THE WORST!

[CalorieKicker 6]

I have been going through the process and procedures to prepare for the sleeve. I have completed all but the psych eval. Well I have UHC and they require a 6 month diet with in the last 2 yrs. That was fine I knew I had at least 4 months in my history from prior weight loss attempts. I reach out to my previous PCP office and was advised they had no record of any of my Dr. visits only lab work. what? No proof of any prescriptions they prescribed, no notation from the Dr's I've seen, nothing. I went to this PCP for 3 yrs and went at least 20 times in that time frame. So now I have to start from scratch with the 6 months. I am not a happy camper today AT ALL.

Sorry had to vent somewhere lol

[Nurse_Lenora 903]

I'm sorry, that's so frustrating!

But I do know most insurance companies require 6 months in succession with no breaks or they start the clock over again and it has to be within the last year to qualify.

Good luck!

[Miss Mac 6,262]

According to HIPPA, you are entitled to a copy of your medical records. How can a doctor not keep records and still be allowed to practice medicine? With 20+ visits in three years, they surely know you well enough to provide a statement confirming that the doctor was monitoring your weight and providing dietary suggestions. Didn't they measure your weight, sugar and blood pressure each time you went? I would get a new doctor and report the one who doesn't keep records.

[CalorieKicker 6]

According to HIPPA, you are entitled to a copy of your medical records. How can a doctor not keep records and still be allowed to practice medicine? With 20+ visits in three years, they surely know you well enough to provide a statement confirming that the doctor was monitoring your weight and providing dietary suggestions. Didn't they measure your weight, sugar and blood pressure each time you went? I would get a new doctor and report the one who doesn't keep records.

yes they did all of the necessary steps to a normal Dr. visit. I called them and they stated they only had 18 pages of documents over 3 yrs and that's it. I was provided with all of those documents; I'm seriously considering calling NC board to complain

[CalorieKicker 6]

I'm sorry, that's so frustrating!

But I do know most insurance companies require 6 months in succession with no breaks or they start the clock over again and it has to be within the last year to qualify.

Good luck!

I have UHC I spoke with resource advocate and their requirement is at lease 6 months of attempts in the past 2 yrs. the diet does not have to be consecutive but it does have to be medically chaperoned.

[NikkiDoc 312]

While it is frustrating IMO it really isn't a bad thing. I feel my 6 month diet gave me the extra time I needed to REALLY research what to expect from the pre-op diet, the surgery, recovery from the surgery and my diet after surgery. It gave me time to start to practice eating better. It gave me time to wean off of caffeine and soda. I attended one of my programs support groups. It gave me time to figure out what Vitamins and shakes I wanted to have on hand for pre-op diet and after surgery.

Too many times I have seen questions from people that are quickly approved by insurance and quickly have the surgery are on the boards asking about what they are allowed to eat at the various stages after surgery. They are the ones that are surprised that they shouldn't be eating simple carbs. They are surprised by the 3 week stall and the initial discomfort after surgery. They are surprised when they are moody after surgery. There was nothing I went through that surprised me. I read a ton of people's personal experiences here on this board.

My insurance required 6 consecutive months sometime in the last 2 years. Since you only had 4 months you would have had to do it again. My insurance allowed Weight Watchers, dr supervised, LA Weight Loss, Medi-fast. Any commercial program that I could document 6 months of monitoring.

[gastricsleevemeplease 3]

Hi everyone I'm new here and i really like this support group and good luck to everyone, I do have a question do anyone know if medicare cover the gastric sleeve surgery? And i meet with the surgeon tomorrow so what should I expect and who else do i have to make appointments with, thanks everyone in advance ????

[Thinny 30]

Calorie Kicker...I also have UH and I'm in the process of meeting requirements. I hope to get a surgery date by April. Anywho, if your pcp administered meds for weight lost then he/she just needs to note your weight at that time and the purpose. Even if they don't remember or know the weight, it just needs to have weight from one visit to the next. Also they got paid for the visits o get a transcript from the insurance company.Use the date you filled the script. And about that, all pharmacies have to keep a record. Get that and show it to the pcp. They have to at least account for providing meds. In the interim, Nikki is right...use the time to continue your education. But don't let a doctor set you back 6 months because of their incompetence.