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Showing content with the highest reputation on 01/23/2023 in all areas

  1. 1 point
    Sleeve1stFitNext

    United Health Care Insurance

    I am writing this to help those whom have United Health Care. Here are the following things to know and tips: Before reading these tips, contact UHC for confirmation that Bariatric surgery is covered under your plan. Confirm the requirements. Confirm that your surgeon and his associated hospital is In-Network (if they are not, it will be like paying for the surgery without insurance). Make sure you have an understanding of what the insurance wants to see or have done. 1) You are eligible if you have a 40 BMI or Higher / Greater than 35 BMI with Co-Morbidity. 2) Once you find your surgeon, you will have to do 6 months worth of testing, dieting and education. 3) You will have to make 6 visits (once a month). This does not include your consultation. 4) One of your visits will be with a Psychological Evaluation. This will determine your surgeons view and the insurance company's view of your case. They take a look at your mental and emotional health. They ask about your family and your support systems. They may ask you how you feel about yourself. Stay away from the negative views you may have of your body. Understand that they have seen hundreds of people like you and may have some prejudice in regards to whether you will succeed or not. Remind them that you are a person, not a statistic and bring some human to your discussion. 5) Your surgeon may require you to keep an eating and exercise journal. I use MyFitnessPal and I have a FitBit. 6) You will be asked to do an EKG to see how strong your heart is. 7) You may be asked to do a sleep study. Depending on your surgeon, it can be a requirement. In my case, the insurance company denied it. They did not deem it as a necessity. 8) You will have to do an Ultrasound which is to see if you have any issues with your liver (fatty liver disease) or other organs. 9) The next thing is an endoscopy. This requires you to head to an outpatient clinic, be sedated and have a tube stuck down your throat. I learned that I had an hiatal hernia (where part of the stomach enters the diaphragm). This can cause you heart burn. Be aware of H. Pylori. This is a bacteria that can cause ulcers and heart burn as well. It takes a lot of antibiotics to cure. Be mindful that your throats will be sore and some sharp pains may occur as they most likely scrapped some samples from your digestive tract. 10) In between these visits, you will see an dietitian and nutritionist for further help. They will slowly walk you through changing your eating habits. Be honest with them. It is very important in the long run. Also try to keep your weight lost in small amounts. If you lose too much in a short period of time, the surgeon and insurance company will feel like you can lose the remaining weight alone. 11) Your last visit will consist of an overview. The surgeon will check your weight and may discuss further with you about your feelings towards the surgery. Hopefully you are approved by the surgeon. My surgeon was great during the process. I met with him more times than anyone else. He literally kept giving my information and sites to read to understand this tool. 12) They will then submit your information to the insurance company. Now it can take up to 2 - 6 weeks for approval. I was approved in one week. My fellow UHC Members, I hope this assist you in your endeavors. 6 months will fly by so quickly you won't even realize it. Remember education is the key to success. Sent from my iPhone using the BariatricPal App
  2. 1 point
    Hello. I got the sleeve done in July of last year. I've had a hard time overeating because I don't realize I'm overeating until it's too late. It's like I'm hungry (I struggle badly with head hunger as well) or stuffed with no in between. I can get around 3 bites over the course of an hour before that 'oh ****, I overdid it' feeling hits me. I try to drink water but I run into the same problem as I sip too much water and then I feel sick as well. I've dealt with horrible stomach pain/heartburn and while I know it's my own doing, I keep messing up. I've also been stalling real bad as I have been maintaining my stats (SW: 230, CW: 168) for over a month. Does anyone have any useful mindful eating tips?
  3. 1 point
  4. 1 point
    GreenTealael

    199!!! ONE NINETY NINE!!!

    Congratulations!!!
  5. 1 point
    Smanky

    Foods that made me gag

    Coconut milk/cream is the main enduring one for me. Still way too rich and makes me feel nauseous.
  6. 1 point
    Edge13

    Foods that made me gag

    I'm just over 16 months out from bypass, and I still can't eat white meat chicken, or any dryer meats like pork chops, or steak, without hurling. The great thing is I still don't miss them. I can eat bacon though, but it can't be crisp.
  7. 1 point
    chrispat123

    Aetna - Approved!

    I switched to Aetna starting 9/1/20 since I was denied by IBX (after they said it would be covered). I got the call this morning that I am approved already! My surgeons office submitted the paperwork on Friday. I did Optifast for the dietician appointments so I could get the 12 appointments in 3 months instead of 6 months. My surgery date is October 14! 7 months later than expected but finally happening!
  8. 1 point
    nenes78

    Kaiser Permanente

    Kaiser So Cal as well. Has been a smooth trip so far. i'm 7 months post Op and doing great. The after surgery support group is the best.
  9. 1 point
    Stephanielp

    United Health Care Insurance

    I have same insurance pretty much the same except I only had 3 months of followed diet progress starts in the mind
  10. 1 point
    From the first education class to the surgery date will be less than 12 weeks. I feel well educated from Kaiser, Bariatriv Pal and friends who have successfully been through the sleeve surgery. I'm so excited and anxious to see what life has I store for me post WLS.

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