Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Confused



Recommended Posts

My doctor referred me to a surgeon. When I signed up for the seminar with the surgeons office they said because of my insurance, Blue Shield HMO Sante, I would have to do a 6-month weight management program before they would see me and I can still go to the seminar because its good for a year. But then I got a letter from Sante stating my medical file had been reviewed and it was approved form me to see the surgeon. I've called Sante and they said I can make the appt. I called Blue Shield they said I have to do the 6-month weight management program. i called my GP's office and asked them to make the appt, but I don't want to go and find out that is was just for them to tell me I have to do the 6 month program, which I will start on the 7th. Has anyone else gone thru this? Any advice? should I call the surgeons office back and ask them-they deal with insurance all the time. :biggrin:

Share this post


Link to post
Share on other sites

I have BCBS and I didn't have to do a 6 month supervised diet. I saw my primary doctor for my annual visit on 5/11/10...upset with my weight gain over the past year. I went to 3 seminars (various doctors) within a week. I met my surgeon on 6/2/10 (consult) and had my surgery on 8/16/10; 2 months and 2 weeks from once I decided on my surgeon.

Maybe you can ask that they submit the paperwork and see what happens. I know my doctor's office submitted my paperwork on a Monday and they received word that I was approved the next day for surgery within 5 days. I asked them to push my date back because I wanted to met with the dietrician one last time and get some things squared away at work.

Good luck!

Share this post


Link to post
Share on other sites

Thanks for sharing.

I called the surgeon's office back and told them about the letter from Sante...they didn't care. They said I would still have to do the 6-month supervised diet, based on the insurance that I have. When you say your doctor's office submitted the paperwork and got approval in 5 days, do you mean your surgeon office? I can't get the surgeon to even make an appt to try.

But I've had to see my GP last month and this month for other reasons and she's like..fine we'll start your supervised diet from Aug. but I still have to wait til Jan.

I'm sure I can wait, but my insurance will be changing soon and i was hoping to get it all approved now.

Thanks again.

How are things going for you?

Share this post


Link to post
Share on other sites

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 2 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×