Amanda Purser 5 Posted October 5, 2020 Im new here, I'm 34 and I'm 348 lbs down from 378 june 2020. Ive had my consult with my weight loss surgeon and had my nutrition class but not with the therapist. Ive also not been scheduled for my endo. I only have one appointment left in my 6 month required appointments for insurance. I'm just wondering how long it this process usually takes at this point in my journey? Im just nervous I guess. Im worried about being denied coverage even though i have high blood pressure and borderline high cholesterol, varicose veins on the back of my left calf and really bad knees.Sent from my LM-G710 using BariatricPal mobile app 1 DiZia reacted to this Share this post Link to post Share on other sites
BigSue 1,392 Posted October 5, 2020 I got my surgery date once I completed all of my pre-op requirements and was approved by my insurance. What makes you think you will be denied coverage? As long as your insurance covers WLS and you meet all of their requirements (which it looks like you are doing), it’s unlikely you’ll be denied. Has your surgeon’s practice gone over all of the requirements with you? They’re very experienced in dealing with insurance companies, so if you do what they say, you should be all set. Are you responsible for scheduling your endoscopy and psychology evaluation, or is the surgeon’s office supposed to contact you? It would probably help to speed things along if you get those knocked out by the time you finish your 6 month weight loss program, but I don’t know how your particular surgeon likes to handle this. Share this post Link to post Share on other sites
Amanda Purser 5 Posted October 5, 2020 As far as I know the Dr office will set up my endo and phyc eval. I'm just nervous about the whole thing. Ive never ever been a small person and i guess I feel like with my luck thos will be taken away from just like everything else. Idk paranoid I suppose lolSent from my LM-G710 using BariatricPal mobile app Share this post Link to post Share on other sites
BigSue 1,392 Posted October 5, 2020 If you haven't talked to your surgeon's office in a while, it might be a good idea to give them a call to let them know you're almost done with your 6-month weight loss and ask what you need to do to schedule the endo and psych eval. A lot of bariatric practices have a "patient navigator" who helps to coordinate that stuff. I had some concerns about my insurance coverage (mainly because I hadn't been to a doctor in almost 10 years, so I didn't have a documented weight history), but the surgeon was very familiar with my insurance requirements and said, "Don't worry, we'll get you covered," and they did! They do this for a living, so most of them are pretty good at dealing with insurance companies. 1 sporters reacted to this Share this post Link to post Share on other sites
Amanda Purser 5 Posted October 16, 2020 My endo was finally scheduled 2 days ago for nov.13th. After that everything goes to insurance so fingers crossed all goes well! Ive never had an endo before, can you please tell me what to expect?Sent from my LM-G710 using BariatricPal mobile app 1 sporters reacted to this Share this post Link to post Share on other sites
xoxoMeli 64 Posted October 16, 2020 I got my surgery date on my very 1st appointment with the surgeon. Granted, I have to complete all of the pre-op testing and be cleared for surgery so there is always a possibility it can change. Sent from my SM-G960U using BariatricPal mobile app 1 Amanda Purser reacted to this Share this post Link to post Share on other sites
maslman 65 Posted October 16, 2020 I got my surgery date right after I completed my endoscopy which was the end of June. My surgeon's office didn't submit anything to insurance for precertification until about 2 weeks prior to my surgery. There were a few hiccups there due to an incorrect fax number, but it all worked out and I got my approval the day before. The endo is pretty easy and doesn't last more than 5 to 10 minutes. You lay down in the procedure room on your left side, they put an O2 mask on you with a tube that goes in your mouth to keep you from biting the scope, and then they give you the anesthesia and the next thing you know you are in the recovery room. Some people have a sore throat after, but I never did. For me it was a very easy procedure. 1 Amanda Purser reacted to this Share this post Link to post Share on other sites