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

Recommended Posts

I have Ky medicare, medicare humana and also Anthem. I have a band that has failed and needs removed. I really want to do a sleeve. Medicare guidelines say I have to do a 3 month diet trial. This is a blanket rule for barbaric surgery. Does not make sense to me, a diet trial?? I have a band... has anyone else had this issue?

Share this post


Link to post
Share on other sites

I have Ky medicare, medicare humana and also Anthem. I have a band that has failed and needs removed. I really want to do a sleeve. Medicare guidelines say I have to do a 3 month diet trial. This is a blanket rule for barbaric surgery. Does not make sense to me, a diet trial?? I have a band... has anyone else had this issue?

Health insurance companies have their rules for surgery. It is something they require for approval. We've all had to follow those rules unless we are self-pay.

Use the 3 months to research and prep. It doesn't hurt.

Good luck.

Share this post


Link to post
Share on other sites

I have Ky medicare, medicare humana and also Anthem. I have a band that has failed and needs removed. I really want to do a sleeve. Medicare guidelines say I have to do a 3 month diet trial. This is a blanket rule for barbaric surgery. Does not make sense to me, a diet trial?? I have a band... has anyone else had this issue?

I am so glad I found this. I am dealing with the same issue. I have had my band 4 years. Had problems 10 months ago but wasn't told there was much of an issue, just needed loosened. Recently went back and saw nurse practitioner instead of surgeon. Come to find out, it should have came out last April. Now they are telling me 3 month diet trial, crazy!!!. I am in Northern ky. Tattoogrl45@gmail.com if you want to stay. In touch

Sent from my SM-N910V using the BariatricPal App

Share this post


Link to post
Share on other sites

I have Ky medicare, medicare humana and also Anthem. I have a band that has failed and needs removed. I really want to do a sleeve. Medicare guidelines say I have to do a 3 month diet trial. This is a blanket rule for barbaric surgery. Does not make sense to me, a diet trial?? I have a band... has anyone else had this issue?

Health insurance companies have their rules for surgery. It is something they require for approval. We've all had to follow those rules unless we are self-pay.

Use the 3 months to research and prep. It doesn't hurt.

Good luck.

Doesn't "hurt". However very frustrating to find out band should have been removed last year, now I have to do a diet trial. Crazy, not first weight loss surgery. Very frustrating

Sent from my SM-N910V using the BariatricPal App

Share this post


Link to post
Share on other sites

Final appointment is 3/22. Hopefully surgery in April. My surgeons office is great. Counted my apt last month as diet trial 1, went to class last week #2. # 3 coming up in March. Last appointment 2/22. Hopefully surgery in April

Sent from my SM-G900P using the BariatricPal App

Share this post


Link to post
Share on other sites

I had band problems and mine had to come out my insurance required 6 months of appts and counseling was well worth wait my revision was done November 16 2015. Down 50lbs. It's frustrating to wait but well worth it in the end.

Share this post


Link to post
Share on other sites

The pre-op conditions are a right of passage. You will probably be incorporating these four principles that many of the rest of us were required to do:

Drink Water until your eyeballs float.

Eat lean Protein at every meal, and eat your Protein first.

Do not eat anything made in a factory.

Don't become part of the sofa.

Here is one way to make the time pass faster: Schedule a root canal for the day before surgery. It will be here before you are ready!

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

    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • 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.
  • 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

    ×