GHI/Emblem NYC process-city employee

[Nyelaah 77]

Hello everyone!

I wrote the info below on another post and figured it'd be helpful to some GHI users. I browse through forums and haven't found any updated info on this. Hope this helps someone!!

Below has been my process so far:

Jan- WLS seminar

Jan-PCP blood work (diagnosed with diabetes and high blood pressure.

Jan-called insurance to confirm WLS details. I need 3 mth surprised, 40+ BMI or less than 40 BMI with 2 comorbidities.

Feb-initial meeting with WLS center. Same day did additional blood work to check out my Vitamin levels.

Feb-endoscopy

Feb-sleep test(found out I had mild sleep apnea, needed 2nd sleep test, and need CPAP for the months before surgery then not after)

March-Psych evaluation and clearance letter. He gave me the little right then and there. Depends on your doc they might ask for longer time visiting psych.

March-PCP clearance letter

March-1st weight loss maintenance meeting with center.

March-2nd sleep test

April-2nd weight management meeting

April-meet with endoscopy doctor for antibiotics. Endoscopy found I had a bacteria.

April-meet with sleep doctor for cpap machine. Need to use cpap for 1 mth before pulmonary clearance letter. After letter, still need to use machine until surgery.

Coming up:

May- last weight loss management

meeting and NUT meeting on same day. Center will send paperwork into insurance.

After insurance approval. I will meet with doctor and schedule surgery. I am looking to have surgery mid July because it works with my work schedule. I'm planning to take 2 weeks off and possibly work from an office near by either the second week and not take 2 week vacation. Or the third week and take two week vacation.

So overall it will take me 6 mths! Oh and from what I know I will have to do a preop diet. It will consist of 1 low carb meal a day then liquids-Protein shakes I believe.

This is my journey so far but everyone is different depending on doc. I am with Dr. Bagloo at Columbia Presbyterian in NYC. My friends doc didn't require sleep test for her not sure why!

Good luck!

[sunnyreader 29]

I am also NYC but GHI and Empire BCBS. Wonder if it is the same. I will be going to my first appt on the 20th. I was hoping I did not need 3-6 months of appts.

[vsg3015 4]

@@sunnyreader definately need min 3 month. What hospital?

[Nyelaah 77]

Hi all!

Just wanted to add that I received approval for surgery within 4-5 days :-) I will be sleeved July 17!!

[shakmobody 0]

I wanted to add to this. I have ghi as an NYC employee as well they now require 6 months maintenance..

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