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

Recommended Posts

i am just beginning the process to get the lap band surgery...i have a few questions i hope someone is able to help me with....im not sure exactly what my insurance company will ask for but i do know they cover the surgery my bmi is well over 60... i am hearing that i need some sorta proof that ive been this bmi for at least 3 yrs...thing is i rarely see a doctor unless of course i feel like im about to die lol.....and when i have seen my doctor i frown at the scale and they excuse me from being weighed...:(...so what do you think will happen im my case?

Share this post


Link to post
Share on other sites

I think you needn't worry! :( As ridiculous as the insurance companies may be, it seems to be a pretty common from what I've read here and elsewhere with not having documented weight and diet plans. It may just be a matter of starting the documentation now and go from there.

Share this post


Link to post
Share on other sites

None of us can really help you with those questions unfortunately. As all insurances have different policies and procedures on getting qualified for the surgery. I was very fortunate and didn't have the supervised diet plan or weigh-ins. My PCP referred me, my surgeon documented my problems, had the pysch and nutrtion exams and then off for insurance approval. 5 days later insurance approved and then 1/16/09 I had surgery. This all started 10/24/08. So in less than 3 months I had everything done. My advice to you would be to call your insurance company and ask what their requirements for approval for the lapband. I did this with my insurance and they told me everything I needed to do. I hope this information helps!

Share this post


Link to post
Share on other sites

You really need to contact the insurance company to find out the requirements for WLS. In your case, it all starts with the insurance company.

In my case, the PC started the process by alerting my insurance company to the fact that he is requesting referrals for a pysch eval, supervised diet, and/or lab work. Once my PC received the authorization for these referrals from my insurance company, we moved forward with the process.

Yes, I had to provide I was over weight for a period of years. I cannot remember how many, but I had it well documented.

Good luck!

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

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • 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.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

  • 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

    ×