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Prior history of weight loss



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My insurance requires the 6 month supervised diet; however, I had a personal trainer for 3 months and spent over $600 for that Aug, 2015-Nov 2015, joined Beachbody from Aug 2015-May 2016 spent well over $1000 for that program, and I also have 3 months supervised weight loss with phentermine 2008 and again in 2013, in March 2015, I saw another Dr. For weight loss and she had me on Alli.

Have any of you experienced prior weight loss programs such as these and if so did your insurance approve you and waive the 6 months?

I had a stress test- Dec 2015

Diagnosed sleep apnea- June 7th

Thanks in advance!

Jen

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Honestly, they probably don't care. They have no incentive to allow it, since it would mean you'll have surgery sooner. They want you on the six month plan because they know a certain percentage of patients will give up.

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Depends on the exact wording of your plan. Mine says medically supervised so that would not count but others just say non-surgical weight loss program and it might.

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My insurance (Premera Blue Cross) would not waive the requirement...and I actually submitted it trying to get them to do so. It must be with a doctor or medical office, at least in my case.

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My insurance requires the 6 month supervised diet; however, I had a personal trainer for 3 months and spent over $600 for that Aug, 2015-Nov 2015, joined Beachbody from Aug 2015-May 2016 spent well over $1000 for that program, and I also have 3 months supervised weight loss with phentermine 2008 and again in 2013, in March 2015, I saw another Dr. For weight loss and she had me on Alli.

Have any of you experienced prior weight loss programs such as these and if so did your insurance approve you and waive the 6 months?

I had a stress test- Dec 2015

Diagnosed sleep apnea- June 7th

Thanks in advance!

Jen

Sent from my iPhone using the BariatricPal App

Really depends on your insurance plan. Hard for any of us to answer here.

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Like others said, it's up to insurance... Mine put a limit of it being within the past two years...I know my surgeon has 6 forms to be filled out one for each month... Maybe the Dr. you saw for the weight loss might be willing to write something or fill out the forms.. Worth asking

"We can't solve problems by using the same kind of thinking we used when we created them"

Einstein

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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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.

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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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