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

Is this unusual? re: insurance approval



Recommended Posts

I have been researching the lapband for a while now and signed up online for a seminar that is this Wednesday. The doctor's site had an online application too so I filled that out. I gave them my insurance info, told them about all of my prior attempts at loss and about my current health issues. I did this about 2 weeks ago.

This past Friday I got a call from the office telling me I had been approved and they could schedule my pre-op visit. I freaked out! I mean, I haven't even been to the seminar yet. I am really still in a information gathering stage! It was weird to me that they would already have an approval before I ever even saw the doctor!

I fully expected it to take months before I would get an approval. I have lurked here and have read of other struggles with their insurance companies. I am excited about the seminar and learning more about the procedure but at the same time the reality of it is scary!

Share this post


Link to post
Share on other sites

That's incrediable! I didn't sleep for two weeks waiting for my approval, and i know there are others that have waited far longer. I had to go through 8 months of medical crap and a psychotherapist even before they would submit a letter to insurance. If you go for it, lucky lucky you.

Share this post


Link to post
Share on other sites

It's not unheard of - but definitely not the average!! My insurance was really quick in the pre-auth too.. it took a few tries for them to actually receive the fax, (the doc sent it to the wrong number a few times).. but once they got it, they approved me in like 48 hours - I was amazed! No diet documentation was needed either - I couldn't believe it!! The stuff that slowed me down was getting my psych, nutrition, and medical evaluations.

Share this post


Link to post
Share on other sites

This past Friday I got a call from the office telling me I had been approved and they could schedule my pre-op visit. I freaked out! I mean, I haven't even been to the seminar yet. I am really still in a information gathering stage! It was weird to me that they would already have an approval before I ever even saw the doctor!
What would concern me about this is that they're taking everything word of mouth, and insurance companies don't work word of mouth, they work paperwork. So I wonder exactly what they submitted to your insurance company considereding they didn't even have one piece of medical record that had your weight or confirmed BMI on it.

Are you sure you're approved through insurance for the surgery? They may have just meant you're approved for a consultation, or for the seminar maybe if they consider it an office visit or something.

To me, it would be completely unheard of to be approved for surgery with no medical records or documentation at all, just anecdotal informatuon submitted via the patient online.

Definitely be cautious with this.

Share this post


Link to post
Share on other sites

my office does the insurance approval while you are waiting on going to a seminar. Once you are approved they schedule you for a pre-op visit and you go to a class on the lap band from there. I was denied the same day :lol: I had to self pay so it is a blessing if you are approved by insurance.

Share this post


Link to post
Share on other sites

<p>That's terrific,</p> <p> </p> <p>I have to wait a total of six months and document everything along the way.</p> <p> </p> <p>I'm scheduled to be banded in October if all goes well.</p> <p> </p> <p>Best of Luck !!!!</p> <p> </p> <p>Let us know how your doing.</p>

Share this post


Link to post
Share on other sites

This is unusual from what I have been seeing. The surgeons office could only confirmation that my insurance didn't totally exclude paying for WLS before I submitted all kinds of information. I have been denied but am going to appeal the denial. If this is for real, and you decide go forward best wishes to you. You have been spared a bunch of hassle.

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

    • 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

      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!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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.

    • 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

    ×