Time frame

[Lariska 36]

Hi guys, what's the usual time frame from first phone call "I'm interested in surgery" to the surgery date if you go through insurance? (Assuming you are approved of course) Also, I have Kaiser (LA).. would like to know how hard are they on approving you and the time frame as well. Thank you!

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[Lariska 36]

LA for Los Angeles, not Louisiana

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[TammyLee66 152]

I have Kaiser I just went to my first orientation last night the area I live in which is outside of Bakersfield California you have to do a 12 week class called options I start my first class on February 21st and they told me once you complete your classes and you do all the pre-ops and everything which most people get it all done during The 12 weeks. Also they told us last night you need to lose 10% of your body weight the doctors like to see at least that much come off before surgery and when you're finished with the classes and if you've completed everything and you've lost the 10% usually you get an appointment with the surgeon within 1-2 weeks and then 3 weeks after that you're having surgery.


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[TammyLee66 152]

And for me I had just seen my doctor and she had always been talking about my weight with me and I asked for a referral to have bariatric surgery and she said no problem and it probably took about 4-7 days to get the referral letter to call regarding orientation.


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[TammyLee66 152]

These are the requirements for KAISER KAISER PERMANENTE COVERS WEIGHT LOSS SURGERY
In Am I Covered by OC StaffOctober 19, 2013
To qualify for coverage of weight loss surgery, your policy must include coverage. Not all policies include coverage. To find out if you policy includes coverage, please talk direclty to Kaiser Permanente.
Kaiser Permanente covers weight loss surgery. Gastric bypass, lap band, and gastric sleeve surgery are all covered by Kaiser Permanente assuming you meet the requirements listed below.
KAISER PERMANENTE REQUIREMENTS FOR COVERAGE
Surgery is a tool for the severely obese who cannot lose weight through the traditional means. Kaiser Permanente covers weight loss surgery in most cases, assuming you meet the requirements below.




Body Mass Index of 40 or greater, OR
Body Mass Index of 35 or greater with at least one major comorbidity.
Comorbidities may include severe sleep apnea, high cholesterol, diabetes, etc.
Over the age of 18.
Completed a medically supervised weight loss program within the last two years.
Have been morbidly obese for at least 3 of the last 5 years. This should be documented by a physician (i.e. annual visits to your OB/GYN, etc.)
Successfully completed a psychological exam. There are no issues that may make it difficult for you stick to your new diet and lifestyle post-surgery.
TYPES OF WEIGHT LOSS SURGERY COVERED BY KAISER PERMANENTE
Kaiser Permanente covers the most commonly covered weight loss surgeries. They are listed below:
Gastric bypass
Lap gastric bands (Lap Band and Realize Band)
Gastric sleeve surgery (Sleeve gastrectomy)
Duodenal switch surgery
Procedures not covered by Kaiser Permanente include:
Trans-oral stapling procedures
‘Mini-Gastric bypasses’
Gastric plication with or without a gastric band
Are gastric band fills covered?
Yes. Lap band fills are covered if your original procedure was covered by Kaiser Permanente.
DO I HAVE TO HAVE OBESITY SURGERY AT A KAISER FACILITY?
Yes. As with most things with Kaiser you need to stay in-house and have the procedure at a Kaiser facility.
CONTACT INFORMATION FOR KAISER PERMANENTE
Sign on to the Kaiser website and contact them here.




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[Lariska 36]

What is the medically supervised weight loss program?

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[TammyLee66 152]

I am not sure about that they didn't say anything when I went to my orientation so I am figuring they are not requiring that


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[Lariska 36]

Oh great! Thanks Tammy!

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[TammyLee66 152]

You're welcome keep me posted when you go to your orientation and start your options class


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