Calling all Dr. Read -RNY patients
Hello:
I am seeing Dr. Read on Monday for my first appt. I am eager to connect with other patients having had the surgery or waiting for approval. I go to the monthly support meetings but looking for additional ways to connect with people by email.
I have some questions about my insurance approval, it says:
The Roux-en-Y gastric bypoass may be covered for the treatments of morbid obesity when all of the following criteria are met:
1. BMI >35 with a diagnosis of diabetes; or BMI 40 with any comorbid condition; or BMI 50 with r without comorbid conditions.
2. A 6-month work-up is compelted that includes all of the following:
*Dietary counseling and education; and
*Medical evaluation; and
*Psychological evaluation; and
*Weight loss of > 5% over the 6 months
3. Surgery is performed in a recognized Center of Excellence
My questions are around the "6 month work up"
I have been seeing my PVCP every month in preparation and have
gone to the support groups as well as diebetic counselling. I am working on the 5% weight loss. But not sure if the 6 months needs to start on Jan 1st when my new insurance starts of if they will consider the work I've been doing since September.