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Thankkk you !!!

How is your relationship with food post op ? I’ve always depended on food to fill my emotions when I was depressed or anxious. I absolutely hate it but I am worried about I am going to handle my stress and anxiety after surgery. I want to be healthy and to feel good and not hate whenever people take any pictures of me or hide behind everyone in photos. Go out with my boyfriend and friends and family. :( it’s been so hard because of my weight gain. My sisters had a great dinner with my mom the other day and I didn’t go I missed out on memories because of how nothing fits. So I understand my relationship with food is something I am willing to give up. Especially for my health.

I used to struggle with bulimia and over eating. Will my bariatic consult deny because of that history I was like 17. I’m 31 now. 

Awesome I don’t mind the classes because I want to be able to care for my body as much and as best as I can

My jobs Cigna plan didn’t cover me either for bariatic. My husbands insurance did thank god. BCBS seems to be good

This was just so much great advice this community is so awesome thank you guys for the support

This was so helpful. It also reminds me to give myself grace thank you so much for your words :,)

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 Page 8 of 21 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. 2. 3. 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: 4. https://journals.aace.com/doi/pdf/10.4158/GL-2019-0406 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 6. 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.

Hi y’all. Recently changed insurance coverages , I wanted to know what requirements for weight loss did BCBS have for some of y’all im in NC. I uploaded a pic of my policy for reference I know they’re usually very different for requirements

Hi everyone !!! I recently decided to try the gastric sleeve option which my doctor supported. I am currently 223 pounds 5’2 so my bmi qualifies. Family history of diabetes and hypertension and heart disease cholesterol you name it they got it. The question I have is about the necessary documentation as far as documentation of weight loss within the previous 12 months. I had been going to Urban Skin solutions weight loss mes spa. Trying lipo injections and phertamine to no avail I have the documents which show my bmi and weight for every visit. Would this be enough ?

Can someone tell me if this is saying it isn’t covered by my insurance. Please help. It says generally not covered is that just like in general unless you qualify

I have oap as well through my job. My jobs policy excludes bariatic.

Thank you so much ! They are a medical provider I have the licensed signatures and diet plan the nutritionist suggested. Etc. hope it works. when they within the previous 12 months does that mean I had to have done it the entire 12 months or just within that time frame