Has anyone had to see a..

Wishing_Well
on 2/6/13 9:16 am - Urbana, OH
RNY on 04/08/13

Has anyone had to see an exercise physiologist in order to obtain approval for their insurance?  If so, what happened at your appointment ?

Thanks ahead of time !

   

    
Cindi J.
on 2/6/13 9:44 am - Tyler, TX
RNY on 04/09/12

Yes I had to have a psych eval before I could have surgery.  It was no big deal.  She just talked to me about how my weight had been a struggle and if I was mentally prepared for the lifestyle change that the surgery would require.   She kinda took a family history and a medical history.  It was over in about an hour and she sent a report to my doctor.

       
WhoIWantToBe *.
on 2/6/13 9:49 am
RNY on 01/10/12

I've never heard of that requirement (Psychiatrist, yes; physiologist, no.) Is the appointment covered by your insurance?

  - Barb, who is at GOOOOOOAAAAAAL!
 
                                     HW: 274  SW: 244  GW: 137 CW: 137!
              Keep on swimming!  Keep on swimming! 
          

Cicerogirl, The PhD
Version

on 2/6/13 11:41 am - OH

Ironically, Aetna required it as part of the 3-month multi-disciplinary plan (instead of a 6-month diet), but they wouldn't cover the cost.  I got lucky and was never billed for it because they and just started doing it through my surgeon's office and by the time they realized they had not billed me, it was too late to do so!

It seems pretty silly, though, not to mention annoying, to require multiple visits that they won't pay for.  maybe that is intentional to get more people to do the 6 month diet option.

Lora

14 years out; 190 pounds lost, 165 pound loss maintained

You don't drown by falling in the water. You drown by staying there.

Jules0225
on 2/6/13 10:32 am

It wasn't an insurance requirement for me but the hospital I went to required it as part of their program. I went to 3 group meetings, all three the NUT spoke and at one of them the exercise physiologist spoke too. She just talked to us about exercise (go figure), muscle mass, the changes that will happen to our body, things of that nature.

Height: 5'8", HW: 6/4/12 440lbs, SW: 11/19/12 389lbs, CW: 219lbs 01/01/2014

 

Karen8268
on 2/6/13 10:56 am - NH
RNY on 10/02/12
Yes.....our program at Catholic Mefidical Center in Manchester,NH requires 2 visits pre-op and one 3 months post-op.
        
aefizzy
on 2/6/13 11:01 am
RNY on 03/19/13
I had to see one before my Lap Band surgery. We just talked about what I did for exercise, what I liked to do and would be successful with after surgery and what I needed to do to lose. (Amount if time, strength vs. cardio etc). They also measured my body fat. It was a pretty easy expierience. Good luck!
Jocelyn F.
on 2/6/13 11:26 am - VA
RNY on 07/28/14

It isn't required by my program but in the classes they said that anyone with issues exercising safely/effectively due to nagging injuries or complications from their size will get a referral from their dietician to a physical therapist to help them come up with a safe workout plan.

Cicerogirl, The PhD
Version

on 2/6/13 11:38 am, edited 2/6/13 11:42 am - OH

Yes, it was one of Aetna's requirements when I had my surgery.  I had to meet with him 4 times for the 3-month multi-disciplinary program.  The first meeting, we talked about my problems with me knees, and the limitations that (and my weight) presented with physical activity, the types of activities I liked (or liked before I gained so much weight!), finding time to work in some physical activity, and set p a plan for what I would do each week that was realistic for me.  At the other three sessions, I went over my exercise log with him, talked about where I was doing well and what I was having trouble with, etc.  

Lora

p.s.  my surgeon required one visit at 6 weeks post op as well, but that was covered under part of her fees.

14 years out; 190 pounds lost, 165 pound loss maintained

You don't drown by falling in the water. You drown by staying there.

nfarris79
on 2/6/13 7:46 pm - Germantown, MD

Was not required by my insurance (BCBS CareFirst) but was required by my surgeon and was included in her out-of-pocket fee. Had to meet 2x before surgery, to obtain baseline fitness pre-op and orient to the exercise equipment and then had 10 more visits pre-paid for postop. I think I used most of them and got a lot of positive feedback with my progress as the weight came off!

First ultra: Stone Mill 50 miler 11/15/14 13:44:38, First Full Marathon: Marine Corps 10/27/13 4:57:11Half Marathon PR 2:04:43 at Shamrock VA Beach Half-Marathon, 12/2/12 First Half-Marathon 2:32:47, 5K PR  Run Under the Lights 5K 27:23 on 11/23/13, 10K PR 52:53 Pike's Peek 10K 4/21/13(1st timed run) Accumen 8K 51:09 10/14/12.

     
 

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