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

feeling defeated- any suggestions


pyt1908
Sign in to follow this  

Recommended Posts

I have UHC- empire plan. After visiting a number of surgeons, attending a plethora of wls support groups, I thought I finally found a wls surgeon that I wanted to proceed with. I went to my 1st mtg prepared with 6 month notes of weigh ins and diet attempts from my primary care dr. To my dismay and shock, the patient coordinator told me that the notes would not get me approved for the sleeve. This was perplexing as the notes indicate my health problems. I have done 1 year of weigh ins. the pc stated that I needed to detail food logs and nutrician plans and more information. this patient coordinator explained that I would have to do 6 month vistis with the nutritionist- basically weigh ins all over again! I dont mind seeing the nut; in fact, i welcome this. However, it would be the same price if i go to see the nut once or 10 times, so why make me go through this process again? then to add insult to injury, the pc will not provide me with a real sample template.

I feel defeated.

anyone with some suggestions? maybe pointers on the letters they submitted?

Share this post


Link to post
Share on other sites

I have UHC- empire plan. After visiting a number of surgeons, attending a plethora of wls support groups, I thought I finally found a wls surgeon that I wanted to proceed with. I went to my 1st mtg prepared with 6 month notes of weigh ins and diet attempts from my primary care dr. To my dismay and shock, the patient coordinator told me that the notes would not get me approved for the sleeve. This was perplexing as the notes indicate my health problems. I have done 1 year of weigh ins. the pc stated that I needed to detail food logs and nutrician plans and more information. this patient coordinator explained that I would have to do 6 month vistis with the nutritionist- basically weigh ins all over again! I dont mind seeing the nut; in fact, i welcome this. However, it would be the same price if i go to see the nut once or 10 times, so why make me go through this process again? then to add insult to injury, the pc will not provide me with a real sample template.

I feel defeated.

anyone with some suggestions? maybe pointers on the letters they submitted?

first I would contact my insurance and make sure that the info from the PC doctor is acceptable. Get that in writing and take it with you to the surgeon or find a new surgeon who is wiling to try to file. Give them the argument that the worst that could happen, is the insurance denies and says you have to do it through the nutritionist. If they accept, then you are all set to go on. Good luck.

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
Sign in to follow this  

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • 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!

  • 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

    ×