Jump to content
×
Are you looking for the BariatricPal Store? Go now!
Sign in to follow this  
  • entries
    27
  • comments
    56
  • views
    9,275

A New Day

Sign in to follow this  
Roo101769

490 views

Yesterday I sailed through my psych evaluation. The doctor said the fact I have already been making changes and trying to create new, lifelong habits will increase my odds of success. He said he has no problems supporting me because he knows I have researched this a great deal and I know the risks/benefits. I'm not the internet diva for nothing!!! LOL So his report will be turned in today and I am that much closer. I got my "check list" from Dayton Bariatrics yesterday. Many of the to do items are things that are out of my hands ( like requesting 2 yrs medical records and my PCP letter of recommendation) Considering my PCP is the one who referred me to Dr.Bruce I am not very concerned he will provide the items requested. I have my NUT appointment today. Not exactly sure how many of those I do, but I will do them. I also have to have a pulmonary check since I had the two pulmonary embolism. I'm not worried about that though, my lungs are fine. The only thing that "may" hold me up is the misinformation about a required 6 mos. medically supervised diet. Dayton Bariatrics stated that my insurance listed it as a pre qualification. Yet I have now verified TWICE with Anthem that it is NOT required by my plan. The rep I spoke with Monday said he would contact the office and let them know it is incorrect information. I have no doubt Anthem screwed up. Considering they initially told them I was excluded from coverage for the surgery when it is covered!!! But even if this miscommunication fails to be cleared up I am still sitting in a pretty good place. I actually started a "medically supervised diet" in March. My old insurance required 12 mos. of it. So, before my leg took a turn for the worse, I had started taking the steps I needed to qualify. Granted there has not been much dieting going on these past 5+months, and little exercise. But I have been under constant medical supervision, thanks to my leg. And it is on record I started in March, therefore September will be 6 mos.!! So to avoid another 6 months of waiting, I am sure my PCP will state I completed the required 6 months if they fail to clear it up.

Wait...I just got a call back from the Anthem rep!!! Wow, ok he earns a gold star in my book. He did research things further and found the only thing the plan requires is you receive the nutritional counseling and must follow their advice. So if they want you to do counseling for a few months you have to. But heck, your bariatric doctor would require you to also. But there is NO, I repeat NO, required medically supervised diet time frame. The guy had actually already tried to call the office but the girl who does insurance was not in yet, so he will be calling them back this afternoon. I thanked him very much for his help. As I told him, I have no issue at all if I am required to do nutritional counseling. It is part of the process. But I do not want to be held back from surgery just because my doctor believes there is a requirement of my insurance that there is not. He agreed fully and said he had no problem at all making sure they understand. So now I am STOKED!!! Not sure how it will go with the NUT today. I am hoping that they will be like the psychologist and see I am already working to change so I can succeed. I have done a LOT of research about what to eat, nutritional needs post surgery. So I won't be walking in there clueless. Just have to wait and see what they think....

Sign in to follow this  


1 Comment


Recommended Comments

NUT evaluation / counseling done. Apparently I AM doing something right! I have nothing further to do before surgery, just check ups after!!! The research I have done along with the changes I have already made has gone a long way in this process. So now it is the pulmonary exam, wait for records & letter from PCP to be received and they will send in to insurance!!!! Which also means the 6 mos. has officially been cleared up. I received a call from the office on my way to the NUT appt. to tell me they have it straight now. The girl I spoke with ( handles insurance for Dr. Bruce) said Anthem is one of the worst insurers for getting information right. So she was not surprised it happened. But now it is cleared up so we just keep moving ahead. I know this is what I need. Yes, I have my doubts. But I also have my certainties and I understand for certain this is the path I need to be on..

Share this comment


Link to comment

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
  • Recent Blogs

  • Blog Comments

    • I’ve used my Xbox for exercise games too and it can be pretty motivating, especially on days when I don’t want to leave the house. Kinect games really do make you move, and after a session with kickboxing or dancing, I always feel like I’ve actually gotten a solid workout. The controller-free setup feels way more natural for workouts than anything I tried on the Wii. Zumba is fun but definitely takes a little time to get the moves right. Lately, when I’m not working out, I spend time trading CS2 skins and finding new guides on this link. There’s a lot of interesting tips if you’re into games outside of fitness too.
    • I'm literally almost crying reading this. Mostly because I'mon this pre-op diet and these last two days have been difficult... but also because I needed this! Thank you! Congrats! And a BIG congrats on quitting smoking a second time! It was hard enough to do it once... So - when I say BIG congrats... I mean BIIIIIG congrats! ❤️
    • Congratulations! What a great journey! Thank you so much for sharing. You are inspiring!
    • Was sind last resting-place besten Gewinnchancen in einem Casino? "Einarmige Banditen"
      Einarmige Banditen
      Casinos werden in erster Linie mit Roulette und Poker in Verbindung gebracht, aber Statistiken zeigen, dass 61 % der Besucher von Spielhallen ihre Zeit damit verbringen, einarmige Banditen zu spielen (Daten von 2013 von der American Gaming Association). Perish Regeln der Spielautomaten sind sehr einfach, und der niedrige Mindesteinsatz macht sie auch fur decease armsten Spieler zuganglich.


      https://berliner-vv.de/articles/wie_man_sich_f_r_einen_casino_abend_kleidet.html
      https://sen7.com/typo3/inc/?welches_casino_zahlt_am_schnellsten_aus____bewertung_von_online_casinos_top_10.html
      https://justinekeptcalmandwentvegan.com/wp-content/pages/welches_online_casino_ist_zu_empfehlen___online_casinos_mit_guter_rendite_2022_.html
      http://ff-thyrnau.de/wp-content/pages/was_sind_die_besten_gewinnchancen_in_einem_casino___4.html
      https://buecherplaza.de/wp-content/pages/was_sind_die_besten_gewinnchancen_in_einem_casino___einarmige_banditen_.html
    • Fantastic!! Congratulations on being successful with all your hard work.
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×