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Wondering if Joinfound.com is considered medical mgmt...



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Has anyone else used Found for prescription weight loss? And if so, were you able to obtain records to use as documentation of of failed weight loss with your insurance provider? I joined Found sometime last year and was prescribed Naltrexone and Wellbutrin to lose weight. Dr.s review your information and prescribe the medication and you're given a coach that hounds you daily. You do weekly weigh-ins and are given tasks and specific ways of eating based on whatever the coach decides you need to do. Needless to say, I used the "service" for about 3 months and made no real headway after spending $100 a month so I cancelled. Just wondering if that's enough, or am I going to have to do something else? My insurance guidelines state, "A thorough multidisciplinary evaluation within the previous 12 months which includes... documentation of failure of weight loss by medical management...", etc..

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Did you go somewhere to get your weight checked or just check it yourself? I say this because I had been talking about my weight with my psychologist for years and they said if he does not weigh me then it wouldn’t count. I’m only guessing that will be most companies concern. Ironically post COVID many people do their weigh ins virtually now but I still would anticipate that being an issue. Hopefully someone else has actual experience with this and can say for certain.

Edited by ShoppGirl

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I weighed myself and entered it in an app. There are no brick and mortar clinics to attend and they didn't require proof of my weight like photos of the scale, or the like. I completely understand the concern, but hopefully like you said, virtual weigh-ins have become standard and are now acceptable. Otherwise I guess I'm carting myself off to a weighloss clinic for a few more months. Was just hoping I didn't have to waste that time and money doing so.

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1 hour ago, Imwon Kaesurriahhh said:

I weighed myself and entered it in an app. There are no brick and mortar clinics to attend and they didn't require proof of my weight like photos of the scale, or the like. I completely understand the concern, but hopefully like you said, virtual weigh-ins have become standard and are now acceptable. Otherwise I guess I'm carting myself off to a weighloss clinic for a few more months. Was just hoping I didn't have to waste that time and money doing so.

Well I have my fingers crossed for you that it works. It’s so silly the insurance hoops anyways.

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I would ask your surgery center because they may know. You could also ask your insurance company, but you'll likely get a different answer each time you call...

I don't think the issue of weighing in person should matter, as none of my pre-surgery visits for my insurance were in person. But whether Found has been accepted by insurance is hard to know...

Good luck!

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53 minutes ago, lizonaplane said:

I would ask your surgery center because they may know. You could also ask your insurance company, but you'll likely get a different answer each time you call...

I don't think the issue of weighing in person should matter, as none of my pre-surgery visits for my insurance were in person. But whether Found has been accepted by insurance is hard to know...

Good luck!

It shouldn’t matter but it did for me. Even post COVID with virtual visits so it made no sense but according to the insurance coordinator they would not accept my psychologists very detailed documentation because he didn’t weigh me each month. He documented my weight but didn’t weigh me himself. I am hopping It’s different for the OP but this was my experience.

Edited by ShoppGirl

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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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

        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.

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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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