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

Hello! I'm new here



Recommended Posts

Hey everyone,

I'm brand new to this. I have been contemplating doing something to get my weight down. I am considering getting the lap band. I am 5'4 and 192 lbs so my BMI is on the lower end. I had a baby 6 months ago and ironically lost weight from that. However, like my other two pregnancies. I end up regaining the weight. My weight is creeping back up to its baseline which is between 195 to 205. I'm at a BMI of 32 and some change now.

In order to be able to fight for insurance coverage, I know you need to have a minimum of 35 BMI plus a comorbid condition. I'm worried about the latter part because I am unsure of which ones qualify you. I only have a history of hypertension and presently have bilateral lymphedema affecting my legs and a chronic skin condition called HS. Both of which affect my mobility and could really benefit from losing weight.

Presently, I do not have the option to self pay but I'm going to give it a go to see my options. Does anyone know of a similar situation that was covered? I couldn't find one by searching.

It probably seems silly to be considering this at this weight but I have been stuck at this size for what feels like a lifetime. Whatever I try, does not help.

Nice to meet you all!

Share this post


Link to post
Share on other sites

Hypertension is a valid co-morbidity. sleep apnea is another.

Here is UnitedHealthCare's bariatric surgery policies to give you an example:

https://www.obesitycoverage.com/united-healthcares-criteria-for-weight-loss-surgery-coverage/

Share this post


Link to post
Share on other sites

you might have a hard time finding a surgeon to place a lap band. A lot of them don't do them anymore - too many people have had problems with them.

Share this post


Link to post
Share on other sites
Try your nearest State university hospital, they probably still do them. I know there a bunch-and- 3/4s hospitals in Your Area, but the first one that comes into my mind is Tufts, but I bet Brigham and Women's is also good. You're lucky to have so many, I have to travel 50 miles to Columbus Ohio to get a decent Bariatric Hospital.Mind you, I am not sorry, these people are wonderful, they do stilllap-band although that was not my surgery of choice.

Share this post


Link to post
Share on other sites
6 hours ago, Missouri-Lee's Summit said:

Hypertension is a valid co-morbidity. sleep apnea is another.

Here is UnitedHealthCare's bariatric surgery policies to give you an example:

https://www.obesitycoverage.com/united-healthcares-criteria-for-weight-loss-surgery-coverage/

Thanks a lot for the list! I'm going to see if I have sleep apnea. My first appointment isn't until June 😳 but I understand that this will be a process. It's pretty sad that I have to reach for things for an insurance approval but I'm willing to try whatever it takes.

Share this post


Link to post
Share on other sites
2 hours ago, catwoman7 said:

you might have a hard time finding a surgeon to place a lap band. A lot of them don't do them anymore - too many people have had problems with them.

I have been reading that a lot here. There are a few hospitals around my way that do them so hopefully I will find a way and it will work out for me.

Share this post


Link to post
Share on other sites
1 hour ago, Frustr8 said:

Try your nearest State university hospital, they probably still do them. I know there a bunch-and- 3/4s hospitals in Your Area, but the first one that comes into my mind is Tufts, but I bet Brigham and Women's is also good. You're lucky to have so many, I have to travel 50 miles to Columbus Ohio to get a decent Bariatric Hospital.Mind you, I am not sorry, these people are wonderful, they do stilllap-band although that was not my surgery of choice.

My doctor sent a referral for the weight loss clinic at Brighams so I am waiting for the call to schedule the information session. Funny enough, I used to work at Tufts! They are a great hospital! I'm fortunate to have options. I am open to suggestions so if there is a better route I will definitely consider it!

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

  • Featured Surgeons

    1. Masoud Rezvani

      Woodbridge, Virginia 22191

    2. Lisa Medvetz

      Downingtown, Pennsylvania 19335
      800-282-0066

  • Most popular:

  • Recent Topics

  • Recent Status Updates

    • ProudGrammy

      Georgia on my mind - off to grand-daughters high school graduation - she's smart and cute as a button, just like her grammy,☺️
      kathy
      · 1 reply
      1. SusieQ2019

        Congratulations to her Proud Granny, and wishing her a bright and successful future.

    • *Meaghan*

      Went to my initial consult with the Bariatric surgeon/ program I chose. Came home with a folder full of information & helpful organization of all the testing that needs to be completed while I complete the required nutritional counseling. She also let me know my insurance typically takes 6 weeks to reply with authorization when submitted, so that puts my potential surgery date near the new year if all stays on track  I felt comfortable with her, in our discussions she agrees that I am a good candidate for the Gastric Bypass. I appreciated the 'introduction' class that was given after the consult with the surgeon where I was given this binder of every referral (from her, not my pcp referrals), & contact information for all the testing needed to make my contacts/calls tomorrow morning even easier I start my nutrition classes on June 5th, so that's when the clock will start toward insurance approval & getting the tool to help me reach my goals
      · 0 replies
      1. This update has no replies.
    • Torie Faye

      I had my Bypass Surgery on 04/25/2019 I'd weighted before surgery 308 and now 285. I get depressed because I thought it would be more. I follow all instructions from Dr.. Green walk every day work out and eating solid foods 
      · 1 reply
      1. ProudGrammy

        welcome welcome - 23 lbs pre/post op is great. you are doing fine. keep up the good work. kathy

    • MrsGamgee

      Day 5 post-op... didn't sleep great last night, lots of gas pain and it was my first night without using the rx pain meds. I'm tired and feeling rather stupid. My nurse is supposed to call today for a check in, so I'm debating taking a nap now and risk missing her call, or forcing myself to stay awake and pray she calls soon. Also, showering should be considered a workout... just doing the basics used up all my energy. Weight is slowly working its way down. I know that I shouldn't be on the scale yet, but I couldn't resist. I'm down almost 9lb down since surgery. Yay!
      · 1 reply
      1. Emilia Danciu

        You are allowed to feel tired, take naps and only do the minimum this soon after the surgery. Listen to your body and be good to yourself at this time. Most important things to care about at this time is hydration and protein. It is a full-time job to stay on top of that and prioritize your energy there for now. Just give your body the time to heal and adjust, don’t rush the recovery.

    • jrmolina2006

      seems like the biggest issue right now is consistency in my bowel movement, what are yall using. I've tried probiotics but no luck,
      · 1 reply
      1. domi

        I use benefiber everyday in my water. it is flavorless. On days when I get a little backed up I use Miralax. It works great without any cramping.

  • Trending Topics

  • Magazine Articles

  • Together, we have lost...
      lbs
    ×