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

Recommended Posts

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

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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?

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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. ;)

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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..

Share this post


Link to post
Share on other sites

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..

Share this post


Link to post
Share on other sites

Who is your dr mine is versteeg

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

    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 1 reply
      1. BabySpoons

        Amazing! Congrats!!! Watch out for the sharks. 🦈

    • Mr.Kantos

      Just signed up. Feeling optimistic.
      · 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

    ×