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

New Here-- Question about Oxford



Recommended Posts

Hi Everyone,

I'm new to posting but I've been lurking and learning for awhile. I went for my first appointment yesterday and I'm really excited. Everything looks like it will be fine for my insurance and I know Oxford is pretty good about approving people, my only concern is documentation of weight for the last five years. Has anyone else provided this?

They don't need to see a diet or anything like that, I just have to prove five years of obesity. This should be easy, but I'm concerned because between two and three years ago I wasn't going to the doctor regularly at all. If I went five years ago, then maybe a year later, and then a year and a half ago, does that seem sufficient?

Share this post


Link to post
Share on other sites

I would say so..Oxford is really not that picky. As long as you have atleast three years they really don't hound you. I have Oxford and they approve ASAP!

Share this post


Link to post
Share on other sites

That's comforting. I felt really good about it until the drs office started talking about five years. My BMI is 54 though, so surely they can tell that didn't happen overnight.

Share this post


Link to post
Share on other sites

who told you that you needed a five year weight history for oxford? i have oxford (and am being banded at NYU) and that's not a requirement.

per the documentation oxford sent me, surgery is automatically approved (with out the need for a medical director review) provided that the patient has a bmi of 40 or above.

Share this post


Link to post
Share on other sites

I hadn't heard anything about that requirement until I went to my dr's office (Dr. Kini at Mount Sinai). He just emailed me and told me I should be okay. When I called Oxford about a month ago they told me I needed a BMI over 40 and a letter from my PCP. Is it possible that they just have a generic checklist that they go over? It says it's oxford-specific but from everything I've read about oxford and what they said on the phone, it seems incorect.

And actually I just noticed that it's for United Health Care as well, so maybe thats for them?

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

    ×