Recent Posts
on 8/25/14 9:40 pm - Margate, FL
Your PCP does the letter of medical necessity
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
Hi all
Gastric Sleeve schedule for Sept 8th and just wanted people to talk to about the process.
Thanks!
Thank you so much I just have one question who does the letter of medical necessity have to be from pcp or surgeon? Thanks in advance
Hi, I am new to this site. I am currently pursuing bariatric surgery. I am using Shands of UF bariatric center in Gainesville. I have met with my surgeon, and have had my swallow study so far. I still have to have a sleep test, psychiatric exam, meeting with nutrition, blood work, and EKG. I have an appointment for all this in a couple weeks.
I was curious if anyone has used Staywell insurance. My first question is: will they cover the gastric sleeve? I called and asked but the lady I spoke with at staywell said she couldn't find and thing that said they didn't and to just submit my stuff and see (that seemed odd to me!). My second question is: Does staywell require the 6 month supervised diet? Again, the lady I spoke with said they just required approval from my PCP. That seems odd too! Third: what counts as supervised diet? I have years of dieting with a doctor, but idk if I have 6 consecutive months.
Thanks!
on 8/22/14 1:39 am - Margate, FL
As far as what your requirements will be. Different surgeon have different requirements. But Medicaid required: 6 month supervised PCP visits, psyche clearance, letter of medical necessity
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
Thank you so much for the info I'm going to get my records from my obgyn and hopefully they will count towards my 6 months thanks again and congrats on you're surgery!
on 8/21/14 6:02 am - Margate, FL
Who is the surgeon in Jacksonville?
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
on 8/21/14 5:58 am, edited 8/21/14 5:58 am - Margate, FL
If you've discussed your weight with your gyno Dr that counts toward your 6 month visit. I have Medicaid surgery was 5/28/14 & used a combination of 3 Dr's for my 6 visit. As soon as I completed the requirements I waited less than 1 month & had surgery
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
My last c section was on October of 2013 and I wasn't really scared I guess I just knew what to expect since I already had one, I think its just the thought of somebody being able to put you to sleep and not have any control over it...I'm just a big baby when it comes to that. I do feel alot better when I look at it the way you do it makes me feel a lot better. Is there a reason why you chose Dr. Gonzalvo instead of Dr. Murr? Im just curious I still haven't met them. I was also told that I had to bring proof of birth control which im not on yet I was thinking about getting an iud the mirena but then again im a huge baby and have not got it inserted yet Ive heard horror stories about iud insertions but I feel like its the best for me. If you dont mind me asking, which method did you opt for? Sorry for all the questions once again and thank you so much for the info.....
Thank you! Yeah you get to choose. I was set on Murr but half way through I felt led to go with Gonzalvo. I understand your fear and hope it gets better as you go along. I too had two c-sections cw sections and never been under but, I'm very calm at this point and really I just feel safe and protected I know no matter what happens I'm a winner either way if I go or if I stay. I believe the Lord has just put a peace in my heart that none of that is a worry for me. Its odd because my last c section in August of last year I was so scared .