Getting my ducks in a row for insurance criteria

[Luigi5144 29]

I had my consult with the bariatric surgeon on June 30th. He recommends the sleeve and I agree. My insurance requires 90 days of medically supervised weight management by either a physician or a reg dietitian. I'm using a dietitian. I had my first appointment ONLINE with her on July 15th. My next one is scheduled for Aug 18th. I'll have another Mid-September and likewise in Mid-October. My insurance requires recommendation from my pcp as well as a pysch eval and clearance from a psychiatrist. I had the psychiatry appt this morning (7/24/14) and spoke with my pcp about it in another appt this afternoon. Psych has to score my tests and will let me know. PCP thinks its a great idea. That'll take care of my insurance criteria. However, I have active auto immune disorders right now. I need them to be under control before surgery. I saw my rheumatologist a week ago (7/17) and she said that she doesn't think the surgery is a good idea right now. Right now priority should be getting my lupus under control. I agree. I've been taking my meds as directed right from the get go (saw her for first time 5/20). I told her that due to the insurance criteria, surgery wouldn't even be possible until the end of the year. I see her again in 2 months and she said we'd discuss it again, then. Meanwhile, I'm on daily steroids, immuno-suppressant, and blood thinner. I really hope these meds do the trick and put me back into remission. fingers crossed. But, I'm using the time now to really work on me.

Edited July 25, 2014 by rossigrl84

[MS_Science_Sleever 78]

I think we are on the same timeline, and your insurance criteria is identical to mine. I am in Mississippi. I just started my 3 months of monitored weight loss and have had my psych eval. Dietician appts start next week.

I do not know much about lupus, but I hope that your meds get it under control. Take care of yourself with this.

[Luigi5144 29]

@@MS_Science_Sleever I'm glad to have someone to virtually walk through this journey with. I have cigna insurance? Do you have the same?

[MS_Science_Sleever 78]

no, I have BC/BC state emplpyee insurance - which is different than the regular BC/BC of MS.

I am surprised to see how many people are on this site. I am looking forward to journey - because I know it will be hard and worth it...... and we will look fabulous and be really healthy and feel good in the end.