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

Odds of being denied through Kaiser



Recommended Posts

So, unfortunately for me, I am always worried and stressing about something. Hopefully some of you wonderful people can set my nerves at ease.

I am on week 8 of my Options Class, which I absolutely love. I started out with a BMI of 41. I am down 8 pounds out of the 11-25 they want me to lose during this program period. So far, I think I am doing okay.

Here is my worry... what are the odds that I still get denied by the surgeon? Does anyone have any suggestions when dealing with Kaiser?

Thank you in advance!

Share this post


Link to post
Share on other sites

My words may not help, simply because I have yet to attend my orientation for Options, but I read something that may lead you in the direction you're hoping to go. In my search for information about Kaiser's Options Program, I came across a thread discussing the chances of getting denied once an individual was already in the program. From what I gathered, if you enter the program with a BMI under 40, they may not refer you for surgery, but if you enter the program with a BMI over 40 and are able to lose the weight (that would possibly lower your BMI to under 40), they will not deny you even if you're under. In my journey for answers, I've found out that every single Kaiser facility is different. Best of luck to you! Congrats on the early weight loss!

Share this post


Link to post
Share on other sites

So, unfortunately for me, I am always worried and stressing about something. Hopefully some of you wonderful people can set my nerves at ease.

I am on week 8 of my Options Class, which I absolutely love. I started out with a BMI of 41. I am down 8 pounds out of the 11-25 they want me to lose during this program period. So far, I think I am doing okay.

Here is my worry... what are the odds that I still get denied by the surgeon? Does anyone have any suggestions when dealing with Kaiser?

Thank you in advance!

Loose the 10% they will check and surgeon will too I finished options in socal on 9/24 saw surgeon on 10/5 and he went over the weight and all that and surgery date 10/20 I will be checked as well also I noticed options lies they make the surgeons seem like they are super mean and beyond strict and they are not oh and when they send you for your labs do them right away all of them labs ekg etc. they will hold referral if something comes out abnormal. Umm I believe that's it and good luck!

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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.
    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 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

    ×