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He Hey guys !my insurance said they cover all the bariatic services my PA asked me to ask them. The requirements I believe they said there was no required supervised diet however I do have some history with phertamine. My bmi is right at 40.4. I’m gonna ass a screen shot of the blue home plan for bariatic ! I think it should be an easy process as far as what they’re asking for. I hope to have my surgery by June fingers crossed.

Anyone have experience with novant ? In Nc

Pasted what the picture has in case visibility is hard. 

A thorough preoperative evaluation for bariatric surgery must include all of the following:

1. Evaluation of the patient's understanding of the procedure to be performed, including the procedure's risks and benefits, length of stay in the hospital, behavioral changes required prior to

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An Independent Licensee of the Blue Cross and Blue Shield Association

Bariatric Surgery

and after the surgical procedure (including dietary and exercise requirements), follow up requirements with the performing surgeon, and anticipated psychological changes.



Evaluation of the patient's family/caregivers support and understanding of the information in #1.

Within 12 months prior to surgery, a thorough nutritional evaluation by a physician, registered dietician, or other licensed professional experienced in the issues of bariatric surgery, who has had a meaningful conversation with the individual regarding the dietary and lifestyle changes required to ensure a successful outcome over time. Nutritional assessment must follow American Society for Metabolic and Bariatric Surgery (ASMBS) guidelines. Pre-operative assessment must document that the patient has a good understanding of the diet and nutritional changes that are associated with bariatric surgery and has the capacity to comply with these changes. Per the ASMBS guidelines, "

*..it is essential to determine any preexisting nutritional deficiencies, develop

appropriate dietary interventions for correction, and create a plan for postoperative dietary intake that will enhance the likelihood of success. Not only should the practitioner review the standard assessment components (i.e., medical co-morbidities, weight history, laboratory values, and nutritional intake), it is also important to evaluate other issues that could affect nutrient status, including readiness for change, realistic goal setting, general nutrition knowledge, as well as behavioral, cultural, psychosocial, and economic issues." 2019 guidelines for perioperative nutrition, metabolic and nonsurgical support are available at:



Within 12 months prior to surgery, a formal psychosocial-behavioral evaluation performed by a qualified behavioral health professional (i.e., licensed in a recognized behavioral health discipline, such as psychology, social work, psychiatry, psychiatric nursing, etc., with specialized knowledge and training relevant to obesity, eating disorders, and/or bariatric procedures), which assesses environmental, familial, and behavioral factors, as well as risk for suicide. Any patient considered for a bariatric procedure with a known or suspected psychiatric illness, or substance abuse or dependence, should undergo a formal mental health evaluation before the procedure. 2019 guidelines for perioperative nutrition, metabolic and nonsurgical support are available at https://journals.aace.com/doi/pdf/10.4158/GL-2019-0406

5. Appropriate medical work up may include a chest x-ray, upper gastrointestinal series, endoscopy, appropriate pre-op labs and ECG. A complete physical examination by the attending surgeon and an assessment of thyroid levels is required. If the patient has comorbid conditions (e.g. diabetes or


cardiovascular disease) the patient must be capable of undergoing the procedure.

Anesthesia clearance for surgery.

The first five criteria must be met before seeking prior plan approval for adults and adolescents; the sixth must be met prior to surgery. Surgical procedures must be performed at a facility capable of providing gastrointestinal and biliary surgery (preferably JCAHO accredited), AND that has equipment and staff capable of managing a morbidly obese patient (appropriate instruments, beds, lifts, monitoring equipment) AND that can manage short and long term complications of bariatric surgery.

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    • New To This23

      tl:dr at bottom,
      I could use some advice. I went to see my dietician today (not a bariatric surgery dietician, I can explain why I am seeing her if you want to know). She knows I am going to have weight loss surgery as long as I hit the goal weight my insurance told me I need to be at. I have to be at the goal weight by June 24, 2023, in order for my insurance to pay for my surgery.
      I had a weigh in the doctor's office a couple of days ago and weighed 301, my scale at home said 302. However, on the same day, the scale at a friend's house said 313. 
      I knew I had this Dietician appointment two days later and I knew she would weigh me. I continued to weigh myself at home (after getting new batteries) and I was at 302 then 299 and today at home I weighed 303, right before my appointment, when I got to her office I was weighed and it said 313.
      I am concerned about what to believe since the doctor's office and my scale show similar numbers. I also bought a new scale today and it said 313. 
      The Dietician told me I needed to eat more protein, which honestly I struggle with. she said I needed 150 grams!!  I said are you kidding? that seems like a lot.  She used my weight to come up with this number. 
      Should I really be trying to eat enough protein for a 300-lb person or should I be eating protein for a goal-weight person (mine is 170)?   
      also, my clothing is loose like I lost the 20 lbs mine and the doctor's scale shows, and not 10 lbs like everyone else's scale shows. Also, I have always naturally been more muscular even when I was 120 lbs and did not eat any protein aside from what is in plants. 
      tl:dr- should I be eating enough protein to support a 300lb person or should I be eating protein for a "normal" sized person? AND should I trust the Doctors scale more so than the Dietician's scale? 
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    • KatieB_2706

      Hi everyone!
      My name is Katie and I am looking for an accountability partner! I am having the RNY on April 3, 2023 - If there is someone looking for daily communication and support PLEASE contact me! I am so excited for this but I would love to have someone who knows exactly when I'm going through to support / be supported by along the way!
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        Please message me back, looking forward to hearing from you!


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        Hi! How exciting I see that your surgery date is coming up soon!

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