Username: sjthompson
Location: howe, IN, USA
Member Since: 4/11/2012
BMI: 40.1
Hoping to have surgery

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sjthompson's Blog
sjthompson's Blog

Taking steps... I hope!!!
posted on 5/22/12 1:45 pm

I am a bit new to the whole process but I have finally put a foot down! I called my insurance company today to see if they cover WLS, got a big positive, I know that doesn't mean I myself am approved, but I feel like its a step closer. I have been looking into Dr. Inman for the DS surgery, found out she takes my insurance, another step. I'm still not quite sure of the whole process but the lady from my insurance said they require a pcp supervised diet program for 6 months and she (my pcp) is to refer me to Dr. Inman. I am going to call my pcp tomorrow morning and set up an appointment to get that started. Do all the steps usually seem to flow smoothly along? I know nothing is easy but I fear I'm getting my hopes up already. What is the turn away rate? I mean I can't imagine turning someone away when it really could change their life and make it be a full life, rather than constantly watching from the side lines.

1 Response to "Taking steps... I hope!!!"

Hello,

Well you have taken the first step! I just got my schedule date am I am so excited. So I would love to pass on my wisdom to you :)

Requirement by your Insurance Company - can they send you a copy in the mail or have you download it from their site. It does usually required a supervised diet program by a physician - not weight watchers or JC etc. It is easier if you find a doctor who has already done this so they make sure they have all the correct wording + weight documented in each visit.

If some people are not at the required BMI and do not have any serious conditions, they may be turned away. If there are laps in the diets depending on the Insurance company, you may get turned away. If you Psyc Eval does not go well, the doctor can turn you away. Just to name a few.

I had to have the following items:
(1) Letter of medical necessity / from my Doctor
(2) Medical Records - showing weight for 2 years
(3) Dietary Consultation
(4) Psychological Evaluation for surgery
(5) Detailed Weight Loss History
(6) Pre -Op Testing - Blook Work, EGK, Upper GI
(7) Attend a Support Group Meeting

If you want more advise or help to get the ball rolling, please contact me! aalja@bellsouth.net
kiwiladydee commented on 5/22/12 5:35 pm

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1 Response to "Taking steps... I hope!!!"