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

Recommended Posts

My surgeon let us all know in orientation he will not perform surgery if you gain weight but he doesn't require weight loss. If the requirement to lose weight is based solely on insurance, you definitely should contact your insurance company. It might give the chance to make a connection with a case worker or nurse coordinator. I called my insurance to ask a bunch of questions and I ended up with a case manager. She calls me every couple of weeks and we talk about diet, activity, stress and whatever else comes up. She is also in touch with surgeons office and plans to make her own recommendation when the paperwork is submitted. I'm praying for a quick approval. :-) Good luck!

Share this post


Link to post
Share on other sites

I called Cigna and they told me that if I were to have lost a lot then it wouldn't be a need for surgical intervention. They said if anything it would benefit my request for approval and prove my struggle with weight loss. Suprised! I submitted to Insurance today too. Now im excited.

Share this post


Link to post
Share on other sites

I called Cigna and they told me that if I were to have lost a lot then it wouldn't be a need for surgical intervention. They said if anything it would benefit my request for approval and prove my struggle with weight loss. Suprised! I submitted to Insurance today too. Now im excited.

That's awesome BJ. Keep us informed!!!!!

Sent from my iPad using RNYTalk

Share this post


Link to post
Share on other sites

I called Cigna and they told me that if I were to have lost a lot then it wouldn't be a need for surgical intervention. They said if anything it would benefit my request for approval and prove my struggle with weight loss. Suprised! I submitted to Insurance today too. Now im excited.

Sweet! I'm excited for you! I can't wait to submit my paper work. 3 more weeks...

Share this post


Link to post
Share on other sites

Sweet! I'm excited for you! I can't wait to submit my paper work. 3 more weeks...

Mskami77 I'll be submitting my paper work in 2 1/2 weeks : )

Sent from my iPad using RNYTalk

Share this post


Link to post
Share on other sites

Cool! Maybe we'll have surgery around the same time. I'm going to be a nervous wreck until I get a date!

Share this post


Link to post
Share on other sites

Cool! Maybe we'll have surgery around the same time. I'm going to be a nervous wreck until I get a date!

That would be cool. I know. I'm nervous, excited and everything in between!!!

Sent from my iPad using RNYTalk

Share this post


Link to post
Share on other sites

It could be any day now... Still waiting for insurance approval. For my fellow Cigna insurers, how long did it take for you all?

Share this post


Link to post
Share on other sites

It could be any day now... Still waiting for insurance approval. For my fellow Cigna insurers' date=' how long did it take for you all?[/quote']

my close friend had RNY with Cigna, she waited long though, I think close to 2 weeks. Good luck :)

Share this post


Link to post
Share on other sites

I'm going through this same situation. I lost a few lbs for my first 2 appointments and them gained my last two. Total gain from original weight was 1 or 4 lbs ...don't remember specifically. I was told by a friend who had the surgery it didn't matter if i lost or gained i just needed to go.... i in all honesty did not take the visits seriously.

So wed the dr office submitted my paperwork...i decided to go on the aetna website to check requirements just to look at them...it was there i read you could not gain weight during the dietician visits. I called my coordinator and she said not to worry about it but i can't help but be concerned as well. I should find out soon if I'm approved.....i just hope i don't get denied over 4 lbs max....i know i could doit just didn't realize it was a requirement.or i would have been disciplined! So mad at myself. I'm gonna keep my fingers crossed for you! Let us know what happens!

Share this post


Link to post
Share on other sites

It could be any day now... Still waiting for insurance approval. For my fellow Cigna insurers' date=' how long did it take for you all?[/quote']

I have cigna as well. Pain in the butt. I got denied twice before they finally approved. My doctor had to make my case sound really good before they would approve. Each time they submitted it took maybe 3 days before hearing a reply. Just remember if they deny you, don't give up, it's probably something simple that your doctor forgot to submit. I also heard that if they continue to deny you that it is good to appeal. Just don't give up. Good Luck to you.

Share this post


Link to post
Share on other sites

Sooooo I called my insurance this morning because I couldn't take the suspense and they told me I was approved!!!

B.J, I have Aetna which I know is not the same as yours but hopefully the outcome will be the same since it was a small gain. Keeping my fingers crossed for you!

Share this post


Link to post
Share on other sites

Sooooo I called my insurance this morning because I couldn't take the suspense and they told me I was approved!!! B.J' date=' I have Aetna which I know is not the same as yours but hopefully the outcome will be the same since it was a small gain. Keeping my fingers crossed for you![/quote']

Congrats!!

Share this post


Link to post
Share on other sites

Sooooo I called my insurance this morning because I couldn't take the suspense and they told me I was approved!!!

B.J' date=' I have Aetna which I know is not the same as yours but hopefully the outcome will be the same since it was a small gain. Keeping my fingers crossed for you![/quote']

Your post just made me happy! I hope Aetna approves mine quickly. I won't submit till October 7 or 8.

Share this post


Link to post
Share on other sites

Your post just made me happy! I hope Aetna approves mine quickly. I won't submit till October 7 or 8.

I was totally suprised it took this short of time to approve! My coordinator told me she submitted wednesday afternoon right after my final appointment and come Monday morning I called and it had just been approved right before I called! Aetna told me it only takes 7 to 10 days and my coordinator told me 3 weeks but it came in 5 days so I was super excited! I'll say a little prayer yours comes quick as well! :D

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

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 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

    ×