Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🎉 "1 per Day!" Bariatric Multivitamins

Bariatric team approval?

Danielleh

By Danielleh, in Insurance & Financing

Recommended Posts

Danielleh    48

Danielleh
Posted

I completed all my requirements on 11/4. The patient coordinator said that she will upload it all to my chart for the team to approve it to be sent to my insurance.

How long did it take your team to approve your chart to be sent to your insurance? The representative for my surgeons office said a few weeks. -_-

Sent from my SM-A205U using BariatricPal mobile app

Share this post

Link to post
Share on other sites

lvidacovich    372

lvidacovich
Posted

Highly dependent on your specific insurance. Mine took less than a week.

Share this post

Link to post
Share on other sites

SorryNameTaken    85

SorryNameTaken
Posted

We have so many visits with my clinic that as long as you had done your requirements, your chart is ready to send on your final visit. So mine was completed that day.

It was completed on a Friday, she sent it into insurance the next Monday, and insurance came back with an approval on Tuesday.

Share this post

Link to post
Share on other sites

Danielleh    48

Danielleh
Posted

Highly dependent on your specific insurance. Mine took less than a week.
I have Staywell Medicaid. Hopefully mine doesn't take forever. [emoji24]

Sent from my SM-A205U using BariatricPal mobile app

Share this post

Link to post
Share on other sites

Danielleh    48

Danielleh
Posted

We have so many visits with my clinic that as long as you had done your requirements, your chart is ready to send on your final visit. So mine was completed that day.

It was completed on a Friday, she sent it into insurance the next Monday, and insurance came back with an approval on Tuesday.
They had me complete almost everything with my PCP. The only thing they couldn't allow me to do with her, was my psych eval, barium swallow and 2 nutrition classes. Something about those have to be done through the center because of the center of excellence or something like that lol.

My patient coordinator did say when it was completed, she will email me on the portal or call me. So fingers crossed I'll get a call sometime next week because I am ready!

Sent from my SM-A205U using BariatricPal mobile app

Share this post

Link to post
Share on other sites

lvidacovich    372

lvidacovich
Posted

1 minute ago, Danielleh said:

I have Staywell Medicaid. Hopefully mine doesn't take forever.

Sent from my SM-A205U using BariatricPal mobile app

Medicaid can be tough, might be why they told you so long. Keep on them and call them as much as you want until they decide!

Mine was a state specific BCBS and it went pretty smoothly but they just got the $130k bill from the hospital and doctor so we'll see how they react to that lol. I met my out of pocket for the year so it should cost me nothing.

Share this post

Link to post
Share on other sites

SorryNameTaken    85

SorryNameTaken
Posted

2 hours ago, Danielleh said:

They had me complete almost everything with my PCP. The only thing they couldn't allow me to do with her, was my psych eval, barium swallow and 2 nutrition classes. Something about those have to be done through the center because of the center of excellence or something like that lol.

My patient coordinator did say when it was completed, she will email me on the portal or call me. So fingers crossed I'll get a call sometime next week because I am ready!

Sent from my SM-A205U using BariatricPal mobile app

I'm sending out lots of good thoughts you get the call soon!

I think mine was so quick because my insurance was changing and no longer allowing bariatric surgery, so it was a race against the clock to get me on the surgery table before the change happened! I suspect my patient coordinator had something to do with it going so fast out of desperation, she said it usually takes one to two weeks, so I'm crossing my fingers for you that it's quick!

Danielleh reacted to this

Share this post

Link to post
Share on other sites

november11    970

november11
Posted

On ‎11‎/‎8‎/‎2019 at 1:52 PM, Danielleh said:

They had me complete almost everything with my PCP. The only thing they couldn't allow me to do with her, was my psych eval, barium swallow and 2 nutrition classes. Something about those have to be done through the center because of the center of excellence or something like that lol.

My patient coordinator did say when it was completed, she will email me on the portal or call me. So fingers crossed I'll get a call sometime next week because I am ready!

Sent from my SM-A205U using BariatricPal mobile app

how did it go ? did you get your approval ?

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
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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!
      · 1 reply
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

    • 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.

  • 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×