Thor

:clap2:My date is January 25 2008, what is optifast?

My date is January 25 2008, what is optifast?

I had done so much research,reading and when finally making the big decision to go through with it, made sure I read the BCBS hand book, did everything they ask, went to the surgeon, he felt it was a sure thing, so who ever said you can have everything and it still "depends" was right. I am not a lawyer person, but this is something I need, to see my grandchildren grow up, it isn't like I don't have anything else to do, I also know this is not a complete fix, its something you will work at for the rest of my life, who made the insurance God, who gave them the right to say I did or did not have all the paper work. I even had a insurance rep, that I talked to couple times from the main office agree and even went to the pages they said I didn't have and was good enough to flag them so the insurance would see them, the Dr. that was to go over it sent it back to the rep and said he would not even look at it... That right there tells me something is not right with this set up.My sweet husband who supports me and has even called BCBS because it is insurance, says after the first of the year, when I start on a new co-pay they will approve it, see I had double knee replacment in April of this year, so all co-pay has been paid. Its all about the money,even though our insurance payments are out of sight. there are years you never use them then all of a sudden you are in great need for some assist, thats what they don't like. They are to be there to help keep our mind at ease to help us through the trials of our journey through life, not be there at their convenence!!!!I pray for us all, everynight,without our Faith, We are nothing and can do nothing, Thor,Becky BELIEVE

Yes, I was denied, so now I have a lawyer, I did everything, nutri eval, psy eval,2 letters from 2 different Drs.who wrote letters of necessity,My bmi is over 40, I have co morbid obesity health issues, but that was not good enough.and on top of all that I am 59 yrs old, Have tried every diet known to man, 6 month supervised by my Dr. and 5, actually 6 years of wts and talking about wt and different ways of getting it off. I had prayed and read everything there was to read about lap band, my Surg.was so certain it would be approved in the first week, he was really up set when they denied me, so he felt a lawyer was the best way to go, Thor, (Becky)

So when were you banded and how long after you recieved approval? Thor, (Becky)

Hi, I live close to Peoria also, but if approved will be going to a Dr. in Clinton, I went to the meeting over in Peoria, Dr. Rossi, and I know him personally, he is a great surgion,and a neat Christian, but you have to pay 500.00 up front for a class and the insurance won't even pay for it, I could not afford that, i know that has changed alot of peoples minds,due to the 500 up front, plus my insurance will only pay 80/20 so I felt if I could go were I could have a good Dr. and not have the 500 extra I would do that. I live over by Morton, would love to be able to keep in touch with someone close and compare notes or just vent. this has been a long journey and we aren't even there yet Believe, Thor, (Becky):nervous

I have BCBS of ILlinois, having all kinds of trouble, no matter what I send in, it isn't good enough, I have been sent 4 letters wanting all something different, they say it was not in the paper work my Dr. sent in, and you know it was or the Dr. office would not sent it in. they know more about this than I do, Next step will appeal, and I will let a lawyer do that! I pay a good amount for my insurance, have BMI of 40, co morbid health issues, they aren't worth dying for!!!!!!!, Sorry this subject get me alittle rattled. Best of Luck to both os us, Becky (Believe):think

I am knew to this thread,infact just today did I find it, still awaiting approval, have been real depressed, have prayed almost a year for ther Lord to help me make this decision, I do have many mobid obsity health issues,and I know there are many co-exsciting problems that could accur, but once decision was made, felt it was through Christ help, now I have been waiting for almost 5 months, have recieved 4 letters from BCBS, really never denied, just each one different, telling me I lack one of thier qualifications, well I feel the Dr office would not of sent it in if they did not feel it was all their, I have had my knee's both at same time replaced twice in the last 2 years,I personally think my qualifications has nothing to do with it, I thing its about the money. Now all of a sudden ones health issues mean nothing but the money does, I'm sorry I worned ya all, I "BELIEVE", I Trust in HIM, I pray daily for all of us, but I really am dow, GOD BLESS ALL OF YOU WHO LISTENED TO ME TODAY. In CHRIST NAME! Thor, (Becky)

I HAVE JUST BEEN EXCEOPTED BY LINDSTROM,BUT DO YOU KNOW ABOUT HOW MUCH THEY CHARGE,MOR HOW IS PAYMENT BASED? THANKS, tHOR:help:

I have BCBS of ILlinois, and they are doing to me just what they are doing to you, I have jumped through so many hoops it not even funny. I have done everything they as, have it all in writting,but they still come back with I am lacking something I have 4 letters and they all say something else.

Could I have a copy please, BCBS is just awful, I have jumped through every hoop possible, thank you so very much,Moonraker14@hotmail.com Becky (Thor.)

I have had bilateral knee replacement, and water therapy is the best ever. THe water is about 90 degrees, you can do things in water that you wouldn't even think of on land. Becky

thanks Penny I know you are right its just so hard sometimes, I feel they are just playing games. Becky

My Insurance broker called at work Friday, says they pulled the last denile,and will go through it again on Monday, so we'll see, I just know the more they mess round the more depressed I get, and the more I want to eat, such a disappointment

Best of luck, I have not been banded yet either, I go to Dr. Sidney, in Clinton. having a really rough time with BCBS, Have jumped through about every hoop there is to jump through I'm depressed, feel like i am all by myself, Oh! my husband is very supportive but I don't know if he realizes just how much I really want this and need it for health reasons. I'm 59 yrs, BMI 40, with morbid obesity health issues, and BCBS keeps asking for more and more. Dr. Sids. office has been very nice, they agree we have sent everything they have ask for and more, got my insurance brooker involved now, next step will be the lawyer,When first went to Dr. Sid. thtey felt it was a sure thing, don't know what happened, other than I am very discouraged, everyone says 'Oh! don't give up, but BCBS can really push ones buttons, thanks for listening,I usually am one of these who just love to read others posts, but tonight just had to put my 2 sence in, hope thats okay. Thor:think

what is you Insurance, mine is BCBS,

<p>live up by Peoria, not banded yet waiting, sent papers in today, Have BCBS. hope they don't take to long.<img src="http://www.LapBandTalk.com/images/smilies/scared.gif" border="0" alt="" title="Scared" smilieid="309" class="inlineimg" /></p>

:clap2:you live in Hudson, I live in Mackinaw, have not been banded yet papers where sent in today, hope BCBS doesn't take a long time. Do you go to the support group in Bloomington, I think it is at Bro-Men not sure, and pre banders come?

I live up by Peoria,Ill. and I am going to Dr. Rohrscheib from Clinton, that office to the best, those girls work very hard to get everything you need before sending to insurance, Mine went in today, I have BCBS of Ill, has anyone had any experience with them, Its nice to know there are some Illinois out there, lets help each other, Becky

would love to hear from anyone who has BCBS of Illinois and what their experience was like My papers went in today after doing eveything they ask, and I mean everything!!!!!

I have BCBS Illinois, is it as tough, Just sent my papers in today. thank you Becky

My son had surg years ago there, we live down around Peoria, and they sent us there, it was wonderful, its a teaching hospital so they alot of young interns, but everyone was so nice and they know what they are doing, Best of luck, Becky:clap2:

<p>Hi, hope you all will,be willing to help me through this, I am waiting for approval from BCBS, hope that will be soon, The more I wait the more nervous I get. I'm not worried about the surgery itself, it the afterword, can I take the protein and fluids in,<img src="http://www.LapBandTalk.com/images/smilies/help.gif" border="0" alt="" title="Help" smilieid="256" class="inlineimg" /> that I am supposed too. would like to have some type of connection with some network of support from day one.</p>