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6 month diet requirement

jennifer1

By jennifer1, in Gastric Sleeve Surgery Forums

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jennifer1    180

jennifer1
Posted

I am starting the process to revise my band to a sleeve. When I got my band i was self pay, however now I have insurance that will cover removal of my band and the revision. I understand that i'm probably going to have to go through all the testing. I have blue cross blue shield..PPO. im wondering if anyone has this insurance and if you were required to do a 6 month diet since I already have the band.

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AMJK79    34

AMJK79
Posted

Normally you do have to do the supervised diet with Blue cross/Blue shield but you may not have to if you did it the first time around with the Lap Band. I am also a Lap Band to revision and I didn't have to do the supervised diet this time around. Good luck with everything!!

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ElleJ    19

ElleJ
Posted

I'm a Lap Band revision ( I had the band for 10 years) and BCBS didn't require me to do the 6 month supervised diet. I'm due to be sleeved on 10/26 (can't wait!!!)

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heidikat72    935

heidikat72
Posted

It will completely depend on your specific policy with BCBS. Call them, provide your policy/group number and ask them to send you in writing the policy related to bariatric surgery.

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kelefev    0

kelefev
Posted

Hello,

I am in the same situation. I have Highmark Blue Shield and they have a policy for new procedures and one for revisions (I will post the revision policy) so I'm wondering if I will be required to do the 6 month diet again. I did it back in 2010 with my lap band but that was through Capital Blue Cross. I can't wait to get the band out, every day is a struggle with it! post-300208-14741113736025_thumb.jpg

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Sai    785

Sai
Posted

I am starting the process to revise my band to a sleeve. When I got my band i was self pay, however now I have insurance that will cover removal of my band and the revision. I understand that i'm probably going to have to go through all the testing. I have blue cross blue shield..PPO. im wondering if anyone has this insurance and if you were required to do a 6 month diet since I already have the band.

I was self pay for my band in 2009. BCBS PPO here too, and they covered my revision with no 6 month diet. My surgeon had to show complications though, like enlarged esophagus...etc. As far as my hoops, I have a super strict surgeon anyway, and she required more hoops than my insurance hehe. Good luck!

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dvons    63

dvons
Posted

No diet but I have to got to nutrition classes.

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johnny207    30

johnny207
Posted (edited)

I am starting the process to revise my band to a sleeve. When I got my band i was self pay, however now I have insurance that will cover removal of my band and the revision. I understand that i'm probably going to have to go through all the testing. I have blue cross blue shield..PPO. im wondering if anyone has this insurance and if you were required to do a 6 month diet since I already have the band.

I have Highmark BC/BS...and they didn't require me to do the 6 month diet, etc. As long as your physician sets forth why you need it, it should be approved. Yes, we quoted the same reasons from the policy you posted! However, at first I was denied, but my Dr. Did a peer to peer consultation and it was approved immediately.

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Edited by johnny207

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Go To Topic Listing Gastric Sleeve Surgery Forums

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    • 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.

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