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

Let's talk about this 6 month WL program



Recommended Posts

im with Humana for my insurance and I think I'm going to have to go through a six month doctor monitored weight loss program. I've been on diets my whole life. Weight watchers online, Atkins, paleo. None work for me. Why do the insurance companies require this? If I could lose this weight on my own, I wouldn't need WLS. If I could do this on my own my doctor wouldn't need to say it was a MEDICAL NECESSITY. Keyword NECESSITY. I'm just a little frustrated over it all. Anyone else go through this?

Share this post


Link to post
Share on other sites

Oh, yes! I had to do the same thing. My Dr. didn't require me to lose any certain amount of weight before the surgery, but he did say I could not gain even one pound. The 6 month program takes you through visits with a nutritionist, trainer, the Dr., and a psychiatrist. I sort of felt the same way you did in the beginning, but being this side of surgery, I can see the importance of those required visits. Believe it or not, those 6 months will fly by and you'll be ready for surgery before you know it! I hope all goes well for you!

Share this post


Link to post
Share on other sites

It goes quickly and you will learn valuable tools to help make surgery a success. They want to see that you will make necessary changes for success. So many programs don't require this and many of those people gain the weight back, don't lose, or put their health in further danger. Relax and enjoy the journey!

Share this post


Link to post
Share on other sites

@@Allens Comedy it's basically a delay tactic by the insurance company's in hopes u will decide it's too hard to follow the rules and the endless visits tests weigh ins etc and u give up and they don't have to pay for it

Share this post


Link to post
Share on other sites

I'm with Humana too. I did the six visits with a dietician and it went fast!

Share this post


Link to post
Share on other sites

I'm with Humana too. I did the six visits with a dietician and it went fast!

Were those once per month?

Share this post


Link to post
Share on other sites

Yep, my insurance required it too, plus we're supposed to lose 10 percent of our excess weight. Initially I felt the same way you did, but I came through it just fine.

The time absolutely passed by a lot faster than I could ever imagine and I did lose the required weight.

It's been a month since then, and I've been approved for surgery! Only to find out that there are worse things than the six month mandate. And that's waiting for an actual surgery date. Could be July. Could be August or September. I don't know.

But I've come to an understanding that I have no control over the "process" and no two "processes" are alike. So I rejoice in simply having made it this far, and in the sure knowledge that my day is coming. One thing is for sure though, my resolve that this is the right choice for me has never once wavered.

So I spend as much time as I can imagining my great future, and as little time as possible wallowing in the wait. In the meantime I congratulate those who get there before me, and encourage those who will get there after me.

Your time too will come! I promise! Just hang in there and learn as much as you can!

Share this post


Link to post
Share on other sites

I had to do 10 weight management phone calls over 6 months. I found it demeaning and patronizing. But I use the time to talk about more emotional eating problems than anything else and felt like I made some progress with that part of things.

Share this post


Link to post
Share on other sites

My insurance required a 6 month doc supervised diet also. I was actually ok with that because WLS is not something I had been looking into forever. It just kinda happened. I was thankful for that time to get my head wrapped around all the changes that were going to take place and all the hard work I would have to do to be successful with my weight loss.

Being able to take that time to research and really figure out why I could lose weight but not keep it off has really helped me be successful so far with my weight loss. My insurance didn't require me to lose a specific amount of weight and I actually gained a little and lost again during the 6 months.

I had received a letter about 4 months in that the hospital that my surgeon operated out of was no longer going to be in network. That meant everything stopped, he didn't operate any where else so I thought I was done. But I kept going to my doc appts just in case they settled the contracts. And lo and behold they did and I was able to continue thru with the process.

My surgery was scheduled for October 27th and I was good to go. I really used those 6months to get very ready for my new life. I know it can be frustrating but it does go by so fast its crazy. I can't believe it has already been 7 1/2 months, I really don't know where the time has gone.

Good luck with your journey!!

Share this post


Link to post
Share on other sites

Well...I found out today that Humana doe NOT require this unless the surgeon requires it. I called my surgeons office and they have o requirements for the doctor supervised weight loss. All they need from me is a letter form my PCP clearing me for surgery and a medical necessity letter to go to the insurance. The nurse told me once I get the psych exam (Thursday) that I could be scheduled for surgery within a month. YAY ME!

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

    • 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!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • 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

    ×