My wife needs info on how to get a gastric bi pass?

Question

She wants this done...
But Before the insurance will approve her she has to get documentaion of trying to loose weight.....
Does anyone have any real sugestions on how to beat the insurance to letting her have this done. She has a letter from the Dr. saying she is obese and it would benefit her but all the other red tape is getting in the way. Please no smart a ** answers please be respectful she is my wife and I Love her.

Answer 1

♥ ♥ the red tape is a pain, has she tried any of the programs like Nutrisystem, jenny craig, weight watchers? Besides having the doctor say she would benefit, she should have to a psych evaluation and they will almost always ask her to lose 10% of her body weight before they will do the surgery anyway... do a google search for Carnie Wilson and check out the info there on the site.. her doctor should help her with the red tape. And if insurance turns her down appeal the decision and keep bugging them, especially if she has other medical problems ♥ ♥ ♥ ♥

Answer 2

The only way to lose weight and firm up is to diet and exercise. There is no magic pill, or by-pass, that will do it for you. It requires work. You MUST exercise, and watch what you eat. Period. Start with exercise, but in moderation. I like the one a day plan. Start with one situp, one leglift, and one pushup. Write it on the calendar. Day one. The next day, do two of each. Write it on the calendar. Day two. Doesn't sound so hard, and it isn't. The beauty of this plan, is the simplicity, and very little soreness. In 30 days, you will be doing 30 of each, and your appetite will have increased. That is where you need to watch it. No breakfast, no sodas, plain grilled chicken sandwich for lunch with water, and fish for dinner. One helping. Gear your weightloss for about 2.5 pounds a week, 10 pounds a month. This gives your body time to adjust, and at the same time you are toning your muscles. After 60 days, you can add in other exercises, like squats on a low bench for butt, a twist on the situps for love handles, that type thing. Never ever skip a day, and think, well ill double it tomorrow. This is a regimen, and must be adhered to strictly, for it to work the right way. Good luck, and good health!

Answer 3

I strongly encourage her not to get the operation. Four people in our office wanted a gastric by-pass. 2 of the 4 were accepted by insurance and had it done. One paid out of own pocket to have it done. The fourth, after being turned down, finally manifested the determination and went on a diet and began exercising 5 days a week. Of the 4 the one who choose to diet and exercise is the happiest and healthiest. She does not have to take medication EVERYDAY for the rest of her life as the others who had the surgery. The two who had the operation covered by insurance have managed to cheat and still eat large amounts of food. The one who paid for it out of own pocket is slim and looks good (however, I don't know what she looks like under her clothing...baggy skin I suppose), but she still has to take medication the rest of her life. I would encourage you to join a fitness center together. When you have finances invested one is more likely to make it work. Fitness is a lifestyle, she just needs to more more, eat less and healthier. It will work!!!

Answer 4

Gastric bypass (GBP) is any of a group of similar operative procedures used to treat morbid obesity, a condition which arises from severe accumulation of excess weight as fatty tissue, and the resultant health problems ("co-morbidities") which occur. Bariatric surgery is the surgical treatment of morbid obesity, and includes the gastric bypass procedures as one of several classes of operations.

A gastric bypass consists of a division of the stomach into a small upper pouch and a much larger, lower "remnant" pouch, accompanied by re-arrangement of the small intestines to permit both pouches to remain connected. The manner in which the intestines are reconnected gives rise to several variations of the procedure. The operation leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and psychological response to food. Weight loss is typically dramatic, and co-morbidities are markedly reduced.

Answer 5

I don't have an answer for you but you are so sweet. Documentation can be what? A journal of past weight loss tries? Make one up: slim fast - didn't work. Diet pills - didn't work. Grapefruit diet - didn't work. Is that what they want? Insurance companies. You gotta love to hate them.

Good luck.

Answer 6

sir, i had the gastric-by-pass surgery i weighed 270 pds and was a diabetic and i can assure you that this is a very dangerous surgery i ended up in the hospital 3 months on life-support and had a traceotomy and was on a feeding tube the whole time my blood pressure dropped severly low and my heart rate went into the 190's i ended up losing my lower esophagus,stomach(they had to build me a cadavier stomach)spleen ALLthe muscles in the left side of the abdomen, over half of small and large intestines, i survived multi-organ failure(this is where all your main organs starts shutting down) i had 8 surgeries trying to repair the mess up that one person and hospital done i'm no longer a diabetic but i have multiple things wrong with me now i'm not able to work anymore so i have to draw my disability so please if you love your wife as much as you do please do not let her have this surgery just one mess up can cost her, her life try dieting, exercising or anything else but, please avoid this surgery because it is a very dangerous surgery LOVE HER JUST LIKE SHE IS BECAUSE RIGHT NOW SHE'S PERFECT my abdomen looks like a railroad track where i was cut because i ripped open all the way across from staph infection,bacteria gangrene, and i had mrsa,vre,septicemia,bacteremia, JUST FROM HAVING THIS SURGERY AND IT STARTED WITH JUST A LEAK WHERE MY INTESTINE HAD GOTTEN TWISTED my lungs collapsed and i had to have a chest tube inserted to build my lungs back up so really please think about this hard i would not suggest this to anyone because it does have its dangers i know i sound like a broken record but i worry about other people having this surgery because i'm living thru pure hell now

Answer 7

What kind of documentation to they want? That seems totally unreasonable to me. I would ask them what they exactly mean by that.

Not everyone can afford Jenny Craig, and plans like that. Also ask the doctor what you can do. Good luck. I hope you are successful, without having to move mountains.

Answer 8

honestly...I'm sorry, but she really should consider a lifestyle change of her choice to be healthier, by exercising...she can do it ....it's not too late...if she does the stomach gig it's over...no more eating and she still may be fat, but will never be in shape , because you can't exercise and eat enough with no stomach...
start small ...work on it everyday...look up to heaven. then put your head down ,and start walking or riding bike or running , then do it again tommorow

Answer 9

See if the doctor will write them a letter stating that it's causing her to have health problems.

Answer 10

If she has ever been to a doctor for diet pills or a member of a gym or a member of weight watchers.... any of that will help.