Hi everyone..... I made the decision that I would talk to my doctor about WLS. We talked about the gastric sleeve at my visit this past Thursday. She referred me to the options program offered at Kaiser- Downey and they called me the next day. I have orientation Wednesday. I have absolutely no clue what to expect and I would really appreciate some insight (if any is you would care to share) Especially if you went through Kaiser. Thanks

Hi, congratulations on making the decision to have WLS. I'm Kaiser Southern CA and the first thing you should know is that the insurance requirements vary greatly, not only from company to company, but area to area with the same insurance. Kaiser is a very good example. So what I'm describing here could be very different for you.

I started my journey back in August 2014, which was when I first talked to my PCP about the possibility. He was very supportive and told me that all I needed to do to start the ball rolling was to call the Wellness Center in San Diego. When I placed the call I was told that I would be sent an info packet and after reading, if I decided to proceed, to call back to schedule a date to attend two mandatory seminars. One for weight management and one an intro to the Options program.

I attended both seminars on 09/11. There they gave us a 10 page questionnaire to fill out that had to do with medical history, past weight loss attempts (you only have to describe them not provide actual proof), etc. After about a week I received an email telling me to get a few pre program labs, blood draw, EKG, stool sample, fasting glucose, and I think that was it. The faster you comply with their requirements, the faster you move along.

A week or so after this I was contacted again to make an appointment for a one on one meeting with the head of the Bariatric Options program. Mine was for 10/06, and it only lasted about 20 minutes. The weight for this appointment is considered your Options starting weight. There I was told that I had been approved to enter the program and I would be contacted with the information on when my Options classes would begin. For my area Kaiser requires 24 weeks of classes (or 6 months), one class a week. But most other areas of Kaiser in CA only require 12 weeks (or 3 months of classes). I was also told that I will be required to lose 10 percent of my weight, which in my case was 24 pounds.

My classes started in November and meets each Thursday night. This week will be class #11 and I've been surprised by how fast the time goes by (mine end in mid May). For the most part they're interesting and last 90 minutes. Last week we had a speaker, which was a former student who had the sleeve about 1 1/2 years ago. You can only miss four classes, and have to make up each one you miss. If you miss five you're out, and this has actually happened to a couple of people in mine. You're weighed each time and will be required to keep food and exercise logs.

In my area Kaiser contracts out to Pacific Bariatric in San Diego, and the surgery is done at Scripps Mercy, also in SD. We are required to attend one of their seminars. I go next month. From the workbook material I've read that after graduation, if you've lost the 10 percent you then wait to be contacted to take a stress test. If you pass, then your file is forwarded to Pacific Bariatric. You will be asked to get a series of pre surgical labs/tests, not sure which. Then PB will contact you to schedule an all in one appointment for psych eval, surgical consult, and I think a medical internist. And at some point in all this you will get your surgery date. They do the sleeve or bypass. They no longer offer the band.

If you don't lose the 10 percent there's an extra step before the stress test where you have to go back and have a consult with the head of the program. We were told in the intro seminar that the process averages about 9 months and it's been on line for that.

Good luck with your journey!

Edited February 9, 201511 yr by The Candidate

Thank you. The information is very much appreciated. I know that I have to go through the 12 week course.