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

Pre surgery requirements.

Kaylajo1990

Recommended Posts

Kaylajo1990    1

Kaylajo1990
Posted

Good afternoon all!!

I had my first evaluation today. One of the requirements for approval was weight history for the past 5 years. I certainly have not gone every year for the last five years. Especially the last couple years because of COVID. Has anyone had this and it was an issue with insurance?JPEG_20210831_161703_2323638427299070060.jpg

Sent from my SM-N960U using BariatricPal mobile app

Wickerbuni reacted to this

Share this post

Link to post
Share on other sites

Tomo    1,137

Tomo
Posted

Never. Not for any of my surgeries. That's odd. I hope they take your own record if you don't have that available. I know I wouldn't.

Kaylajo1990 reacted to this

Share this post

Link to post
Share on other sites

lizonaplane    1,605

lizonaplane
Posted

I didn't have that requirement either. I have documented my weight at least once a week for the last 10 years or so, but I didn't go to the doctor last year due to COVID either. I would ask the surgery center what you can do for that. Did you maybe got to weight watchers or anything?

Kaylajo1990 reacted to this

Share this post

Link to post
Share on other sites

ShoppGirl    3,373

ShoppGirl
Posted

They should accept the info from your gynocologist.

Share this post

Link to post
Share on other sites

Soon2bFit21    109

Soon2bFit21
Posted

I had to give this for part of my insurance’s pre approval but my history was for 3 years. As others have mentioned, any MD that has your weight history will work. I just used my GP since I had consistent visits.

Share this post

Link to post
Share on other sites

Detectives Wife    0

Detectives Wife
Posted

On 8/31/2021 at 4:18 PM, Kaylajo1990 said:

Good afternoon all!!

I had my first evaluation today. One of the requirements for approval was weight history for the past 5 years. I certainly have not gone every year for the last five years. Especially the last couple years because of COVID. Has anyone had this and it was an issue with insurance?JPEG_20210831_161703_2323638427299070060.jpg

Sent from my SM-N960U using BariatricPal mobile app

Not only have an heard of that requirement,i was required to abide by it and if I missed a year, say 2017, the clock started in 2018.

My requirements were: ]

  • 5 year sequential weight history
  • 12 sequential MD or RD visits (again, miss one, start over)
  • psych eval
  • asthma dr sign off (I have asthma)

Note - someone mentioned WW. I have SIX years of WW history and even after going through the appeals process with my insurance, they would NOT accept; it is not a medically licensed plan.

Note, my insurance is BCBS.

Best of luck!

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 PRE-Operation Weight Loss Surgery Q&A

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • KeeWee

      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.
    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 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!

    ×