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6 month diet...little white lie?



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Does anyone have any stories they can share of creative ways to get around the six month, dr. supervised diet that my insurance company requires? I can not wait six month, I need to get on that table ASAP!

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I have Aetna and they required 6mths. My dr. has a nutritionist on staff and she took care of notating everything required by insurance. Not only do you have to diet but you have to make behavior changes. She monitored my weight and changes for the six months. I went to my insurance companies web site and did a search for articles on my surgery. All the requirements came up. Good luck. It was a long six months but my approval came quick and surgery was almost immediate after that.

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Kelly dear, I don't mean to be unkind, but what you are talking about is not a little white lie - it is insurance fraud. And you've kind of just put in writing on a public forum that you are thinking about defrauding your insurance company. Eeek!

I hightly encourage you to get through the diet. It really, really will help you prepare for the band. Getting on the operating table doesn't fix everything, I promise you. It is still hard after the band to diet and exercise. If you work on the supervised diet, it will help you build habits that will make you much more successful. I think most bandsters on this forum would agree! Hang in there!

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No way around it, the insurance company will be looking for "for treatment of weightloss"-ish coding, your check-ins, etc. from your medical records. If it's a requirement, it's a requirement, not a preference. Trust me, you don't want to try fraud, the consequences just aren't worth it, plus you'd need someone medical "on your side" and that's not going to happen.

I can not wait six month, I need to get on that table ASAP!
If waiting is absolutely not an option for you, then you will need to look into financing or self-pay.

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There is no way around it, but the 6 months flys by as I am already going on my 6th month at the end of this month and can't believe it!

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Have you been on any diets at all that were supervised by a doctor? I was on phentermine, and I submitted those records.

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Kelly, I, too, was bummed about the 6 month requirement. I am close to the end and paperwork will be submitted to ins. co. soon. I am so thankful to have had the last months to prepare myself. I think about what I am doing to myself with this surgery so differently than last Oct. There are so many people here that have been down the LB road and will be here for support. I am so thankful and I have learned so much about myself during these past months. Be patient, your time will come. Good luck to you

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Thanks everyone! I just found out that they will take my weight watchers records in lieu of the dr. supervised so all is well again. Thanks for the support!

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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.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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