help with logs to get approval FINALLY - ThinnerTimes

Fluffy · 01-10-2008, 10:47 AM

Hi everyone, I have been so so so so blue waiting and waiting and waiting for approval from my insurance. They made me go through a 6 month dieting program that I had to pay for out of pocket, even though I had already done everything on the planet. It HAD TO be "medically" supervised, and regular appointments with my doctor didn't matter. So, I paid out of pocket and had to make these appts last 6 months. What I learned was that I will not lose any weight and in fact gain on what the dietician had me doing. I can't have carbs!! She doesn't get that. She doesn't agree with low carbing at all. But, I gained weight on her program and they just don't think I am trying hard enough. It makes me sooooo upset. When I followed the high protein shake plan that the WLS place put me on I lost 25 pounds. It was low carb and high protein. That is what I need. ANYWAY, I am just complaining now. I have been so excited and I want to get on with this NOW. But my insurance denied me AGAIN because I need to "finish" this program. My last appt. needs to be a final weigh in, I am supposed to have lost at least something to "prove" that I can stick to a diet plan (if I could stick to a diet plan why would I be going with WLS ?) and at this appt I have to present weeks of food logs (in the ADA exchange format) that I have not kept up on. My 3 year old rips them apart and things are just so crazy in my house (I have 6 kids ages 1 up to 11) so, trying to keep food logs is hard. I end up with lists of what I have eaten and grams of carbs etc... but not the tallied up exchange numbers.

MY QUESTION: Does anyone have suggestions on how to put together a food log (exchange format) to turn in to this dietician to finish, and finally get on with having the WLS? I am supposed to count amounts, and starches, meats, dairy, that sort of thing. I think it's comparable to a weight watchers thing.

Thank you to anyone who has suggestions!!

Fluffy · 02-18-2008, 03:57 PM

Just an update... I switched hospitals, surgeons, programs, and after a year of jumping through hoops I am approved!! Surgery scheduled on March 19th!!!

Janelle · 02-18-2008, 07:28 PM

Oh, good for you! The whole six month diet thing for me was such a hassle. I understand that it is a requirement, but like you, I felt that if that had been successful for me before, I would be doing it!

Congrats on getting approval elsewhere!

Fluffy · 02-19-2008, 06:42 AM

I know it! I did do it, I paid out of pocket to do a program and be supervised, and then they were saying it wasn't good enough or I had to do it longer. I was like

NO!! So, strangely enough, I switched clinics here and I was approved just like that.... wow. I am just so happy!!! and scared... and nervous... and happy!!

Bostongirl · 02-19-2008, 07:43 AM

Quote:

Originally Posted by Fluffy

Just an update... I switched hospitals, surgeons, programs, and after a year of jumping through hoops I am approved!! Surgery scheduled on March 19th!!!

Congrats!! You must be so thrilled!

annie's mom · 02-19-2008, 09:54 AM

WOW, Boston gal..you got yours approved within 3 dayas ..from the insurance company?

Is that unbelievably quick or what?

nextbigloser · 02-19-2008, 09:59 AM

Congrats on the date! Not much longer and you will be a loser.

Nyn · 02-19-2008, 04:26 PM

Good for you! Way to take control of your own health. I love it! Best of luck to you, and please keep us informed of how you're doing.

Bostongirl · 02-20-2008, 07:24 AM

Quote:

Originally Posted by annie's mom

WOW, Boston gal..you got yours approved within 3 dayas ..from the insurance company?

Is that unbelievably quick or what?

I have BC/BS of MA. I was in total shock when the call came that I was approved. I was thinking it would take a couple of weeks to a month. Sooooooooo happy that it was fast

annie's mom · 02-20-2008, 07:33 AM

I have BC/BS of maryland and am also an employee....Where I have doen Nutrisystem, and pills and so on ...I have not done the last 3-6 months of a diet program....did you?

I have a BMI of approx. 42 along with co - morbidities of high B/P...and joint problem .etc.....Also 51 years old....

thanks,
Susan - Annie's mom