Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🎉 "1 per Day!" Bariatric Multivitamins

May bubble got busted a while ago

wannaBthinsoon

Recommended Posts

wannaBthinsoon    1,634

wannaBthinsoon
Posted

I started this journey last April. Knowing full well that my hubs insurance did not cover WLS. I quit smoking. I had a sleep study and was diagnosed with sleep apnea, and now use a c-pap. I went on a 6 month PCP supervised diet, which was just completed in time for my new insurance to be in effect. Someone I work with told me UHC will require ANOTHER 6 month PCP supervised diet once I have the insurance, beginning in January. WHY?? How does that make sense? The doctor kept record, he kept notes. I kept a food journal. I weighed in each month without fail. WTF?!! Am I worrying for no reason? I contacted the bariatric hospital who works directly with my insurance, and they said that since I did all this (already) I would only need 3 additional appts to be submitted for approval. But my heart is broken thinking I will have to start back at square one. That could damage my attitude beyond repair. Anyone out there know???

Share this post

Link to post
Share on other sites

CanyonBaby    1,852

CanyonBaby
Posted

Oh what a heartache, and I can seriously feel your frustration. I actually did self-pay since I knew that my insurance (who demanded 6 month nonsensical pre-crap "We're not gonna let you do it anyway" )would bail out last minute after I did everything. They do that- mine does, anyway. So we dug around and financed it ourselves, cuz it is worth every penny. But hang in there, I firmly believe everything happens for a reason and in the time it was meant to happen, even though we may not be able to see the reason now. If you can, be patient and try to focus on the after-life once your surgery is done. Start planning what you can do, where you can go what you will wear once it's all said and done. In the meantime, continue on as you have been, and know that it'll help all you have already done. Good luck to you and Merry Christmas!

Share this post

Link to post
Share on other sites

athena3127    199

athena3127
Posted

If i were in your shoes u would continue with the monthly dr visits... Even I the insurance requires only 6 then you won't be missing any and will have extra. Keep doing what your doing. All insurances are different and I would suggest talking with the surgeons office who will be doing your work. Although I had to have the special 6month dr monitored diet as well my dr had a specific form that had all the specific information. Which my insurance required. Check with you surgeon... They should be able to help you even in advance of coverage so that you will know whAt will be required. Head up and stay positive. If it's ment to be it will be....

Hugs of support

Share this post

Link to post
Share on other sites

wannaBthinsoon    1,634

wannaBthinsoon
Posted

Verdict is, UHC says I meet all requirements, and all I have to do now is meet the Bariatric center requirements and set a ,date! So I need to do the psych eval, EGD, dietitian appt and nutrition class. Then it all gets submitted for approval. I was told by UHC that she expects I'll be approved in the next month or so. YAY!!!

Share this post

Link to post
Share on other sites

patienceisavirtue    1

patienceisavirtue
Posted

I'm new here and your post was the first one that I read. I'm SO EXCITED FOR YOU!!! I know the insurance companies make us jump through so many hoops, and I know they have their reasons, but I feel like I have been preparing for this my whole life!

I bet you felt like you could jump ten feet in the air! Way to go!

Share this post

Link to post
Share on other sites

mykdzmom    388

mykdzmom
Posted

I read your initial post and my heart sunk for you. Going thru the 6 month myself now, I could only imagine how you felt. I am relieved to see you are still on track. Don't give up!!

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
Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      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

        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

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×