How long was your process? Requirements?

shan78smurf
on 11/23/14 10:23 am - Louisville , KY

I have state insurance..Passport in Kentucky. I have the support of my primary care doctor. I'm just starting & learning about requirements & how long does it usually take to get to surgery day? Thanks! I love reading everyone's journey!!!

PrayMore
on 11/23/14 10:33 am

Your insurance probably has a document that explains all of the necessary requirements. Find it, print it, know it. If you are required to have co-morbidities, document anything that proves them clinically. Don't be afraid to follow up all of your steps with your surgeon's office and then after your approval is submitted, follow up each step with the insurance company and surgeon's office. Being your own advocate and aggressive *but nice* will help move you along. Most plans require nutrition visits, weight-loss attempt history, so if you know what they require, you won't have any delays from missing pieces! Good luck! It seems like a long journey, but it does pass and you'll have a surgery date in no time! Best wishes!

  

5'6", VSG on Dec. 2

    

PrayMore
on 11/23/14 10:37 am

By the way, I started my journey in late May. I had a long checklist, but it was important. We submitted to insurance at the end of September, but I was initially denied and took another few weeks to get the approval through peer-to-peer mediation and submitting further clinical documents. My surgeon's office does tell patients at the seminar that it can take up to six months. The shortest person who floated through the process took four months, according to my doctor's office. I was pretty aggressive with appointments, tests, etc., and it took me about 6 months. So, buckle up! But every surgeon is different. Just get started!!!

  

5'6", VSG on Dec. 2

    

mickeymantle
on 11/23/14 1:59 pm - Eugene/Springfield, OR
VSG on 07/22/13

I had state insurance and it took 7 months , needed a 6 month supervised diet and lots of tests

    

   175 lb  lost,412 hw 336sw,241 cw surgery July 22 2013,surgeon Dr Colin MacColl,

 

  

                                                                                                             

 

 

 

amyvsg6614
on 11/23/14 9:45 pm
VSG on 06/06/14

I didn't have state ins. but I started my process Oct. 2013 and had my surgery June 2014, so 8 months... I had a lot of requirements and did not take any breaks from the process through that time.. 

    
Rachel M.
on 11/24/14 12:25 am
VSG on 12/31/14

I have state insurance and my process took about 6-6 1/2 months.

Started early June 2014 and surgery is scheduled for December 31, 2014

    

{ HW:275 | CW:166.6 | GW:145 | TL:108.4 }    

VSG on 12/31/2014 with Dr. John Kelly at UMASS Memorial.   

 
  

Gwen M.
on 11/24/14 2:08 am
VSG on 03/13/14

The top post in my blog (link below in my signature) lists all the appointments I needed pre-op.  That might be useful!

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

shan78smurf
on 11/24/14 10:20 am - Louisville , KY

Thank you all so much. That was so helpful.

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