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

does anyone have health first ny insurance does it require 6 months supervised diet



Recommended Posts

I trying to figure out but i cant find it anywhere, does health first ny require a 6 month supervised diet????

Share this post


Link to post
Share on other sites

Have out tried calling them to see what their guidelines are?

Share this post


Link to post
Share on other sites

I have health first ny and I'm on my 3rd month of supervised diet.. Yes they do require it

Share this post


Link to post
Share on other sites

Thanks @aspiring 424

I was hoping I didn't have to do supervised diet

What else do they ask from u?

I was told they could ask for 3 months or 6 idk

Share this post


Link to post
Share on other sites

The time goes faster than u think..by the time u get all ur test done.. ur half way there.. u need to have a sleep study if u snore.. endoscopy. .. pulmonary test .. a echo and a psych eval.. I have done my sleep study and my echo..Wed I go for my psych eval and pulmonary.. then on Monday I have my endoscopy. . I'm half way there and I feel like I just started..

Share this post


Link to post
Share on other sites

Wow really damn Ur almost done... I just hope I don't do all that and then get denied ...but I gotta think positive.

Where r u getting Ur surgery done

Share this post


Link to post
Share on other sites

Columbia Presbyterian ...it's in Manhattan. .. yea after Oct 6 I will have all my test done and only have to weigh in with my pcp.. u get so into getting these appts and getting them done time flies.. I should have my surgery scheduled for feb..

Share this post


Link to post
Share on other sites

Ohh im getting mines at LIJ of forest hills

I'm excited and nervous all at the same time... I've been wanting this for so long but because I didn't have insurance I had to wait. What kind of bariatric surgery r u getting, I decided on the RNY BYPASS.

It nice to have someone to talk to and ask question especially since were in the same city with the same insurance

Share this post


Link to post
Share on other sites

U can email me @ aspring424@gmail.com... I am also getting the RNY BYPASS.. first I went in wanting the sleeve but i have really bad reflux and sleeve would make it worse...I felt I didn't want something so invasive.. but i did my research.. girl I regret not doing this earlier.. but our time will come..

Share this post


Link to post
Share on other sites

Aspring424 I'm having my surgery there too! With Dr bagloo

Share this post


Link to post
Share on other sites

@OhSoNique.. Thanks my surgeon too!!!! When are u having surgery?

Share this post


Link to post
Share on other sites

@@Aspring424 was suppose to be Sept 30th. When I 1st started last yr, I meet with the nurse and told her I wanted the lap band because at that time I thought it was a better choice. Less invasive and reversible.

So I did the nutrient seminar and everything in Oct 2013 and they was just waiting for my 6 month diet which by nov 2013 I would have been done. I had my psych evaluation oct 7 13, but then I got a promotion in nov n got really busy and I just pushed the surgery on the back burner. I found this site and another ones and read about the sleeve and decided I wanted that one instead. Too much problems and follow ups for the band. Also Didn't help that my dr office held on to the papers for months and the lady lied and said she mailed things in. Finally got refocus and demanded the lady at my dr office just give me the papers n ill do it myself. So I faxed everything in August and I called UHC in sept and good thing cuz I got submitted for the sleeve. So they had to close the case and I was on vacation the last week n half so I have to wait till 10/7 to meet with Dr. Bagloo and finalize on the sleeve so they have notes on that to resubmit to UHC. And since my psych is oh good for a yr I have to do it again. So I go 10/2 to do that. So hoping for a early nov, last oct date! I'm so ready!

Share this post


Link to post
Share on other sites

I hear u.. I started August if this year.. I have my psych evaluation on wed... And Thursday my pulmonary and 3rd weigh i .. Then my endo on Momday 10/6 .. I don't see the nut til jab.. But by then I will be done with my weigh ins..at first I was anxious... Like omg.. 6 months.. But it's going so fast...I can't wait either.. I've been ready!!! I'm going for bypass.. I have reflux and sleeve would make it worse ... How is ur experience with the surgeons office? I love the NP.. She is so nice and always emails me back on the PT portal

Share this post


Link to post
Share on other sites

@@Aspring424 what pt portal? Lol... I like them, everyone is nice. I like Jodie the lady who is in charge of dealing with the insurance. Nancy the nutritionist is nice too. I hope I don't have to do the endo, but pulmonary was on my paper but I had one two years ago n had to pay $340 and I don't have that money to do it again lol. You live in Manhattan? I go down there next Tuesday.

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

    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 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

    ×