I am just starting my journey. I have Humana Gold PFFS and wanted to know if anyone else had the same insurance and how long did it take for the process beginning to surgery date? Thank you,

Shanika

I'm scheduled for revision from lapband to VSG May 23rd with Dr.Alvarez in Mexico. Current BMI is 32. I started my lapband journey on 2-28-12 at 244 lost down to 178. My band only worked for about 8 months. Have been miserable since with constant pain when I try to eat..throwing everything up..left shoulder pain. I'm currently back up to 217 lbs. I can't wait for my surgery but I'm beyond nervous!! Anyone else with a similar story??

I'm getting my first set of blood work tomorrow...I haven't heard of anyone in my area getting a sleep apnea study

I'm getting my first set of blood work tomorrow...I haven't heard of anyone in my area getting a sleep apnea study

Unless you're doing it to establish a co-morbidity, it's usually just done to fulfill insurance requirements. Most insurance plans moved away from all of the clearances and sleep study requirements. But there are some that still require them. Just like some plans require PCP clearance or letters of medical necessity. Mine doesn't, but just about all the docs I considered wanted me to get it. I guess they've just adopted some insurance requirements into their practice to make sure all the bases are covered.

I'm not required to do one.

I am required to get a letter of recommendation from my PCP stating they support my decision to have bariatric surgery, I go in the morning, yay

The place I go to submits the weight after the surgeons appointment. So you have the time to lose any weight required to lose.

I'm glad about that too because I would have been denied immediately

Im new to the journey. I have my appointment for the referral on the 29th. Keeping my hopes up to be able to start the process. Best of luck to you as well. Hopefully we can begin the road to the losers bench soon! Take care, E.

I'm almost mid way through a 6 month physician directed weight loss attempt for my insurance. They don't specify a number or percentage to be lost. You literally cannot be bigger than when you started and at the middle weigh in you have to be smaller than the first. I think my bmi was over 40 but I do have hypertension, too. I'm drinking protein shakes and chicken breasts. Exercise is hard at this weight but by any means....

I have just started too. I have some apointment set for starting the million dollar check-up. I can not offer anything about your insurence. I have BCBS of DE and they require the 6 mth doctor monitored program. So it will be fall for mesometime.

I am new to this process also. I have first appt today to start my 3 month eval and to see what further testing i may require. I am nervous. I am going to a Baraitric Specialist Center so my doctor is refereing me to other doctors in the center but for some of the testing it is less expensive to you outside specialist (GI, sleep test). I am wondering will it take longer to approve if I used outside specialist than if i just pay the extra funds to use the referred specialist .

Im so excited for all of us! We are well on our way. My initial appointment for the referral is on the 29th. Im excited and nervous but I know there is no turning back. This is very important to me. Hopefully we can encourage each other during the highs and lows and stay updated throughout the process. God bless.

Edited April 21, 201412 yr by erieb2healthy_2014

Hello all!

Thanks for everyone's response to the topic. I do have an update my insurance requires 6 month nutrition classes pyshc eval and dietician eval and EGD. I went to my dietician eval May 13 and did 2 of my 10 required nutrition classes Yay! 8 more to go and found out my last visit w/my doctor in April will count as 1 of my 6 months. I am so excited Surgery is looking to be October. My insurance approval turnaround is 2 days I have a friend that just switched to my insurance her surgery was approved in 2days~ My pysch eval is June 3 and I also have 3 more nutrition classes that day Yay I will be half way finish with those!!!!

I'm half way thru the process. Im actually finishing up with my cardiology test as we speak. All I have left is a seminar, nutritionist, psych eval, & my office visit with my support person. I'm looking at August/September surgery. Excited & nervous at the same time...

Edited May 17, 201412 yr by leenieceymic1

I started in April, after I finish the required 6 months of weight management I'll have a nut appointment and that's it. It seems like a never ending hurry wait wait game. Lol

Hey all...another newbie here. I have 3 months of supervised diet, psych eval, stress test and sleep study to complete. I hope to be approved by late August/early September. Good luck to everyone!

Also new here. I had my consultation with surgeon on Friday. Went to have blood drawn this morning. I'm hoping to hear something back in the next week or so about getting insurance approval. I've already done the psych eval and had nut assessment. If insurance approves, all I have left to do is pre-op appt. with surgeon, pre-op meet with nut, and set a date! Fingers crossed that insurance comes through....... I'm really hoping to be able to have the surgery by the end of June. Not sure if that's feasible, but that's what I'm hoping for!!