sassyfrass 24 Posted June 20, 2011 Hi all. I am looking into getting banded after Sept sometime. I am hoping to Choose a better ins plan for the whole year from my work. We usually have Bcbs but have higher deduct options to pick from so...hopefully I can get one for my out of pocket expenses to be less. Right now I would have to pay a minimum of $6,000. I do not have it. I am hoping for better things after Sept. My question is: How long did it take you to get banded from the first consult visit. I am just curious. I know everyone is different, especially with different insurance plans, but I just wanted to get an idea of what to expect. Thank you for your replies, in advance. I appreciate it. Share this post Link to post Share on other sites
Rachel412 116 Posted June 20, 2011 I could have had the surgery within 1.5 months of my initial appointment, but we found out my insurance required a 6 month supervised diet. I started in October and had surgery April 12th. Share this post Link to post Share on other sites
Cindy C 150 Posted June 20, 2011 3 1/2 weeks. Consultation was May 15. Surgery was June 10. Share this post Link to post Share on other sites
sassyfrass 24 Posted June 21, 2011 Thank you for the replies. Share this post Link to post Share on other sites
LauraRN 2 Posted June 21, 2011 My goodness Cindy. What insurance do you have? Share this post Link to post Share on other sites
BaileyRose 13 Posted June 22, 2011 I have to have a 3 month supervised diet required by my insurance. I started my first appointment on March 30th. I've had 1 appointment per month. And my final appointment is next Thursday, June 30th. Then my file will be submitted and my surgery will be sometime at the end of July. I also have a psych and nutrition appointment next week. I have to pay $1,200 out of pocket for my psych and nutrition and then 10% of my surgery. So we're looking at about $3,000 out of pocket. I have Aetna insurance. Good luck! Hope you find a good plan! Share this post Link to post Share on other sites
BaileyRose 13 Posted June 22, 2011 P.S. I'm jealous of you Cindy! Share this post Link to post Share on other sites
amjcal 5 Posted June 22, 2011 Once I got the referral to the surgeon that I wanted, I was approved the next day. The referral process took the longest because there is a dip@#** working as office manager at my PCM office. So to answer your question I have Tricare and I was approved overnight! Share this post Link to post Share on other sites
CheckYes 46 Posted June 22, 2011 I was selfpay (so insurance would have been a longer wait) and my orientation meeting was August 2 and surgery was December 9. Share this post Link to post Share on other sites
Chela 5 Posted June 22, 2011 I had my consult on 5/25 and since it wasn't covered by my insurance I could have had it within 2 wks, but I waited until 6/29 so I could give plenty of notice at work. Share this post Link to post Share on other sites
Coco's Mum 1 Posted June 23, 2011 Consult was Feb 11 and I'll be banded on 7/21. Even though I asked for 'first available' for every necessary appointment - it took this long. Good luck with your insurance - mine has changed (for the worse) every year for the past three years. If I had this done three years ago - it would have been paid at 100%. Now, I have a $1000 deductible for inpatient and WLS covered at 50% (in addition to the other deductible and copays I've had this year). Share this post Link to post Share on other sites
Diva01 1 Posted June 23, 2011 I currently have BCBS TRS Active Care. When I started the process in January it was only 3 month supervised nutrition visits. But in March BCBS decided to change it to 6 months. ( I was pissed off) I finish all of my visits June 1st including PSY visit. Initially, I thought I wanted the sleeve and the office sent the paperwork on Thursday and I was approved that Monday. Then I changed my mind and it took a few changes for the insurance to change everything. I will be banded on June 30th. So it has taken 6 months to complete all of the criteria. I will be coming out of pocket $2,500 for everything. Now the worst part, BCBS TRS Active Care come Sept will have a $5,000 COPAY for any surgery that is related to bariatric. In addition, to deductibles and out of pocket max. So I am praying that I will not have any complications with the band and that my insurance will remove the $5,000 copay. It saddens me that they would add such a high copay for this surgery and anything related to it. Good Luck Share this post Link to post Share on other sites
ButterflyM 2 Posted June 23, 2011 Attended informational Seminar April 6 ( found out what my insurance requirements were- started making dr's appt the next day for first available) Psych Dr May 10 Mandatory support group meeting May 11 Last of 3 pcp dr visit May 20 (fortunately my insurance requires only 3 supervised dr's visits documenting ur weight, exercise type & length of time, & which diet- they also did not have to be consecutive but all within 1 year. Since i knew i might consider this last year, i had my pcp writing these things in the chart, so my first visit was last's year & i made 2 appointments the end of April and 3 weeks later mid May) They submitted my paperwork the day of my last pcp visit- May 20 (I faxed her my dr's progress notes from the dr's office) Approved May 26!!! RN assessment June 13 Surgery date selected June 21 I choose July 29- could have chosen July 8 however, i did not want to rush all the preparation. So roughly April 6 initial seminar and May 26 insurance approval Good Luck in your process Share this post Link to post Share on other sites
sassyfrass 24 Posted June 24, 2011 Thank you for your replies. I just need to focus mainly on the more positive posts because I get quite fearful when reading too many of the not such good experiences and get discouraged. I know they are just putting the info out there so I sure don't fault them for that. I worry that I would be the very ONE those things would happen to, but as another poster said on one of these topics, there are risks in every day life as well . I feel like this band is just what I need to stay on track. I know I can do the food part okay as far as eating right most of the time. Right now I am feeling ready for it. Share this post Link to post Share on other sites
LVGirl 4 Posted June 26, 2011 2 weeks. I was scheduled for during my 1st appt (I did the seminar 6 weeks prior) and had already done all of my surgery clearance through my primary. I was cleared for surgery the day I was scheduled. I have Tricare. Share this post Link to post Share on other sites