ladiJ 83 Posted July 10, 2012 My insurance has a long list of requirements for wls. I have finished or will finish by the end of this month: 5 required classes with the health education at my ***, 6 months of weekly classes on food and exercise, 6 months of monthly doctor visits (to meet the doctor supervised weightloss requirement) the psych evaluation attendance at an info seminar by my surgeon attendance at a support group meeting my last appt with the supervising doctor is next week my appt with the nutritionist is the last week of this month what other tests/appts/challenges are ahead?? I know I meet with surgeon, but I hear some people need ultrasounds and ekgs and sleep studies etc.. what all was required for your surgery? Share this post Link to post Share on other sites
lovealways 22 Posted July 10, 2012 So much, it seems. - attend two group support meetings - Nutrition evaluation - Psych Evaluation - Cardiologist Evaluation - sleep Study/Pulmonary Evaluation - Extensive blood work - Upper Endoscopy - A quiz to take - 6 months supervised diet with PCP And I'm just at the very beginning of it all. Lol. Long ways to go. Share this post Link to post Share on other sites
Back~To~Amy 307 Posted July 10, 2012 I was cash pay so all my doctor required was lab work and an ekg to make sure I was healthy enough to go under anesthesia and have surgery. A lot of the things (like a sleep study) are required by the insurance company. You might call the doctor's office and ask what they require. It sounds to me like you are getting super close to surgery. Best of luck in your journey! Share this post Link to post Share on other sites
NDN_RN 527 Posted July 10, 2012 Depends on your insurance, and doctor Surgeon requirements: Labs, Ekg Upper endoscopy Insurance: Letter of medical necessity from the pcp 3 monthly appointments with a nutritionist Psych eval Had the Nut visit, the Psych visit, had labs, and ekg my PCP sent the letter of necessity, I am having upper endoscopy on Thursday. Now i have 2 more Nutritionist visits one in august 6 and the other sept 6 i should be ready to go at that point. Share this post Link to post Share on other sites
Webtrekker 39 Posted July 10, 2012 Referral from PCP 12 weeks of classes blood tests meet dr same day, met nutritionist, had ekg, more blood work and chest x-ray surgery Share this post Link to post Share on other sites
ready4change79 26 Posted July 11, 2012 I had to have.... A letter of medical necessity 5 yr weight history Attend seminar A psych evaluation 1 nutritional class A pre op with surgeon Full panel of blood work EKG Upper GI Share this post Link to post Share on other sites
Lehg520 12 Posted July 11, 2012 Let's see: Letter form PCP 6 months supervised diet/exercise w/ PCP Cardiology clearance w/ stress test, EKG Pulmonology clearance Endocrinology clearance Lab work - TSH fairly normal, other levels in check Abdominal ultrasound sleep Study Upper GI Nutrition consult Psych consult Nutrition class w/ test Share this post Link to post Share on other sites
612belly 32 Posted July 11, 2012 My insurance has no requirements other than pre auth and one co morb if BMI 35-39.9 that's a check. Now it's the surgeon that had the requirements: Two days one week a part: A whole bunch of labs Bariatrician visit Psych visit Bariatric nurse visit Second day: Lab results with doc Physical therapist Nut That's it. I was told I'd be submitted this morning however I will wait until Friday to call. Shooting for an August surg date! Easy peasy. **labs found out I have H Pylori had to do a conformation stool sample test, ran that to the lab today. Once confirmed 10-14 days of antibiotics. Good luck!! Share this post Link to post Share on other sites
ladiJ 83 Posted August 5, 2012 wow of course I knew alot of evals for any surgery but kinda of surprising the difference in amount of hoops for different payment options. I have completed all the hoops and now am waiting for the actual labs, medical clearances and consult with surgeon. Share this post Link to post Share on other sites
LouiseC 1,031 Posted August 5, 2012 I had no required seminars, appointments or the like. Psych and NUT were optional and I went to the NUT. Other than that I just had consults with the surgeon and blood screening. Share this post Link to post Share on other sites
Fallenangel2904 494 Posted August 5, 2012 I'm still in the process but what I've had to do/have to do: Ultrasound Endoscopy Nutritionist weigh ins for 3 months sleep study Pulmonary eval Surgery clearance (blood work, EKG) Psych eval I'll be finished with everything next month and should get a date for October! Share this post Link to post Share on other sites
