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

During the 6 month approval time for insurance...



Recommended Posts

My insurance (Humana) requires that I see my doc every month for 6 months before my surgery. I now understand that this is a pretty typical request. My question: I saw my doc on Jan 31, and then because of his schedule - not mine, I didn't get to see him again until March 17...Is this going to knock me out of being considered? Will i have to say that I started my journey on March 17 instead of Jan? I work for the school here in Kentucky and need to be able to have my surgery during our summer break. Anyone have any experience with this???? HELP!

Share this post


Link to post
Share on other sites

I am sorry to say that I spoke with Humana about three months ago and they told me that if I didn't have six consecutive months that I would have to start over. So regardless to who the fault is I don't think they care. They also told me that whenever I get my six months in that it would be good for three years. In case for some reason I changed my mind on the surgery. I also work for Kentucky State Board of Education. You need to call them yourself and verify this information and make sure they told me the same thing as you. They just keep changing the regulations on this surgery.

Share this post


Link to post
Share on other sites

Although I don't have Humana Insurance I had to have 6 consecutive months. Even if your doctor could not see you, maybe they'll have you come in and record your weight so you can present it to your insurance company. It's very frustrating but in the end, I am glad I took advantage of the 6 months because I took that time to learn as much about the lap band system as possible. I love my band. I would do it all over again if I had to. If you have to start over, it will be worth it. Hopefully you will not. I have Blue Cross/Blue Shield of Alabama. I did everything they required and had no issues.

I wish you much success during your journey.

Share this post


Link to post
Share on other sites

I understand how you feel, I also have Humana and work for Pretrial Services in KY, and am in the 5th month of my 6 month diet..I also get monthly phone calls from active health because of how they have it set up to get approval for surgery..I had picked a surgeon and had a consult with them only to be unable to come up with the program fee that they want and am currently talking to another doctors office about going with them for the procedure..Good luck and keep your head up.

Share this post


Link to post
Share on other sites

Did you ever find out the requirements of the six month supervision diet? How far are you into this journey? I have scheduled my fourth appointment for next month. Where are you interested in having your surgery? I am looking at Central Baptist.

Cheryl

Share this post


Link to post
Share on other sites

I am alos in the 6mo waiting game of insurance. I am rying to lose weight with a 1500 calorie diet. I often fight with this each day. In July will be my start of month 5. I wish it was month 6, because i am becoming afraid of the unknown. I try to lose weight with the diet and also with excerise at the gym. But my brain is not helping me stop the eating. I went in on Wed for a required egd for insurance and found to have esophagitis. No symptoms were being seen before this day. But know as I look back oh boy have I had symptoms. Now my best friend is protonix for the next couple of months. But best of all I can come here and talk about my fears.:angry:

Share this post


Link to post
Share on other sites

Howdy, I did my 6 months plus & was banded 1/15/08. A book I'm reading is Weight Loss Surgery with the Adjustable Gastric Band. By R. Sewell & L. Rohrbough. Borders has it. It is really good. I went to group & shrink meetings pre-op. They helped me get my head where it needed to be. Your 3 times more successful at weight loss attending meetings. This is my 5th operation. Spine fusion, ankle & shoulders. I know to start walking A.S.A.P. Pre-op is a great time to start building a support system. It took me about 10 years from 1st seminar to band. I needed that time to break old habits. I think over 75% of weight loss is in my head. This book is telling me my body chemistry will start to change at 9 months for the better. Good Luck & Really Large Weight Losses from Las Vegas!!! Hasta Pronto, George:teeth_smile:

Share this post


Link to post
Share on other sites

i love that book, I have it :thumbup: and congrats on ending the bad habits.

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

    • 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!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • 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

    ×