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

Anyone doing the pre- auth requirements ? Looking for a buddy.



Recommended Posts

Hi. I am going through the pre- authorization requirements for the gastric sleeve. I am eating way more than I should. I have such bad anxiety about possibly not getting approved, or being approved and actually going through with this. I am looking for anyone either in my position or who have been there and want someone to talk to ! I am freaking out.

Share this post


Link to post
Share on other sites

I was in this exact situation. I was thinking am I going to put in all this effort and then just get denied. Plus it took me a full 6 months before they are able to put in for approval. Matters how many weigh in months the insurance company requires before they can submit for approval.

I had to do 6 months of weigh ins plus see a million other doctors for approvals before they are actually able to put in the request from the insurance company, so you won't know right until the end. The good news is, even if you get denied the first time, I have yet to hear of anyone that wasn't approved right away after challenging it.

I ate like a friggin beast too because I didn't want to lose weight and them come back and say hey you don't need the surgery. I ate everything and anything for the longest time, I gained weight for the weigh in months period. I had so much anxiety and also depression saying am I doing the right thing because I had to maintain my high weight level which was very uncomfortable for me. I had trouble just doing daily activities which sucked. Also it doesn't put you in a healthy mindset because you can't really go on a healthy fitness routine and lose a lot of weight for the 6 moths if you want the surgery. So its kind of a mental battle and frustration......

Hang in there, it will be surgery time before you know it....

Share this post


Link to post
Share on other sites

Thank you so much. That is exactly how I feel ! My BMI was right at the cutoff when I started 35 ( because I have health issues too ) and when they weigh me with clothes around 37- 38. I was scared that if I even peed too soon before the weigh in I would not pass so I have just been eating. I have gained at least 10 lbs and I feel terrible and I usually do eat healthy and work out but because I have PCOS I can never lose weight which is why I really want the surgery. I am now heavier than I have ever been and I am scared I will get denied and have ended up putting myself even further from my goal. You are so right though , I will be having surgery before I know it. This waiting period and going though all the qualifications is sooo rough though. Glad to know I am not the only one who has gone through this.

Share this post


Link to post
Share on other sites

Hello Nurse,

I use to love that from animanics cartoon, I digress. Hope youre recovery and 1st few weeks are going well. I know where you are coming from. Im going on 3rd month post op now. To say it was difficult for me to get approved is an understatement. I'm a military veteran so they make you go THROUGH IT to get approved. I think there are plenty of ppl who can relate. If you've got any other questions reply or message me. Im also finding some greaty healthy recipes and websites for when your diet changes through the diff phases, stages.

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

    • 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • 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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 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

    ×