Road block

Passed psych appt now insurance wants sleep apnea test. possibly a 6 month physicians diet record too. Sucks

Good luck sweetie
Its a long road and you will hit a few bumps but it is so worth it in the end.
I didnt do a 6 mth ,but did the sleep apnea test and pulmonary test.
Hang in there sweetie

wELL DR THINKS WE CAN GET AROUND THE 6 MONTH SUPERVISED BY DR DIET BECAUSE I HAVE BEEN WEIGHING IN EVERY WEEK BUT I NEVER HAD A SLEEP APNEA TEST  THANK YOU FOR THE ENCOURAGEMENT.

Keep your chin up... Lots of times insurance companies require a 6 month supervised diet...  Just be sure to see what their requirements are, you don't want to get the 6 months done, then realize they needed more in the docs notes or something.  Also keep documentation of everything they tell you, who tells you, and when!!!  Trust me!!!  You need to be your own advocate!!!!

Good Luck

Caroline

Aloha LW- They also want to know about sleep apnea because they usually want you to have a CPAP machine upon recovery if you do have it- as obese patients, we have special needs upon recovery from anesthetic. The test took one night, and was not bad- the CPAP machine is worse! I was so tickled to be off it within 3 months of surgery. In retrospect, I was glad I had to do a 6 month supervised pre op program- changed my mind about what surgery I wanted, started working out a little ( very little, HA!), gave up caffeine and diet sodas, practiced protein focused eating and sampled protein shakes/bars/etc - you can use the time for good stuff if you have to do it. Good luck to you! XOLori

Thanks to all who wrote my Doctor seems to think that after the apnea test they wont need the 6 month supervised diet. I let my regular doctor know i was doing 700 cal. a day and have been weighing in every week. The surgens off ice seems to think that is enough. I dance with my kids every night so I have lost 21 lbs in 2 months.
Thanks for your help.

I wish you the best of luck. My Dr. told me the same thing.. "Don't worry about the 6 month program, we will use apnea to qualify you in a peer to peer with the insurance companies medical advisor".  So I did the sleep study. I now use a c-pap machine. I then did another test where they shove tubes down your throat with a camera. They found a hyernia that can lead to cancer of the asaphagus (sp?).

With these factors I was denied first attempt at approval. Then a peer-to-peer was scheduled. They told me my Dr. thought it went well. However, today I was denied. They refuse to budge unless I complete a 6 month with my family doctor (which is hard because I have transportation issues) or I complete a 90 day weight loss program that includes  exercise, behavior modfication and nutrionist.  I have Aetna.

So now I need to find a program that I can manage to get to and so forth in order to get insurance coverage for my operation. Of course, insurance won't cover my program. This is completely ridiculous and nothing more than a stall tactic by a bunch of AIG types driving fancy cars.

I hope you have better luck and that your Dr. is correct. I pray that I just had bad luck.

Now they tell me I don't need a sleep apena test. They just need my doctors file to put in for I wish they would make up their mind. The sleep dr had a cancelation and i would have been able to get in tomorrow then they called back and sait the sergons office canceled it and I didn't need it.  Talk about dazed and confused.