Is this too easy? - ThinnerTimes

Momof3 · 11-29-2007, 12:09 PM

Ok, I just started my journey to having gastric bypass surgery. I went to the required seminar at the surgeons office and turned in all my paperwork. They contacted my insurance carrier who in turn sent back a list of requirements. All they require is written release from my primary care physician stating I'm healthy enough for surgery, my height weight and BMI for 5 years, 36 months of documentation showing conventional attempts at weight loss and a psych evaluation.

I had my consult last night with the surgeon, at that time he gave me the requirements my insurance company sent them...

So, I went to my PCP today and he printed off all their requested records. He wrote a very detailed letter, outlining my medical conditions, as they requested, and attached all the test results and BMI history.

I have my psych eval appt scheduled but it's not required to get approval.

I had 3 things on my required list. I got them all, and them some.

Am I going to be hit with some big surprise or could it really be this easy?

I'm in the morbid obese category, my PCP says I HAVE to get this done....

what say ye? Should I get my hopes up?

Is it possible to have it all done in a month? UHC said they will let us know within 14 days.

Am I dreaming? Should I be expecting them to continually come back with more requirements?

Toony · 11-29-2007, 12:14 PM

Hi Mom~

I hope things go that easily for you... no mention of a six month supervised diet, huh? That's lucky. As much as I whine about the waiting... it's been a good time for me to research, meet with others and try to make changes in my eating habits now. Hopefully that'll make transition into tiny-tummy world easier on me!

Keep us posted... I'm excited for you!

katie

Momof3 · 11-29-2007, 12:20 PM

Quote:

Originally Posted by Toony

Hi Mom~

I hope things go that easily for you... no mention of a six month supervised diet, huh? That's lucky. As much as I whine about the waiting... it's been a good time for me to research, meet with others and try to make changes in my eating habits now. Hopefully that'll make transition into tiny-tummy world easier on me!

Keep us posted... I'm excited for you!

katie

not even a peep about the diet.

they did ask for documentation that I'd tried conventional weight loss measures in the last 36 months....which my Dr. was able to address and provide history....

it's all so surreal...

I heard a poor lady there last night that her insurance company was putting her through the ringer and they still were saying it wasnt good enough.

I supposedly have an awesome insurance plan....I hope that's the case...and this is just some weird sick joke on me LOL

Baron Patrick · 11-29-2007, 01:31 PM

Hi Mom;

Yes, it could very well be that easy since it sounds like you have all the documentation they asked for. Beware - they may try to blindside you. I certainly hope not!

I had a 2 year fight to get mine, and I'm now 6 months post-op.

I hope it goes much easier for you.

If you don't mind me asking, do you have any co-morbidities? Who do you have for insurance?

VanessaSFL · 11-29-2007, 01:33 PM

No problems, this was almost three years ago , but had no issues.I also did not have to do a supervised diet before hand , however my DR. submitted my attempts.

GL to you,

Momof3 · 11-29-2007, 01:33 PM

Quote:

Originally Posted by Baron Patrick

Hi Mom;

Yes, it could very well be that easy since it sounds like you have all the documentation they asked for. Beware - they may try to blindside you. I certainly hope not!

I had a 2 year fight to get mine, and I'm now 6 months post-op.

I hope it goes much easier for you.

If you don't mind me asking, do you have any co-morbidities? Who do you have for insurance?

I have 10 at least...I'm not sure what all qualifies, but my PCP today said he had about 20 listed and had to take some off b/c the system only took 6. Not sure how much he exaggerated the having "20"...but I have a lot. The surgeon lists 10. I think my PCP actually had about 15.

and I have UHC Choice Plus

Momof3 · 11-29-2007, 01:35 PM

if the other shoe drops, I hope its a Manolo Blahnik

lward76 · 11-29-2007, 02:27 PM

Quote:

Originally Posted by Momof3

Ok, I just started my journey to having gastric bypass surgery. I went to the required seminar at the surgeons office and turned in all my paperwork. They contacted my insurance carrier who in turn sent back a list of requirements. All they require is written release from my primary care physician stating I'm healthy enough for surgery, my height weight and BMI for 5 years, 36 months of documentation showing conventional attempts at weight loss and a psych evaluation.

I had my consult last night with the surgeon, at that time he gave me the requirements my insurance company sent them...

So, I went to my PCP today and he printed off all their requested records. He wrote a very detailed letter, outlining my medical conditions, as they requested, and attached all the test results and BMI history.

I have my psych eval appt scheduled but it's not required to get approval.

I had 3 things on my required list. I got them all, and them some.

Am I going to be hit with some big surprise or could it really be this easy?

I'm in the morbid obese category, my PCP says I HAVE to get this done....

what say ye? Should I get my hopes up?

Is it possible to have it all done in a month? UHC said they will let us know within 14 days.

Am I dreaming? Should I be expecting them to continually come back with more requirements?

sounds just like mine!!!! was that easy!!! good luck to you!! but in the mean time please ask all the questions and write them down so you dont forget!! ANd well were all hear for you if you need us!!! Take care !!!! Laura