WLS for depression?

cajungirl
on 7/4/13 1:25 pm
Depression was listed as a co-morb on my request for approval of insurance. I was denied with ALL the Co-morbs I had due to policy exclusion.

I don't consider a request with depression committing fraud. I also don't expect the OP to get approved based on depression. If her insurance has an exclusion the best way to fight the exclusion is to hire any attorney to see what they can do to help. Or self pay which is what I did.

Proximal RNY Lap - 02/21/05

 9 years committed ~  100% EWL and Maintaining

www.dazzlinglashesandbeyond.com

 

(deactivated member)
on 7/4/13 6:02 am
On July 3, 2013 at 8:17 PM Pacific Time, Joely L. wrote:

I guess I don't understand how it would be insurance fraud. I am depressed because I am obese. I am obese because i find comfort in food. If my psychiatrist and my psychologist both think my depression can be managed with meds and weight loss, why not give it a try. i am not committing fraud if i am not making false claims.

I find it insulting to be accused of committing insurance fraud.  Fraud means "fake"and my depression, obesity is not at all fake!

 

 

You fnd comfort in food, with WLS you can't eat food thus, no more comfort.  Your depression would get worse and not better.

Self pay like the rest of us who haven't paid the premiums for WLS.

MsBatt
on 7/7/13 2:14 am

I'm going to swim against the tide here and tell you that my DS DID cure my depression. However, this is NOT typical.

I struggled with depression for years. I'd tried every anti-depressant on the market. They all worked---for a little while, then I'd have to switch to another one. I'd finally just given up on them.

We discussed this during my psych eval, as post-op depression is VERY common. I told the psychiatrist that I was willing to go back on the meds, if he thought I should. He said to hold off and see how things went. Lo and behold, about ten days post-op, suddenly my depression was GONE. Apparently changing my gut hormones also changed my brain hormones. I mentioned this to my surgeon and he said several of his DS patents had mentioned their depression getting better.

But don't count on WLS to cure your depression. As I say, this is NOT a typical result.

kitkat88
on 7/4/13 12:55 am - Metairie, LA
RNY on 11/18/13

I am not getting why some of you think this is bad. I have depression due to my obesity but I am not going to use that as a reason only because I would have to get my shrink involved and it seems like a long road. IF I am denied then I will use my depression as a reason also. It's not like she doesn't have depression. IMO Its a little embarrassing to even tell people I am depressed so I really don't want it all over my medical chart unless my first attempts fail.

wildflower_for_God
on 7/4/13 1:52 am - Farmville, NC

Joely, 

I can understand your desperation. I was also denied when I applied for a revision to bypass.

I was wondering if you have had any help with your insurance appeal. My state, NC, has a government agency that helps people who have been denied claims that is free to the consumer. It is called Health Insurance Smart NC. They have so much knowledge that the common consumer doesn't have about insurance and the appeal process. I googled Wisconsin Dept of insurance, and didn't not see that your state has it. But I would call and check if I were you.

With the help of HIS, NC, and by God's grace, my revision surgery has been approved, and I am scheduled for surgery on July 16. 

To Iamloser, I think that's what you sign in name is, I also have depression. One of the many things I have gained from 15 years of struggling with it is compassion. Obviously, you have a lot of pain, but also , I am guessing does Joely. It would be so much better  if you could step back and see things from her perspective. She posted looking for comfort and hope. Your attacking tone will only cause her more pain.  

All of us on this site have had to deal with feelings on isolation and rejection. It would be best if we could find what is lovable in each other, and give as much support as we can. That doesn't mean we can't disagree with someone, just that we can disagree with kindness. 

(deactivated member)
on 7/4/13 9:50 am

I did not have an attacking tone... I tell it like it is... Im not going to make it all pretty when its not. Dont like it dont ask 

(deactivated member)
on 7/4/13 6:03 am
On July 2, 2013 at 11:56 PM Pacific Time, Joely L. wrote:
I decided to take a different approach with my Insurance. The exclusion says it will not cover surgery for obesity. So... Because I am clinically depressed w/ anxiety, I am going file a claim and use depression/anxiety as the main reason. I have a letter from my Dr supporting the claim. (Because I'm so large, 54 BMI and my terrible childhood, I am a depressant with anxiety and PTSD) Has anyone ever tried this approach? Anything is worth a try!

Thanks.

 

It is still surgery for obesity and they don't cover WLS.  Your employer apparently did not pay the additional premium for WLS benefits.

Get a job at Starbucks, they provide insurance that pays for WLS.

Jackie McGee
on 7/4/13 12:28 pm - PA

I'm going to ignore and not address the fact that you said you had anxiety, depression and PTSD due to your childhood and then said no, it's actually due to being obese.

 

I'm going to say that you might think being thinner will cure you of your depression - but chances are really great that you'll be thinner and find that your problems are caused by other things (::cough like your childhood cough::) and you will remain miserable.

With your BMI being so high, surely you have other problems you can use? Sleep apnea? Diabetes? Reflux? Something?

 Proud mama of Mischa and Gabriel, both born post-op.

addict05
on 7/5/13 3:14 am - IL

I am really sorry these people have given you a hard time about using depression as a co morbidty. Of course you can, it was one of mine and of course it helps depression to lose weight.  It is a shame you were attacked in such a manner.

poet_kelly
on 7/5/13 11:20 pm - OH

Can you point to some evidence that shows losing weight helps depression?  There are numerous studies showing losing weight helps high blood pressure, diabetes, sleep apnea, etc.  But can you point to any studies showing losing weight helps depression?

And the OP stated her depression is related to childhood trauma.  How would losing weight help that?  Again, any studies that show losing weight helps resolve depression related to childhood trauma?  I suspect you can't point to any, but I'd like to see them if you can.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

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