gordonfamily3
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I work for a local bariatric surgeon in NC and I can't say I have ever done anything w/ BCBS FL but I did a quick search and here is their medical policy. This is normally what I read when a patient comes in w/ an insurance before. I hope this is somewhat helpful. I normally don't have any problems w/ the BCBS plans and I have worked w/ several of them. BCBSF Medical Coverage Guidelines (MCG) (if it doesn't bring you to the right place look for the medical coverage guidelines and then search for Morbid Obesity.) Good Luck!
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Just wanted to say Hello to everyone! Hope your journey's are going well or the pre-op process is going even better for you! The band has been a great tool for me and I am very happy to have had over 3 yrs ago. There are so many more band doctors now then when I started. Good Luck on your process and journey! If anyone is ever in the Charlotte area there are about 10 - 20 of us that get together on a monthly (sometimes more because we have so much fun together) basis. Our next support group meeting is Sept 13th it's held at Presbyterian Hospital. Again good luck!!!!!
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From my exp w/ Cigna is that they do require a 6 month supervised diet. If you BMI is below 40 they need what they consider a major co-morbid condition like treated High BP, sleep apnea, diabeties (sp). These items normally have to been treated taking meds for at least 2 - 3 years fro Cigna. They normally are very good at approving as long as the diet is done and w/ your BMI have one of the above. If you have been denied read the denial letter carefully it will tell you excatly what they need and your doctors office can ask for a re-consideration review or a peer to peer before you have to appeal. :-) Good Luck!
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hello
tammy again, thanks so much, i guess i'm just scared to do this but knowing i have to do something, my doctor is behind me 100% .
i just want to know more but don't know what to ask, any advise
I'm ready, just scared i think. i'm having trouble walking, don't know how much longer i can keep working if i don't do something. my mom is bedfast same problems overweight, arthritis in her knees so it's just a matter of time before i won't be able to walk.
thanks again tammy
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Welcome! I think you are entering a great stage in your life. I think the best statement anyone can make is that they want to do this for them. You have to want it or you will not be successful. :cool2: I am in Charlotte and there are a lot of us that get together throughout the month and we have a monthly support group. (Not sure of your area but wanted to let you know.) Welcome and I know you will not be sorry for starting your journey to a healthy happier you!!!!
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I work for a local surgeon in NC and from my exp we have NEVER gotten around the 6 month diet. I am sorry to not share better news but the insurnace companies are actually easy to work w/ IF you follow their guidelines. Now you could contact someone like Obesitylaw.com and see if they have any better ideas. I hate to here she is having such trouble. I wish her the best of luck!
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Anyone going to Carolina Weight Loss Clinic?
gordonfamily3 replied to capricorn32's topic in LAP-BAND Surgery Forums
I know several people that are posted by Dr. B. We actaully meet monthly. If you want to pm me I will be happy to share some info w/ you. He personally isn't my doctor but I did go to his seminar when I was looking to be banded. I have heard good things about him. Good Luck! -
Welcome everyone! There are several of us that get together monthly here in Charlotte. So if you are ever down this way let us know...we have formed great friendships here and have great support. Best of luck to you all!
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Anybody from the Asheville Area?
gordonfamily3 replied to jordansmom's topic in LAP-BAND Surgery Forums
I was just in Asheville this weekend......I know and have met several people from the area. I have met them from other boards but they are a lot of fun and I think they had it done @ Mission. I think they attend the support groups. (maybe not monthly but a good many of them.) Welcome....hope you bandings are going great! -
kim i hope u are doing ok probably better than i am i am waiting impatiently for a letter or a phone call to let me know i have u all 3 notes from my drs all attest to the fact i am more than mentally stable ffor rhw the lapband procedure
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hello kim please call me an d let me know what else i need to do as i have sent u 4 notes from my drs another note or a letter will be coming soon what else can i do do i need to go to a 2 dr tell me csrol snead
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hello kim call me as i need to get the confusion about my mental status straightened out my dr at daymark will be calling u soon please let me know about all the notes from the other drs who attend me they all confirm i am mentally stable please what else do u need
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OBX, Nags Head, Kill Devil Hills
gordonfamily3 replied to HarleyNana's topic in LAP-BAND Surgery Forums
You should make a trip to Charlotte area....there is a large group of us that meet on a regural basis.....we love meeting other bandsters. I would love to go out there and spend a weekend. We have a house in N Myrtle Beach....
