Overwhelmed !????

[missjuan83 1]

Just got my packet from the hospital! There's is so many things I need to do and fill out! I'm just so overwhelmed and feel like if I make one mistake on the packet I will be denied because I'm barely matching all the criteria they need for the WLS

HELP!!!

[Soexcited 64]

What are the questions in your packet? I was approved for my band and now again for my bypass so I have been approved twice now, I'll help if I can.

What are the questions in your packet? I was approved for my band and now again for my bypass so I have been approved twice now, I'll help if I can.

What are the questions in your packet? I was approved for my band and now again for my bypass so I have been approved twice now, I'll help if I can.

What are the questions in your packet? I was approved for my band and now again for my bypass so I have been approved twice now, I'll help if I can.

[missjuan83 1]

Well I have a few questions

1. I only have one Comorbidity

Which is arthritis of the spine

But I'm 5'3 205lbs BMI 36

Will they approve me

2. I have been on a medical managed diet through my PCP but it was 4-5 months ago because it kinda failed

3. I have BCBS of MI how will i know if I will get approved

[Soexcited 64]

Whos your insurance company? They should have rules posted that you can read up about. I dont have any comobiditiy except for a bad knee, I totally lied and said i have acid refux because i wanted the bypass not the sleve....you gotta know the system better than the doctors do to get what you want.

[Soexcited 64]

Oh and by the way i have no idea why my post posted so many times!!

[missjuan83 1]

Thanks so much I just looked them up blue cross blue shield of Michigan

☺️thanks for the info

[rking 484]

It totally depends on BCBSs policies (the small, tiny, details) I have TRS Aetna and I had to call them and have them show where to look exactly. I have to do like 6 things, see a nutritionist for 3 months, have a supervised exercise regimen, and other stuff. I have to follow it exactly, as you do. Give them a call and actually look at it in writing. I was completely overwhelmed with the wording and how much I had to do... but I analyzed it several times and then I was ok with it

Good luck!!

[Cindy2013 99]

I was stressed out about the psych eval. As a chronic pain person with depression, I worried that they wouldn't let me have the band. It was not hard at all. I just went in being myself, was honest, and the psychologist said all was well. I told him I was worried about it because I had a work comp case and their psychologist report came back absolutely ridiculous. The lapband psych said it was their job to do that. His job was to take care of me, not save work comp money. So if you are worried about the eval required before doing the lapband, don't sweat it. Just be yourself and it should be great.
I also had to prove a history of all my previous weight loss efforts. Listing every diet or plan you have ever been on, with the length of times and any weight loss/gain satisfied my 6 month supervised diet requirement, but I had worked with my pcp on several different diets. Just list everything you have ever done. Each insurance company is different though. Also, with the weight loss plans in the past, I was advised that if I showed I could lose 50 pounds WITHOUT surgery, they would probably not approve me. It was not an issue for me because I could never do that. I hope these points help you out. As always, we can't say what your insurance will do, but sharing our experiences is what it is all about, isn't it?

I was stressed out about the psych eval. As a chronic pain person with depression, I worried that they wouldn't let me have the band. It was not hard at all. I just went in being myself, was honest, and the psychologist said all was well. I told him I was worried about it because I had a work comp case and their psychologist report came back absolutely ridiculous. The lapband psych said it was their job to do that. His job was to take care of me, not save work comp money. So if you are worried about the eval required before doing the lapband, don't sweat it. Just be yourself and it should be great.
I also had to prove a history of all my previous weight loss efforts. Listing every diet or plan you have ever been on, with the length of times and any weight loss/gain satisfied my 6 month supervised diet requirement, but I had worked with my pcp on several different diets. Just list everything you have ever done. Each insurance company is different though. Also, with the weight loss plans in the past, I was advised that if I showed I could lose 50 pounds WITHOUT surgery, they would probably not approve me. It was not an issue for me because I could never do that. I hope these points help you out. As always, we can't say what your insurance will do, but sharing our experiences is what it is all about, isn't it?

I was stressed out about the psych eval. As a chronic pain person with depression, I worried that they wouldn't let me have the band. It was not hard at all. I just went in being myself, was honest, and the psychologist said all was well. I told him I was worried about it because I had a work comp case and their psychologist report came back absolutely ridiculous. The lapband psych said it was their job to do that. His job was to take care of me, not save work comp money. So if you are worried about the eval required before doing the lapband, don't sweat it. Just be yourself and it should be great.
I also had to prove a history of all my previous weight loss efforts. Listing every diet or plan you have ever been on, with the length of times and any weight loss/gain satisfied my 6 month supervised diet requirement, but I had worked with my pcp on several different diets. Just list everything you have ever done. Each insurance company is different though. Also, with the weight loss plans in the past, I was advised that if I showed I could lose 50 pounds WITHOUT surgery, they would probably not approve me. It was not an issue for me because I could never do that. I hope these points help you out. As always, we can't say what your insurance will do, but sharing our experiences is what it is all about, isn't it?