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

Trying to get ducks in a row....



Recommended Posts

today I decided to do more research into the lap band, and before I get too excited (self-pay isn't an option right now), I called the dr to see if I could even get it (I had pyloric stenosis surgery at 1 mo old) and they said yeah, it should be fine. Then I called my insurance co to see if they "cover it", and yes they do- but we need a "predetermination letter" before you are approved. I have Principal insurance-anyone have any experience with them?

last year I went to a plastic surgeon who "just knew' I would be approved for a breast reduction- and they denied me....so.... I am nervous about what hoops I might have to go through, or if they will just reject me immediatly.

Anything I need to tell my surgeon for him to include in the letter so I get approved? or anything I can do before hand? (my bmi is 41 right now according to the wii fit)

Share this post


Link to post
Share on other sites

Well, dr's office called today (had my seminar last night) they talked to my insurance and yes it is covered, BUT.... I have to have a letter of recommendation from my pcp (I'm not sure he will give it), a 6 mo dr followed diet, psych eval, nutrition eval and 3 yr hist of weight (1 wt from each year). Then they will send a predetermination letter and that takes about 30 days to hear back from.

At least I know going in what I need. I am cool with that. So it takes me 7 mo prep.... in 5 yrs i am still going to weigh less than I do right now, right? So what does 7 more mo matter?

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

    • 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.
    • RacMag  »  bhogue925

      Hi, I’m new here. I’m currently on the liver shrinking diet. So far so good, but I have to say I haven’t found a protein shake I like. Anyone have any suggestions please? My surgery date is September 17th. 
      · 2 replies
      1. BlondePatriotInCDA

        Fairlife Core are by far the best. They taste just as they are - chocolate milk. You can either get the 26 grams or the 42 grams (harder to find and more expensive). For straight protein look at Bulksuppliments.com ..they have really good whey proteins and offer auto ship plus they test for purity. No taste or smell...

      2. BlondePatriotInCDA

        Fairlife has strawberry, vanilla and of course chocolate. No more calories than other protein drinks. Stay away from Premiere, they're dealing with lawsuits due to not being honest about protein content.

  • 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

    ×