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

Starting out - Completing Insurance Requirements



Recommended Posts

Back story - In Dec 2020 my new PCP referred me to a bariatric surgeon. I called to schedule my appointment right after. I didn’t hear back right away and personally debated should I go through it this time. I had been talked out of it before by friends, family, even doctors. So Jan 2021 I went back to the weight clinic by my house because I knew I had to do something and why not get back on a plan as a wait to hear from the surgeons office. Plus I had just got engaged and the thought of children in the future seemed to hit me like a Mack truck. I needed to do something for me! I weighed in at 362.2, the highest I’ve ever seen on the scale. Fast forward to Feb and still nothing. So I called again. Finally was able to get an appointment for Tuesday March 9th. I was excited and nervous. I went to the appointment and the surgeon and staff were so nice. I weighed in at 348ish I believe (still kicking myself as to way I let the nurse weigh me in the jacket and boots since I was 343 that morning lol). He said I was a good candidate given my age (33) and family history . That since I didn’t have any medical conditions and fi want to have children now is the time. His nurse outlined all the requirements for me - 6 months weight management (my current clinic was fine and given I went back in Jan I just need 4 more months), to not gain any weight, no more to low carbs and sugar, physiological evaluation, nutritional evaluation, join the FB support group (everything is virtual right now), EKG, chest x Ray, and blood work.

Currently - I’m 3 1/2 months in the weight management. Will be done basically the second week of July. Physiological evaluation completed. Joined the support group and attend the zoom meetings weekly, nutritional evaluation is this Wednesday, and keeping my weight down (at 337 as of Saturday). Since I basically have 2 months left (this month is basically over) should I go ahead and schedule my medial tests in May or wait till June? I don’t want to take them too early before I’m finished with my weight management for concern of having to take them again if done too soon. I can’t wait to have everything done a submitted to the insurance. Then to schedule surgery! I’m so ready for the rest of my life, plan a wedding, and just this new chapter of putting myself first. Thanks!

Share this post


Link to post
Share on other sites

1 hour ago, Beautyishername said:

Back story - In Dec 2020 my new PCP referred me to a bariatric surgeon. I called to schedule my appointment right after. I didn’t hear back right away and personally debated should I go through it this time. I had been talked out of it before by friends, family, even doctors. So Jan 2021 I went back to the weight clinic by my house because I knew I had to do something and why not get back on a plan as a wait to hear from the surgeons office. Plus I had just got engaged and the thought of children in the future seemed to hit me like a Mack truck. I needed to do something for me! I weighed in at 362.2, the highest I’ve ever seen on the scale. Fast forward to Feb and still nothing. So I called again. Finally was able to get an appointment for Tuesday March 9th. I was excited and nervous. I went to the appointment and the surgeon and staff were so nice. I weighed in at 348ish I believe (still kicking myself as to way I let the nurse weigh me in the jacket and boots since I was 343 that morning lol). He said I was a good candidate given my age (33) and family history . That since I didn’t have any medical conditions and fi want to have children now is the time. His nurse outlined all the requirements for me - 6 months weight management (my current clinic was fine and given I went back in Jan I just need 4 more months), to not gain any weight, no more to low carbs and sugar, physiological evaluation, nutritional evaluation, join the FB support group (everything is virtual right now), EKG, chest x Ray, and blood work.

Currently - I’m 3 1/2 months in the weight management. Will be done basically the second week of July. Physiological evaluation completed. Joined the support group and attend the zoom meetings weekly, nutritional evaluation is this Wednesday, and keeping my weight down (at 337 as of Saturday). Since I basically have 2 months left (this month is basically over) should I go ahead and schedule my medial tests in May or wait till June? I don’t want to take them too early before I’m finished with my weight management for concern of having to take them again if done too soon. I can’t wait to have everything done a submitted to the insurance. Then to schedule surgery! I’m so ready for the rest of my life, plan a wedding, and just this new chapter of putting myself first. Thanks!

Welcome! And congratulations on putting yourself FIRST! Me personally, would get the tests scheduled. Sometimes the first available appointment(s) will be several weeks out. And I would think that any tests you take for surgery clearance would not have to be taken again.

Good luck with everything and keep the forum posted on your progress! This is a great forum for support and ideas as you start this life changing journey!

Share this post


Link to post
Share on other sites

On 04/18/2021 at 13:36, Luna Girl said:






Welcome! And congratulations on putting yourself FIRST! Me personally, would get the tests scheduled. Sometimes the first available appointment(s) will be several weeks out. And I would think that any tests you take for surgery clearance would not have to be taken again.




Good luck with everything and keep the forum posted on your progress! This is a great forum for support and ideas as you start this life changing journey!


Thank you!!! Yeah I’m going to call this week to see what appointments are like.

Share this post


Link to post
Share on other sites

I’d say that’s a good idea! I don’t know what kind of tests your doc requires, but I have to have an upper gi and scheduling was more than a month out. My surgeon told me it took even longer in the last few months because of covid, things are pretty back logged!

Share this post


Link to post
Share on other sites

On 04/18/2021 at 15:46, LuckyKelleyK said:

I’d say that’s a good idea! I don’t know what kind of tests your doc requires, but I have to have an upper gi and scheduling was more than a month out. My surgeon told me it took even longer in the last few months because of covid, things are pretty back logged!

Yeah I’m going to call this week and see what’s open for scheduling

Share this post


Link to post
Share on other sites

Did your Dr. give you a schedule outlining when to have tests done? You could always give a call to confirm. If you're able to, It's helpful to schedule multiple appointments for the same day and clinic to save back and forth trips.

Share this post


Link to post
Share on other sites

On 04/18/2021 at 21:53, DoodlesMom said:



Did your Dr. give you a schedule outlining when to have tests done? You could always give a call to confirm. If you're able to, It's helpful to schedule multiple appointments for the same day and clinic to save back and forth trips.


No no schedule just what needs to be done to submit to insurance. Just want to have them done by the time my 6 month weight management is done.

Share this post


Link to post
Share on other sites

Oh, ok. That gives you a little more freedom to do it when you have time but it's also a little unclear. Good luck as you work through the process.😀

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

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • 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

    ×