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

Hello from east TN - insurance requirements



Recommended Posts

Hello,

I am 47 yrs old, weigh 240 pounds, am scheduled to meet with bariatric surgeon on Fri. I haven't started my 6-month weight loss program (required by my insurance BCBS/TN - also requires 10% weight loss prior to surgery).

Would enjoy hearing from others who have gone through a similar process (have to lose certain percent of weight before surgery).

Dee

Share this post


Link to post
Share on other sites

Hi. Welcome to the forum! I am also in East TN. I haven't been banded yet, but I have gone through the insurance hoops. I have BCBS of IL. They required a six month diet plan, but it just had to have been in the last 2 years. I had a six month period during 2006 that I had gone to the doctor every month. My doctor used the information from those visits as my supervised visits. With that, it only took me about 2 months from start to finish (that includes the month it took to get in to see my surgeon). I am just waiting for my surgery day now and getting more nervous every day!

Good luck to you on your journey to a healthier you!

Edited by *slim*
correct spelling

Share this post


Link to post
Share on other sites

I also have BCBS of TN through my employer (a large company in Kingsport)and was required to have the 6 mo. weight loss program with my PCP,but was not required to have the 10% weight loss.In my case that would have been 32 pounds.If I could lose that much I would not have needed the surgery.I was banded in Jan.2008 and have lost 62 pounds and feel good.have 6.5cc in a 14 cc band and getting very close to where I need to be with my restriction.Good luck with your weight loss plans.

Share this post


Link to post
Share on other sites

Hello I am going through the same as you. I have to lose 10% prior to the operation. a total of 23 lbs. I really cut back on my carbs and sugar. I am in my 2nd week and I have lost 6lbs and 1 inch all over. I have not started to exercise. But this week I plan to do at least 1/2 hour everyday. I live in upstate NY. Good luck to you.

Share this post


Link to post
Share on other sites

To the Fireman: I work for Eastman Chemical Company. Is that your employer? If so, I will check with my PCP about the 10% weight loss. I figure if I could lose 24 pounds, I wouldn't need the lapband surgery.

Share this post


Link to post
Share on other sites

To the Fireman: I work for Eastman Chemical Company. Is that your employer? If so, I will check with my PCP about the 10% weight loss. I figure if I could lose 24 pounds, I wouldn't need the lapband surgery.

I didn't lose 10% even though that was in my file. You don't really want to lose as much as they say. If you do, they could come back and say that you don't need surgery because you can do it on your own. Even my surgeons insurance staff told me not to try too hard. Just my own experience.

Share this post


Link to post
Share on other sites

To the Fireman: I work for Eastman Chemical Company. Is that your employer? If so, I will check with my PCP about the 10% weight loss. I figure if I could lose 24 pounds, I wouldn't need the lapband surgery.
Yes,but im in Texas

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

    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 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

    ×