Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Insurance savy person, help!

Read2016

By Read2016, in Insurance & Financing

Recommended Posts

Read2016    658

Read2016
Posted

Hi All,

Looking to find someone who may be a teacher in NYC or someone else with this type of insurance.

Had my first consult with the surgeon today, loved her.

The guy who handles the insurance is giving me information not stated in the plan.

I'm going to post what the plan says and maybe someone out there can tell me what kind of things fall under 6 months continuous. He's insisting it's medically supervised but I don't see that word anywhere.post-288810-14612808655983_thumb.jpg

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

KristenLe    5,979

KristenLe
Posted

I would assume that he's interpreting the 6 month weight loss program has to be "appraised and documented by physician requesting referral" as medically supervised. I would specifically question what appraised means to them.

Share this post

Link to post
Share on other sites

shrinkingkimber    200

shrinkingkimber
Posted (edited)

That's exactly what mine stated. My doctor looked over my food and exercise journals (from myfitnesspal)for 2 months and signed off on them then I continued seeing her for 4 months and that made up all 6 months.

Sent from my iPhone using the BariatricPal App

Edited by shrinkingkimber

Share this post

Link to post
Share on other sites

Read2016    658

Read2016
Posted

I'm trying to see if I can submit things like working with a personal trainer etc... Thanks your response is a big help... Did you have bcbs?

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

shrinkingkimber    200

shrinkingkimber
Posted

I'm trying to see if I can submit things like working with a personal trainer etc... Thanks your response is a big help... Did you have bcbs?

Sent from my iPhone using the BariatricPal App

Yes. My document looks just like yours just with a different emblem up top. post-269560-14612837533932_thumb.jpg

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

shrinkingkimber    200

shrinkingkimber
Posted

Yep so your doctor just reviewed your documents and submitted a letter stated they had reviewed them?

Sent from my iPhone using the BariatricPal App

My surgeons office actually had a form that had to be filled out for each month. I printed my journals from each month and she reviewed them then filled out the surgeons form for each month/journal.

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

shrinkingkimber    200

shrinkingkimber
Posted (edited)

Where are you? Maybe I'll be headed to your doctor... How's the weight loss going

Sent from my iPhone using the BariatricPal App

Virginia. I haven't had my surgery yet. I finished my 6 months as of April 1 but due to a medication that I'm on my surgery has to be 8 weeks after the last dose. My surgery date is 6/9.

Sent from my iPhone using the BariatricPal App

Edited by shrinkingkimber

Share this post

Link to post
Share on other sites

Amurillo04    109

Amurillo04
Posted

I have that insurance as well and unfortunately as most insurances it needs to be under a doctor. The insurance coordinators have a pretty good idea of what there doing -most of the time- and it's basically there job to get you approved because they want that 30 grand from you lol

Sent from my iPhone using the BariatricPal App

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
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Bashbee91

      Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        buildabetteranna

        Thank you ❤️

      3. Selina333

        Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×