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Starting out - Completing Insurance Requirements



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Back story - In Dec 2020 my new PCP referred me to a bariatric surgeon. I called to schedule my appointment right after. I didn’t hear back right away and personally debated should I go through it this time. I had been talked out of it before by friends, family, even doctors. So Jan 2021 I went back to the weight clinic by my house because I knew I had to do something and why not get back on a plan as a wait to hear from the surgeons office. Plus I had just got engaged and the thought of children in the future seemed to hit me like a Mack truck. I needed to do something for me! I weighed in at 362.2, the highest I’ve ever seen on the scale. Fast forward to Feb and still nothing. So I called again. Finally was able to get an appointment for Tuesday March 9th. I was excited and nervous. I went to the appointment and the surgeon and staff were so nice. I weighed in at 348ish I believe (still kicking myself as to way I let the nurse weigh me in the jacket and boots since I was 343 that morning lol). He said I was a good candidate given my age (33) and family history . That since I didn’t have any medical conditions and fi want to have children now is the time. His nurse outlined all the requirements for me - 6 months weight management (my current clinic was fine and given I went back in Jan I just need 4 more months), to not gain any weight, no more to low carbs and sugar, physiological evaluation, nutritional evaluation, join the FB support group (everything is virtual right now), EKG, chest x Ray, and blood work.

Currently - I’m 3 1/2 months in the weight management. Will be done basically the second week of July. Physiological evaluation completed. Joined the support group and attend the zoom meetings weekly, nutritional evaluation is this Wednesday, and keeping my weight down (at 337 as of Saturday). Since I basically have 2 months left (this month is basically over) should I go ahead and schedule my medial tests in May or wait till June? I don’t want to take them too early before I’m finished with my weight management for concern of having to take them again if done too soon. I can’t wait to have everything done a submitted to the insurance. Then to schedule surgery! I’m so ready for the rest of my life, plan a wedding, and just this new chapter of putting myself first. Thanks!

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1 hour ago, Beautyishername said:

Back story - In Dec 2020 my new PCP referred me to a bariatric surgeon. I called to schedule my appointment right after. I didn’t hear back right away and personally debated should I go through it this time. I had been talked out of it before by friends, family, even doctors. So Jan 2021 I went back to the weight clinic by my house because I knew I had to do something and why not get back on a plan as a wait to hear from the surgeons office. Plus I had just got engaged and the thought of children in the future seemed to hit me like a Mack truck. I needed to do something for me! I weighed in at 362.2, the highest I’ve ever seen on the scale. Fast forward to Feb and still nothing. So I called again. Finally was able to get an appointment for Tuesday March 9th. I was excited and nervous. I went to the appointment and the surgeon and staff were so nice. I weighed in at 348ish I believe (still kicking myself as to way I let the nurse weigh me in the jacket and boots since I was 343 that morning lol). He said I was a good candidate given my age (33) and family history . That since I didn’t have any medical conditions and fi want to have children now is the time. His nurse outlined all the requirements for me - 6 months weight management (my current clinic was fine and given I went back in Jan I just need 4 more months), to not gain any weight, no more to low carbs and sugar, physiological evaluation, nutritional evaluation, join the FB support group (everything is virtual right now), EKG, chest x Ray, and blood work.

Currently - I’m 3 1/2 months in the weight management. Will be done basically the second week of July. Physiological evaluation completed. Joined the support group and attend the zoom meetings weekly, nutritional evaluation is this Wednesday, and keeping my weight down (at 337 as of Saturday). Since I basically have 2 months left (this month is basically over) should I go ahead and schedule my medial tests in May or wait till June? I don’t want to take them too early before I’m finished with my weight management for concern of having to take them again if done too soon. I can’t wait to have everything done a submitted to the insurance. Then to schedule surgery! I’m so ready for the rest of my life, plan a wedding, and just this new chapter of putting myself first. Thanks!

Welcome! And congratulations on putting yourself FIRST! Me personally, would get the tests scheduled. Sometimes the first available appointment(s) will be several weeks out. And I would think that any tests you take for surgery clearance would not have to be taken again.

Good luck with everything and keep the forum posted on your progress! This is a great forum for support and ideas as you start this life changing journey!

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On 04/18/2021 at 13:36, Luna Girl said:






Welcome! And congratulations on putting yourself FIRST! Me personally, would get the tests scheduled. Sometimes the first available appointment(s) will be several weeks out. And I would think that any tests you take for surgery clearance would not have to be taken again.




Good luck with everything and keep the forum posted on your progress! This is a great forum for support and ideas as you start this life changing journey!


Thank you!!! Yeah I’m going to call this week to see what appointments are like.

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I’d say that’s a good idea! I don’t know what kind of tests your doc requires, but I have to have an upper gi and scheduling was more than a month out. My surgeon told me it took even longer in the last few months because of covid, things are pretty back logged!

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On 04/18/2021 at 15:46, LuckyKelleyK said:

I’d say that’s a good idea! I don’t know what kind of tests your doc requires, but I have to have an upper gi and scheduling was more than a month out. My surgeon told me it took even longer in the last few months because of covid, things are pretty back logged!

Yeah I’m going to call this week and see what’s open for scheduling

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Did your Dr. give you a schedule outlining when to have tests done? You could always give a call to confirm. If you're able to, It's helpful to schedule multiple appointments for the same day and clinic to save back and forth trips.

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On 04/18/2021 at 21:53, DoodlesMom said:



Did your Dr. give you a schedule outlining when to have tests done? You could always give a call to confirm. If you're able to, It's helpful to schedule multiple appointments for the same day and clinic to save back and forth trips.


No no schedule just what needs to be done to submit to insurance. Just want to have them done by the time my 6 month weight management is done.

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Oh, ok. That gives you a little more freedom to do it when you have time but it's also a little unclear. Good luck as you work through the process.😀

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