Good Morning. Anyone a black or green belt?
I guess this is another example of jumping through hoops, and I know just about all of us have experience with that! What WLS hoops did you have to jump through for insurance approval and your surgeon's practice?
It's Friday, y'all! Have a great day.
--g
1) laundry list of pre-op medical tests
2) psych eval
3) WL history documentation (I guess I proved I'd already tried everything...didn't have to do a 6-month diet)
5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
******GOAL*******
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny
2) 5 yr weight history
3) no 6 month diet here
4) cardio, edg, upper GI, labs, psych.
then after approval
4 week of Optifast with weekly meetings before surgery
One of my friend who is the the same business as I am was told the other day that small businesses like ours were going to go under. That we would have to join together to stay afloat with all the changes going down. Only problem is the reason I am in business for myself is that I have extremely high standards and not many folks meet those standards. I can't see accepting someone elses questionable business practices. Life will be interesting over the next few years.
66 yrs young, 4'11" hw 220, goal 120 met at 12 months, cw 129 learning Maintainance
Between 35-40 BMI? join us on the Lightweight board. the Lightweight Board
EKG
Nutrition approval
Psyche approval (this was the biggest hogwash ever, I did no talking at all but I learned the life history of the psychologist and in the end she tells me, you ever thought about being a counselor, you listen so well and you are so easy to talk to...LOL)
And that was it, lab work proved my cholesterol and everything else. It was WAY too easy to get it all accomplished....
See if you'll be learning Minitab- that's the computer tool that's used to create all the charts, graphs, etc. You're more math friendly than I am, and I struggled with some of that.
WLS hoops? I didn't - I had probably the easiest experience ever with it. Never stepped foot in the door, talked to the insurance lady, she called it into the insurance and I was approved 2 1/2 hours later. THEN - I jumped through the hoops to meet all the tests within a 3 week timeframe. Luckily my PCP was on board with me and his staff helped tremendously.
HW-218/SW-208/CW-126/ Lowest Weight-121/Goal-125 - hit 8/23/09/Height-5'3"
Regain 30 lbs from 2012 to 2016 - got back on track and lost it. Took 8 months.
90+/- pounds lost BMI - 24 or so
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
******GOAL*******
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny
HW-218/SW-208/CW-126/ Lowest Weight-121/Goal-125 - hit 8/23/09/Height-5'3"
Regain 30 lbs from 2012 to 2016 - got back on track and lost it. Took 8 months.
90+/- pounds lost BMI - 24 or so
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
Went to a info meeting at the surgeon's office on Dec. 22nd and had the surgery less than three months later. It has been a whirlwind of an adventure.....
Initial appt with surgeon
Sleep study--positive for postional apnea
Psych eval and Nut appointment one day
Bloodwork , ultrasound and EKG one day
Two pre-op support groups...one was during a blizzard and I was the only one that showed up so I got to ask LOTS of questions!!
File submitted to BCBS on a Friday and approval was the next Monday. Surgery was two weeks later---did those two weeks of liquids only.
I didn't feel like there were hoops, but I guess there were.
1. Behavior Modification (3 months checking in with the doctor and NUT)
2. Psych eval
3. Pay my insurance deductible up front. (This scared the crap out of me. It seemed like a lot of money. Once they billed my secondary insurance I got all but $25 back. It would have been worth it even if I didn't get the money back!)
I'm glad I had to wait a few months. It gave me time to find the lightweights and educate myself.
Kay
5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
******GOAL*******
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny