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

Surgery postponed......insurance issues.



Recommended Posts

Hello October sleevers!

Congratulations on your big day! I am sending good vibes to all.

I was scheduled for 10/29. Cancelled because there are "most steps" to complete with insurance.

I am very thankful for my insurance. The requirements are lengthy and, at times, tedious.

6 months Dr. supervised diet.....check. Psych eval.......check. Psych eval actually getting to surgeon and insurance......took two months, but check.

I checked with my insurance many times to make sure everything was done. I still have "one" task to complete. It's 8 phone calls with a "health coach" at my insurance company. Only after this is completed can the dr office send in for approval. Ugh. Puts me into November. I thought I might learn something new and exciting from these calls, but no. The first call, the health coach had me read some articles to discuss at next phone call. The articles were from WebMD, really??

So, frustrated and disappointed. But I've been hugely fat for a long time, a few more weeks won't hurt.

Share this post


Link to post
Share on other sites

I'm sorry but that's ridiculous. Shouldn't your BMI have qualified you for a fast track or something? When are the insurance providers going to look at all the studies done on the efficacy of pre-op requirements? All the data and research says it's not necessary. Sure the nutritionist and psychiatrist are great but they shouldn't be gatekeepers, but guides during the whole journey.

Share this post


Link to post
Share on other sites

11 hours ago, 1BigHeart said:

Hello October sleevers!

Congratulations on your big day! I am sending good vibes to all.

I was scheduled for 10/29. Cancelled because there are "most steps" to complete with insurance.

I am very thankful for my insurance. The requirements are lengthy and, at times, tedious.

6 months Dr. supervised diet.....check. Psych eval.......check. Psych eval actually getting to surgeon and insurance......took two months, but check.

I checked with my insurance many times to make sure everything was done. I still have "one" task to complete. It's 8 phone calls with a "health coach" at my insurance company. Only after this is completed can the dr office send in for approval. Ugh. Puts me into November. I thought I might learn something new and exciting from these calls, but no. The first call, the health coach had me read some articles to discuss at next phone call. The articles were from WebMD, really??

So, frustrated and disappointed. But I've been hugely fat for a long time, a few more weeks won't hurt.

Amazing outlook, you'll do great!

(When the time comes)

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

    • 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.
    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

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

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • 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

    ×