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First of all, I love my wife. She does not yet know that i have decided to have the lapband procedure. I have brought the subject up but she quickly dismisses it. She doesn't understand (she has never had a problem with her weight) and she is not interested in listening to me. Part of this is my fault because of all the diets i have been on and failed. When i talk about the lapband she says stuff like "just excersize more and eat less." While that is something i need to do, it is not that simple. My wife also can' t keep a secret. I can't tell her anything i would like kept confidential because she tells her aunt, mother and sister everything. They are not people i want to know about what i am doing. They are not always positive influences. I am moving forward without my wife's support. I feel bad that i have to do this alone but i know i can do it and when the time is right, i will tell her, i just need to be prepared to deal with all the side show crap that will come from her side of our family. Thanks for listening. Any help is appreciated!

My wife and I have talked more, she only wants the best for me. We know someone who died with complications from wls (not lapband). She is scared, I don't blame her. I think everything is going to be ok, I need to make sure I do a better job of explaining the what & why 's of lapband

I think i am good to go!!! I am meeting with surgeon next week. Thank you everyone who posted and thanks BCBSNE!!!

I am on BCBS Nebraska. I need to provide the following: Medical documentation of the patients BMI from the past five years. Any additional information supporting the medical necessity for the above procedure (lapband) How do i support or prove medical necessity? I have a BMI of 42, have had a BMI of 39+ for 5 years. I was diagnosed with HBP 3-4 years ago and was diagnosed with sleep apnea 3 months ago.I also have yearly physicals from my emloyeer and doctor supporting my BMI. Is that enough? I have tried almost every diet i can think of BUT i don't have any receipts for any diet. What should i do? I have to have my info in by 9-30-12. Thanks!!!

Thanks for all of your help, i sent my info in and i am waiting for a response!

Any advice for getting approval from BCBS Nebraska? What do they need to establish "Medical necessity"? Thanks!!