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Insurance Requirments



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oh no! they talked about that same thing youre having to do in the support group tonight. Tey said there is a lot of risk having surgery if your BMI is 60 or above so the surgeons require weight loss first. I know you can do! back in the day I could lose 50 in two months (with diet pills lol)...not any more! lol ya' date=' I am getting close and very nervous about what insurance will say. But I cant wait to find out! after Wednesday we will see! good luck, and kick butt! YOU CAN DO THIS!!!!!!![/quote']

Apparently my insurance is easy peasy and not that strict bc I met with the insurance lady right after the surgeon and she said that with my health issues and Weight I met the requirements. I already know what my portion of the surgery is and everything, which isn't as bad as I expected. I think you will be fine with your insurance! I know you are nervous though! And thanks! I'm trying to kick butt....lol. I did really good yesterday. I only had 1301 calories. For my size that's is really good! Hopefully I can keep it up. I'm worried about the weekend more than anything.

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I met with my surgeon on the 22nd. They scheduled my surgery for October 23rd. I have my psych eval on Sept 10th and have to see nutritionist also (waiting for a call back to schedule that) baring any hang ups with my insurance I should be good to go :)

That's awesome!

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so how far are you now? getting your appointments done? I went to my surgical weight loss support group tonight' date=' and Wednesday is my Phsyc eval and then Im done! just gotta met with surgeon and see what insurance says. Tonight was fun, learned a lot. They had guest speakers who had bi pass but none with the sleeve. But still encouraging! What do you have left to do?[/quote']

So how did your Phsyc eval go?

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I have been reading a lot of your post and it seems that most usually have 8 to 9 month process leading up to surgery. I know some of this is because pre op testing, but I was wondering if this is also because the insurance required a 6 month diet program? I know a lot of them do so I was wondering if the 8 or 9 month process included this for most of you. My insurance doesn't require this so I'm just trying to get an idea.

See and I don't understand all that requirement stuff. You guys don't hate me, but once my paperwork was submitted, it took 3 days to get approved. REALLY! Just 3 days. I had to sign a form saying I was going to loose 10-15 pounds before the surgery, but that was it for me. I think it was 1 1/2 months from my first visit to my day of surgery, it went really fast for me. I have Anthem Blue Cross Blue Shield insurance. Hope this helps....

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See and I don't understand all that requirement stuff. You guys don't hate me' date=' but once my paperwork was submitted, it took 3 days to get approved. REALLY! Just 3 days. I had to sign a form saying I was going to loose 10-15 pounds before the surgery, but that was it for me. I think it was 1 1/2 months from my first visit to my day of surgery, it went really fast for me. I have Anthem Blue Cross Blue Shield insurance. Hope this helps....[/quote']

That was fast! My insurance is apparently easy, but I have to lose 50 lbs before surgery per my surgeon.

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So how did your Phsyc eval go?

It was quick and easy. I was worried for no reason..lol she talked to me for probably 10min and then gave me a test on the computer, the test was questions were "agree" or "disagree" questions like, " my dad was the male influence in my life I love my dad" and "most people will steal if they think they wont get caught" and questions about wanting to hurt yourself or others and also about "seeing" ghosts and hearing voices that tell you what to do...lol it was about 30-45min. It went pretty good I think and she gave advice on eating and Protein and stuff, things you hear from the NUT. Thanks for asking and remembering..lol I called the surgeons office and they haven't received the results yet, but when they do then I go see surgeon and wait for insurance approval. So excited!!

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It was quick and easy. I was worried for no reason..lol she talked to me for probably 10min and then gave me a test on the computer' date=' the test was questions were "agree" or "disagree" questions like, " my dad was the male influence in my life I love my dad" and "most people will steal if they think they wont get caught" and questions about wanting to hurt yourself or others and also about "seeing" ghosts and hearing voices that tell you what to do...lol it was about 30-45min. It went pretty good I think and she gave advice on eating and Protein and stuff, things you hear from the NUT. Thanks for asking and remembering..lol I called the surgeons office and they haven't received the results yet, but when they do then I go see surgeon and wait for insurance approval. So excited!![/quote']

Glad it went well! Hopefully you'll get approved soon! :)

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My insurance requires that I do a 6month non-surgical weightless program with a Dr. But I already have all of my test dates which will all be completed next month. I also have my surgery date which is set for jan 30th of next year. My surgery center requires a 2week liquid diet too.

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I had to work on my weight 18 months with my physician. Check. Psych evaluation. Check. Now I will have a 4 week liquid diet. Yum... can't wait! :-)

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My insurance requires that I do a 6month non-surgical weightless program with a Dr. But I already have all of my test dates which will all be completed next month. I also have my surgery date which is set for jan 30th of next year. My surgery center requires a 2week liquid diet too.

I still don't know if my surgeons office requires any diets pre-op. but I guess I will find out soon.lol im all done with all appointments, just waiting for the results to be sent to surgeons office so I can go see them and see whats next

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    • 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.

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

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      Hello,
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