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

Just Getting Started



Recommended Posts

Hello! My name is Tracie Steves and I am just started my attempt to take the Lap Band journey. I will attend the seminar on January 11th and turn in the paperwork at that time. I plan to contact the insurance company next week, I have just switched from Select Health to United Healthcare and all I know so far is that they cover it but I don't have the requirements for my plan yet. I found this board that night and it had a lot of helpful information so I decided to join early. It sounds like this is a roller coaster of a journey but I am excited at the prospect.

Share this post


Link to post
Share on other sites

Good luck!

Share this post


Link to post
Share on other sites

If you have your new health insurance card, you should be able to look up the requirements online. Most companies have their policies posted for members.

Take a look around. A quick google took me to this: https://www.unitedhe...ric_Surgery.pdf

Bariatric surgery, as a primary treatment for weight loss is proven for the following: 1. Class III obesity (BMI > 40 kg/m2) 2. Class II obesity (BMI 35-39.9 kg/m2) in the presence of one or more of the following co-

morbidities: ï‚· Type 2 diabetes ï‚· Cardiovascular disease (e.g., stroke, myocardial infarction, stable or unstable angina

pectoris, hypertension or coronary artery bypass) ï‚· Life-threatening cardiopulmonary problems (e.g., severe sleep apnea, Pickwickian

syndrome, obesity-related cardiomyopathy)

The following bariatric surgical procedures are proven for the treatment of clinically severe obesity as defined by the National Heart Lung and Blood Institute (NHLBI) in adults:

ï‚· Gastric bypass (Roux-en-Y; gastrojejunal anastomosis)

 Adjustable gastric banding (laparoscopic adjustable silicone gastric banding) – See FDA section/information

ï‚· Gastric sleeve procedure (also known as laparoscopic vertical gastrectomy or laparoscopic sleeve gastrectomy)

ï‚· Vertical banded gastroplasty (gastric banding; gastric stapling) ï‚· Biliopancreatic bypass (Scopinaro procedure) ï‚· Biliopancreatic diversion with duodenal switch

Best wishes!!!

Share this post


Link to post
Share on other sites

Thanks for the welcome. My new insurance company finally had all of my info up on Monday so I called yesterday and got the ball rolling, sadly in a different direction I had previously started but everything sounds ok so far. I cant use the surgeon I originally chose because my insurance requires i go through their resource center. They explained my benefits, what is covered and what percentages I will be required to pay and sent my info to a case worker who will call me in the next 2 days to explain the requirements further, get me set up with a surgeon and get a nurse case worker set up for me. Now I am just trying to figure out what I will have to pay as my deductible is 2k and the insurance company pays 80% after I meet that, however my OOP max for my insurance is 4k. I am trying to figure out if that means I will have to pay a max of 6k or 4k. I am sure the case worker will explain it all to me. :)

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

    ×