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

The Qualification Process



Recommended Posts

:faint: I'm new to this process and just to qualify is an ordeal. My insurance company requires that I diet for another 6 months under my doctors watchful eye. I've been dieting for 3 years now! Don't the insurance companies understand that diets alone don't work. Is anyone else out there having a difficult time with the qualification process?

-Prebander

Current weight 264lbs

Share this post


Link to post
Share on other sites

Hi Prebander, I too am having a hard time getting my insurance approval for banding. I have been working on approval since oct o6. Keep in touch and I will help support you all the way. Marcy:clap2:

Share this post


Link to post
Share on other sites

Thanks Marcy,

I't feels great knowing that someone is embarking on this journey with me at the same time. Please let me know about your progress and I will do the same.:confused:

-Prebander

Share this post


Link to post
Share on other sites

hi prebander, it has been a long time since i have posted a message to you. just wondering if you have got banded yet? I am still waiting. I started this process oct 2006. my insurance won't approve me yet. how about you? keep in touch! marcy

Share this post


Link to post
Share on other sites

Hey!

I actually just went to my doc yesterday and she told me the same thing.

I had gone in to her for a referral a year ago. She tells me that I have to be under the doctors care for 6 months and keeping a daily record for the 6 months!

I told her that I had been on the program I am on for a year to the day. I had the daily records of exercise and meals ..... won't work .... because I was not under her "care" for that time period.

Oh, this sucks!

I have diabetes. I developed it when I was pregnant with my twins who are now 20 months old. She did say because of that, they would work with me at 3 months.

I was really really hoping I could get this sooner!

I agree with ya. Why make us do this for 6 months when most of us have been at it almost a lifetime!

Good luck with your process!

Jeanee

Share this post


Link to post
Share on other sites

I have to do a supervised diet for a year. I have no hope of being banded before May or June of 2008! But I'm gonna keep plugging away.......if I don't then I know next year I will be sitting here wishing I did it then!

Share this post


Link to post
Share on other sites

Hey! I went through the same thing as you with Cigna. I did the monthly weigh-ins at my doctor's office from January-June, and I was approved for surgery after only 6 days waiting!! I couldn't believe it. I am set for surgery at the end of this month. Hang in there and do what they say, it will all be worth it. Good luck and take care!

Share this post


Link to post
Share on other sites

I know what you are going through. But I was lucky as each time I had been to doctor for back, B/P, cold, allergies, etc. I was weighed and it was charted that we discussed how much better I could and would feel getting the weight off. It was documented that I was on 2 blood pressure meds and still had high readings. I went to neuro doctor for back pain and he too agreed that I would benefit from banding. I got him to write note to that effect. I showed where I had tried Jenny Craig, weighwatchers, Fen-Fen, Atkin's, Slim Fast, Healthy Heart diet, mayo diet, etc. Actually I called the insurance company in the beginning and ask exactly what they had to have to approve and they told me. I attended the seminar in Sept. and got surgery in March. Good luck with your approval.

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

    • 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

    ×