Newbie

[Christina pletzer 0]

What were the first steps anyone took to start the process, both of getting approval from insurance company and how to get started with a bariatric surgeon ? Also how & who decides exactly what type of bariatric procedure you get? Also I have Maryland medical assistance, and my mco is priority partners , has anyone who has the same type of insurance as me, had any issues with getting approval to cover the costs of the surgery and any other things that are required bloodwork & tests , dietitian services , etc

[James Marusek 5,244]

I had surgery at a Center of Excellence for Bariatric Surgery. These Centers of Excellence are available in many states. The Centers of Excellence provide a complete support for the surgery. There are many components that require a range of specialist beyond just a surgeon who specializes in Bariatric Surgery. They include nutritionist, psychologists, a hospital that specializes in bariatric surgery, staff that work insurance issues, pre-op testing, weight loss and exercise programs, bariatric surgery support group meetings, five years of post-op follow-ups. It is like a "full meal deal", no pun intended. Many have an free introductory meeting that describes the various surgery options.

Generally the decision of the type of surgery is made by you and the surgeon. There are medical reasons to chose one type over another. Such as if you have severe acid reflux (GERD) you would want to chose RNY gastric bypass over the sleeve because the sleeve will only make the condition worse.

[Deeme 21]

5 hours ago, Christina pletzer said:

What were the first steps anyone took to start the process, both of getting approval from insurance company and how to get started with a bariatric surgeon ? Also how & who decides exactly what type of bariatric procedure you get? Also I have Maryland medical assistance, and my mco is priority partners , has anyone who has the same type of insurance as me, had any issues with getting approval to cover the costs of the surgery and any other things that are required bloodwork & tests , dietitian services , etc

As they say......... do your homework! Attend those free seminars! You can actually talk to surgeons, ask questions & learn a lot! That is what we did! I say "we" because my husband is my support team & always is with me for everything. Reviews about surgeons are important also.... just more help in your decision. Of course, there are many Labs to do & all kinds of specialists to see & be tested. The worst for me was the 2 day stress test.....that was no fun! I started this journey in Oct. 2016, so almost a year, however, Dr's have different requirements....mine just happens to cover every single base & leaves nothing to chance. We just last week changed mine from the Sleeve to the By~Pass, which will be on 9.25.17, not far off. Not looking forward to the liquid diet, but, we do what we have to, right?

If, you have any questions that I might be able to help you will, just ask! I think my email somewhere around here, too. Take care! ............... Thinking of you!......................