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

Newby with lots of questions!



Recommended Posts

I just started the process for the approval process in December. I have my psyche, nutrition, and surgical consult next week. The lady from the surgeon's office who submits everything to the insurance called today and I ask her what the possible timeframe usually is? She stated after my appointments next week it will be sent to the insurance for approval and we are looking at the 1st or middle of February for surgery. Does it really go that quick and smooth? I have already had my letter from my PCP's office sent. I think the nurse practitioner sent it since she is the one who did a physical on me and I discussed it with her. I am just at the 35-37% BMI for surgery depending on when my weight fluctuates. I have struggled with my weight since I was a kid. My mother sent me to WW when I was 13. I was able to lose weight and with a lot of work pretty much kept it off throughout my adult life until I hit menopause. With menopause, age, and the fact I quit smoking I just can't seem to stay motivated longer than 10lbs worth. I have joined WW many times over the years, and I have taken phentermine for years for which I requested my records be sent to the surgeon to be submitted to insurance. I haven't had a lot of medical problems other than really bad hypertension, but that is mostly because I just didn't go to the doctor's the past 10 years because of my weight. I am really hoping my lack of physician visits doesn't keep me from being approved. I have parents who both had heart disease, diabetes, and hypertension. They both passed in their 60's. I turned 60 this year, I feel blessed I don't have heart disease or diabetes with my genetics, but I am scared it might be right around the corner if I don't do something now. I have Cigna insurance and just wondered what others think my chances of getting approved are?

Share this post


Link to post
Share on other sites

My surgery was approved by my insurance within 3 business days. My BMI was 50, though. I didn't have many medical issues either. Extremely mild sleep apnea that did not require a CPAP... that was it. I have BCBS.

Edited by mousecat88

Share this post


Link to post
Share on other sites
Guest

They may send you to do a sleep study since you do not have a medical history That was my case. My surgeons office is with the same medical group as the sleep study clinic. So in not so many words "all of their patients have sleep apnea" so you can qualify for insurance,

Share this post


Link to post
Share on other sites

Ok, thanks! I guess I am concerned too because of my BMI right at the number you have to have to qualify. I know some people would say you are not that big you don't need surgery but I am pretty miserable. In addition to that I carry a lot of my weight in the stomach.

Share this post


Link to post
Share on other sites
Guest

I didn't think you look big from your photo. I have worked around people who were near the BMI limit and ate more to qualify. Good luck withh your approval and decision

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

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 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

    ×