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

Recommended Posts

So the other night I was going back over my notebook I received from my surgeons office. Something I should've done way sooner. The very first page is my checklist of things I have to do before surgery. I don't know why but before I totally missed the part that says "12 mos medically supervised diet by primary care physician"!!! When I looked at it back in April when I got it, I thought they meant my 12 mos of health education program through my insurance!!!!! OMG!!!!! I've missed 3 months if this is the case!

I have BCBS CoVA (Virginia). Their only requirement is a 12 month Health Education Program that is done monthly on a phone call with a Nurse through them for 30 minutes. It's not the insurance that is the problem, it's the clinic. I put in 2 calls yesterday and one today. They're just not answering their calls! gRRRRRR

SHOOOOOOOT!!!! Man! I totally may have messed up! I feel so stupid!

Share this post


Link to post
Share on other sites

@@Terri70 It will be OK, contact your Primary Care doctor and say you need to go on the diet asap. it's only been 3 months. when you have a chance gather your instructions again, write everything you need to do and when on your calendar. It's easy to be in a fog during this whole thing, don't beat yourself up :)

Share this post


Link to post
Share on other sites

@@Terri70

I know delays can be frustrating especially when one is ready to move on down the road. At least you figured it out now and not 6 more months from now. I had to do the same thing but mine was 6 months long and they really stunk at followup. I leveraged my assigned NUT through the Bariatric center of excellence and they helped me through the process.

Funny thing was, the nurse through the insurance company only followed up with me twice in that 9 months and called me 2 months after I had the surgery to ask me if I was still on track to have my surgery. I laughed and said that goodness I didn't wait for you. I had my surgery two months ago. Boy was she embarrassed. With my program that was not a requirement, the requirement was the supervised diet of 6 months as well as 5 other requirements.

You have to just keep calling them. If you cannot get them to call you back you might quickly file a complaint which will get them moving.

Seriously my surgeon said" you could have one foot on a banana peel and the other in the grave and these insurance companies don't care enough to move things along"

Just stay on that phone, the squeaky wheel gets the grease

Share this post


Link to post
Share on other sites

Got clarification this morning. It's for sure that I only have to do the 12 mos through my insurance and not the 12 mos supervised diet! Shew! What a relief. Thanks for all the words of advice!

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

    • buildabetteranna

      I FINALLY HAVE MY DATE!!!!

      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 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

    ×