So I had my last nutritional visit on Sept. 15, and of course had gained back the few pounds I lost, which put me 2 pounds over my starting weight 6 months ago. The nutritionalist says the surgeon will not schedule my surgery until I have lost some weight. I have tried seriously I have, I can lose it comes back. I have counted calories and carbs cut the weekly glass of wine, and even bacon( the only pork I eat) out of my diet. Was diagnosed with sleep apnea and have used my CPAP every night since I have received it. I walk 3-4 miles 4-5 days a week. Anyway, the nutritionalist said they would submit my paperwork to the insurance company anyway on the 15th despite not having lost the weight but to keep trying . Well I call the insurance company today and low and behold, they have not received any paperwork at all. I am so pissed. I was shooting for the end of Oct. surgery since I have met my insurance deductible and may have to travel for my job in December. Just speechless right now.

On ‎10‎/‎8‎/‎2017 at 2:38 PM, CrissCriss said:

what was the out come did your get it squared away?

they have submitted the paperwork for the hernia removal, which was approved by the insurance but I have not seen anything from my insurance on the WLS. I have an appointment tomorrow for my CPAP follow up so I am going to have a face to face with them. It's not my insurance, it's the doctor's office, in particular the program director who is giving me the impression that since every little check mark on her list has not been met, she doesn't want to submit my paperwork.

My doctor told me up front if I gain any weight at all during the nutrition trial I would not be allowed to have surgery until that weight was lost. My insurance company has been known to deny people for gaining weight so we had to be super careful. I’m sorry that happened, I hope it goes down before your next appt and you get a quick approval ??


HW 248 CW 241 Surgery Date: pending 11/21/2017

True, but it doesn't seem like insurance is the issue, but her program. Her BMI is over 40, most insurance doesn't require you to jump through a lot of hoops with that kind of BMI.

My BMI was higher than that and I had 8 months of hoops for my insurance.

Status Updates

My paperwork for the surgery has been submitted, now I 'm just waiting on approval from the insurance company. My follow up appointment for CPAP went well, I don't have to go back for another year. So now it's the wait and see game for me and now it looks like surgery will be in November (depending approval) instead of October since I still have to do the pre-op liquid diet for 10 days prior to surgery. Thanks everyone for the encouragement and listening to me rant and rave.

On 10/4/2017 at 3:59 PM, FabNFit@40 said:

Insurance required the 6 months diet and nothing is mentioning about gaining any weight, it's the surgeon I believe that wants the weight loss. I just had a planned timeline of how this would flow with my work schedule and this throws a monkey wrench in them. I'm going to stay on them. I mean I still have to do the pre-op liquid diet before the surgery but I can't start that until I get a surgery date, can't get a date until paperwork is submitted.

I have come to realize from being on this site that every surgeon is different. I have gained 20lbs since my consult to now which has been 10 months total, 6 of which was my 6 month diet (which didn't work for me) and then three months of sending requested paper work from my doctors office to the insurance company and the review time it took). At any rate, I went in for my pre-op appt yesterday and the surgeon never mentioned a word about my weight gain. As long as insurance approved it, he is good to go. It's a shame some surgeons are such a pain when it comes to this.

Status update: Well I just checked online with my insurance and I have been approved for both the sleeve and hernia repair . Now I am waiting on the doctor's office to call with a surgery date and all of the pre-op requirements. OMG, I had planned my timeline of an Oct. surgery and now it will be November hopefully which is causing me to re-arrange in my mind my whole recovery timeline. I wanted to be able to go to a particular NFL game in December but I may not be able to travel nor travel over seas for work in December.(bummer) I'm so ready to have this surgery so I can start the recovery process.

Good news on approval and good luck on your surgery.