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

Recommended Posts

So I had my seminar today, and am super stoked about this. One negative to it is I have to do 1 WHOLE year of supervised diet which I can totally deal with but it does kinda suck because I was hopeing for only a 6 month diet. But I was told if I could switch to another insurance which is still part of my insurance just a different plan. Then I would only have to do 6 month diet. Which is awesome! So I'm going to talk to my insurance to make sure there will be no penalties and see about switching to this other plan. I still am going to see tbhe doc and everything will basically roll over and I won't have to start over. So far I have the seminar done off the check list of requirements. So here ill list what insurance requires.

-seminar

-class attendance (which is educational classes there are 2 before surgery)

-consult with surgeon (which is next week on 8/30)

-5 years of past med records (weight documented 2-3office visits a year... which I have)

-BMI 35- with 1 co-morbidity (my bmi is freaking 55 and I have high blood pressure)

-12 months of physician supervised diet (unless I switch plans then only 6months)

-psychological eval (with MMPI what the heck is mmpi lol)

-pulmonary clearance

-cardiac clearance

-letter of recomendation from pcp (med necessity)

-documentation from pcp on smoking cessation for min of 6 months (not sure what this is!)

-maintain food diary (not sure for length of time will def ask surgeon)

-physical activity log (same as food diary ask surgeon)

I'm extra excited that I've gotten this taken care of and I'm very suprised that it really isn't too much asking for except the length of time it takes! I'm just excited about this whole thing, and my surgeon is very honest and careing. And he seemed definitely great! So I'm just excited to see what the next year brings! Because I've been trying to get this taken care since 2010 and since I found a doctor who knows what they are doing now I can actually get this done! I cheers to that. Oh and found out the drug screen and alcohol and tabacco screen too (which I don't smoke or do drugs but occasionally have a drink! So idk how that's gonna work out!)

Share this post


Link to post
Share on other sites

So I had my seminar today' date=' and am super stoked about this. One negative to it is I have to do 1 WHOLE year of supervised diet which I can totally deal with but it does kinda suck because I was hopeing for only a 6 month diet. But I was told if I could switch to another insurance which is still part of my insurance just a different plan. Then I would only have to do 6 month diet. Which is awesome! So I'm going to talk to my insurance to make sure there will be no penalties and see about switching to this other plan. I still am going to see tbhe doc and everything will basically roll over and I won't have to start over. So far I have the seminar done off the check list of requirements. So here ill list what insurance requires.

-seminar

-class attendance (which is educational classes there are 2 before surgery)

-consult with surgeon (which is next week on 8/30)

-5 years of past med records (weight documented 2-3office visits a year... which I have)

-BMI 35- with 1 co-morbidity (my bmi is freaking 55 and I have high blood pressure)

-12 months of physician supervised diet (unless I switch plans then only 6months)

-psychological eval (with MMPI what the heck is mmpi lol)

-pulmonary clearance

-cardiac clearance

-letter of recomendation from pcp (med necessity)

-documentation from pcp on smoking cessation for min of 6 months (not sure what this is!)

-maintain food diary (not sure for length of time will def ask surgeon)

-physical activity log (same as food diary ask surgeon)

I'm extra excited that I've gotten this taken care of and I'm very suprised that it really isn't too much asking for except the length of time it takes! I'm just excited about this whole thing, and my surgeon is very honest and careing. And he seemed definitely great! So I'm just excited to see what the next year brings! Because I've been trying to get this taken care since 2010 and since I found a doctor who knows what they are doing now I can actually get this done! I cheers to that. Oh and found out the drug screen and alcohol and tabacco screen too (which I don't smoke or do drugs but occasionally have a drink! So idk how that's gonna work out!)[/quote']

Looks like you are getting your ducks in a row. About the plan switch isn't January "open season" for your insurance change. That's only 4 months away. So iif you keep doing the supervised diet by the time you switch it will only be 2 month!

The documentation from pcp on smoking cessation is only a requirement if you are a smoker and you say your not and never have been. So its just what they require of smokers and doesn't apply to you! Yeah!

As to the psych veal with MMPI that stands for Minnesota Multiphasic Personality Inventory it provides clear, valid descriptions of people's problems, symptoms, and characteristics in broadly accepted clinical language. It has ten validity scales and a host of supplementary scales. Basically it is an interview that asks many questions then determines your strongest personality traits. Your counsellor should be a bariatric specialist so that she/ he can interpret your results and apply them to WLS. You can then see how your personality with be impacted by the surgery and what you specifically should be looking out for your personal pitfalls based on your results. It can be a great tool for you.

About the food diary I use myfitnesspal you can access it on a smart phone with an app and on the computer(you need the computer to input your person caloric goals and carb Protein fat ratios. Then you can keep track of all you eat and summaries of how you did on a weekly or monthly basis. Oh and you can log your exercise in it also.

Oh one more thing the cardic and pulmonary clearances are usually comorbidity driven. Meaning you only need the ones that apply to you. For me that means a definite cardiac clearance (I have Atrial fib and high blood pressure) but no asthma copd or other pulmonary issue so I do not need a pulmonary clearance.

Hope that helps and good luck!

Share this post


Link to post
Share on other sites

This definitely helps thank you sooo much! And I have to get both cardiac and pulmoary because I have high blood pressure and asthma (although my asthma hasn't bothered me for a long time like it used to I have to get both clearances!)

But thanks sooo much you like answered everything for me! I'm definitely excited, and I'm not sure if january is or not! I was talking with my mom and there are 2 different open enrollments for my insurance (but I only get 1) we aren't sure if it was july or if its in like january/febuaryish! Haha we are caling my insurance tomorrow to double check everything with them. So I'm happy to say soon ill be having my bypass done and feeling tons better about myself! I cannot wait for this life changing event!

Share this post


Link to post
Share on other sites

You can do it. Remember we didn't gain in one day so can't lose in one day.

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

    ×