psyc evaluation. When I received the eob (estimate of benefits) it was paid out as an out of network provider.. the surgeon was in the wellmark provider group but no longer a "Blue choice" plan provider. CONFUSING! And can't believe no one In their office could have said that during all my visits. I had called bcbs several times and they can not and will not release bariatric requirements. It must go thru your surgeon. (Really makes me crazy) long story short .. I changed surgeons, and couldn't be happier ! This surgeon had everything laid out and has kept me well informed. I did have to have the 6 month supervised diet. Make sure you're comfortable with your surgeons and their staff! If you're not getting the answers you need, maybe you should look into other offices.

Ps.. I originally was wanting the "sleeve" after going to this surgeon he told me that with all my stomach problems (caused by gerd) there was no way I was a candidate for that type of weight loss surgery. (Things happen for a reason! ;) )

Keep your chin up! This is a long journey but keep thinking about the long term outcome! I am scheduled for surgery next Friday. ;)[/quote']

Congratulations on your surgery::) an thank you. I to wanted the sleeve but because of my acid reflux an hernia I couldn't get it. I feel comfortable with my surgent just not so sure with his staff yet.

  • Author
I have BCBS Horizon I called them and they sent the entire info packet to me. I new what I had to do' date=' before the surgeon told me. Call they will help you. If you have proof if all the doctors weight loss you participated in that half the battle.[/quote']

Thank u. I only have proof of a month.. I had a really crappy doctor she had no faith in me an treated me like I was a liar when I dieted an exercised an couldn't lose weight.. come to find out when I found a new doctor an finally got to see a gyno that I have pcos which affects my body from losing weight.. she took me off the doctors diet pills an that's when I started looking into surgery..

  • Author
If they are a good bariatric surgeon with a good staff they should have a check list that you go thru. First call your insurance company and see what they require. If you are having tests now you need to make sure they carry over to next year. Because if you are required to have a 6 months supervised diet you will be into next year for your surgery date. You have to be proactive and the first place to start is with your insurance company.

I have a check list of all the tests I needed. Which I'm done with.. so now I'm just waiting on insurance I think..

  • 5 months later...

Who is your dr mine is versteeg

My journey was 8 months of jumping through loops.. hang in there!

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