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6 month medically supervised diet policy changes?!?!?!?!



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Hi! I am 4 1/2 months into the supervised diet. There was recently a policy change regarding the sleeve with my insurance. So, I called to verify what I was reading. The rep went over it with a 2 supervisors and called me back a few days later. I was told that the sleeve DOES NOT require a supervised diet now and to go ahead and submit all my info, including what I have completed with the diet of 4 1/2 months!!!!! I hope they are right! Everything is being put together to submit. Oh my gosh! I AM SO EXCITED!!!!!!

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What insurance is this?

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Highmark BCBS of Pennsylvania

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It is probably because they are seeing the statistics about the success of VSG surgery. Spending 15K now will save them 10X that amount in the long run.

15K now for sleeve surgery or 100k later heart surgery

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Sweet!! I just finished my 3 month required and finally have a date.. but know how exciting it is to be this far! Go get em!!

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congrats!!

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Sorry im new to this but my sister in law git the surgery done about a month ago and she talk me into it. Well at first I was scared and didnt want it done but now I see all these great sotries and its time for me to have a healthier life not only cause of myself but for daughter's. So now in just waiting for insurance to kick in hopefully ill get approved.

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Thanks everyone! We are leaving on vacation tomorrow for a week for some beach, sun and R & R. As I was packing up stuff, I was doing a little mental party knowing this will be the last year where I hate putting on a swimsuit (I do it to be able to participate with my kiddos) and next summer I will be a healthier me. Much like the old me about 14 years ago. At least our summers always seem to fly by! I can't wait to get the approval back from insurance within a couple weeks! Eeeeeek!!!!! So excited!!!! :)

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I have BCBS Iowa and my insurance only requires 1 supervised NUT visit. I initially went to True Results and they told me I had to do 6 visits but a private doctor told me I only had to do 1 visit.

Is anyone else experiencing the same situation?

I think I am going to go with the private doctor. I think True Results is trying to scam me. I looked into my billing summary and explanation of benefits and they billed for Breathing problems and sleep apnea. That is not what I went in for, It was suppose to be a supervised weight-loss visit.

Is that strange or what?

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I have my last weight check on July 3rd then they can submit mine to the insurance. Can't wait.

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How many did you have to do and what insurance do you have?

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I have BCBS of Iowa and I am required to do 6 months, I wish it was less but that is what the insurance company told my Dr. Office.

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I got exciting news yesterday when I went for my 1st education module, as of Monday, BCBS Iowa has ended the 6 month supervised diet requirement!!!! Yay, now I am scheduled to meet with the surgeon on Sept. 4th and I should be able to get sleeved yet this year!

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Question to those doing the 6 months supervised weightloss.... On the very first day do they do blood work and stuff? Im kinda afraid of needles. Just wondering what I need to be expectiing tomarrow... if anyone can tell me that would be awesome. :)

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    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

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