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

Simple Question (I think)



Recommended Posts

I've been doing reseach on the lapband for awhile now and I have decided that I want to go ahead and get it. However, I have no idea what is the 1st step in finding a dr. and meeting them and the whole begining process. Where do I start, and what is the 1st apt like (what to they go over/ask)

I think I will probably be self pay ( well I'm hoping to find a Dr. that will repair a hiatal hernia at the same time, so that my insurance cover most of it and self pay the rest) So I don't really want to know the how to start the insurance battle part of things, just the other 1st steps lol

Share this post


Link to post
Share on other sites

oh also, how long did it take to get a surgery date? I know each place if different but wanted to see what most people say. I'm hoping to get this process going at a fast pace, for insurance reasons.

Share this post


Link to post
Share on other sites

my process took 6 1/2 months. 1st my husband and I attended a seminar at a hospital that I know does this surgery. The Doctor who gave the seminar is who I chose to go with. Set up an appointment, and had to decide if I was going to do weight loss with my PCP or do their lifestyle program. That was to appease my insurance. During the 6 month lifestyle class(that's what I chose to do), I completed all of my pre-op work up. chest x-ray, ekg, upper GI, sleep study, stress test, phyc eval and nutritional eval. Once I completed my 6th month lifestyle class. Off to the insurance for approval. With in a week, I received my surgery date which was the following 1 1/2 weeks later. I'm now 9 days post op, and feeling great that I made this decision.. God luck on your journey..

Share this post


Link to post
Share on other sites

Hi Amber! You might get more answers if you post in the self-pay forum (http://www.lapbandtalk.com/forum/2451-self-pay-lap-band-surgery-new-forum/)... I was insurance, so I had a long wait before surgery, but my understanding is if you're self-pay and meet the criteria, you usually get your surgery done pretty quickly, since there are fewer hoops to jump through. What area do you live in? I'm sure there are members here who can suggest surgeons for you.

Share this post


Link to post
Share on other sites

Amber-

I am also having a second surgery with my lapband. BUT- I could not fool the insurance company- you still have to pay everything you would have had to pay if you weren't already having a medically neccessary procedure at the same time. In other words-- I am having some neccessary female surgery- so I "thought" that my insurance would pay for a lot of my lapband stuff- but no. Also- just a warning (something you should look into) - I can tell you that my surgeon would not do LapBand with hernia repair-- because the hernia repair is a major surgery. But check with yours and see. Hope this helps.

Share this post


Link to post
Share on other sites

I had hiatal hernia repair along with placing the band and this is very common practice. I only paid $5500 (price of the band) and my insurance covered the rest due to me getting the hernia repair. Your 1st step would be to contact insurance to see if it even covers lapband (mine had a WLS exclusion). Then start calling around to bariatric surgeon' s offices and see if they will submit the hiatal hernia repair to your insurance and how much will you actually be respinsible for. You may even have to go in for a consult as I'm sure some offices won't give out any info over the phone or tell you no. People have a harder time telling you no to your face. When you find somewhere you like then you need to get an EGD done. This is where they find the hernia. I paid $98 for this and insurance paid the rest. Then you will find out if you have it or not and whether you have to pay the full amount. I used True Results. The have offices in Texas, Arizona, and I think Georgia. Included is a year of free fills with self-pays. Great deal, don't you think? LOL! Be persistent and don't give up!

Share this post


Link to post
Share on other sites

Hi there Amber,

First you need a primary care provider, a doctor, MD. There are certain criterias needed to be meet in order to get a band. $? No insurance? Once you have qualified, check with your state, see if you can get government insurance. I know the state of Hawaii offers free, no cost to you, medical insurance for those who qualify. Okay, lets not all flock to Hawaii, lol! I had medical insurance coverage through my employer, thank GOD, it is expensive, but oh so worth it! The desire is the first step, do you qualify, next (medically and insurance), lab work up, stress, heart test, up to the specialist doing the procedure. Some people are too high of a risk. What ever you decide, GOD BLESS!

I've been doing reseach on the lapband for awhile now and I have decided that I want to go ahead and get it. However, I have no idea what is the 1st step in finding a dr. and meeting them and the whole begining process. Where do I start, and what is the 1st apt like (what to they go over/ask)

I think I will probably be self pay ( well I'm hoping to find a Dr. that will repair a hiatal hernia at the same time, so that my insurance cover most of it and self pay the rest) So I don't really want to know the how to start the insurance battle part of things, just the other 1st steps lol

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • 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

    ×