picardy3

I have to agree with everyone. Ace is hot but it's Taylor that does it for me. :thumb: :couch2: Audra

:couch2: Thanks for posting that. I really needed to "hear" that after my phone call to the insurance company. It really does put things in perspective. Audra

WHOO HOO!!!!!!! Congratulations!!!!!! Good luck with your surgery. :couch2: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: Audra

:couch2: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: Well I just got off the phone with BCBS of TX. Lovely bunch of people. NOT!!!!!!!!!!!!!!! I called last week and everything is just fine and they have all of my information and the DR should be reviewing it soon. I thought, "OK, this seems to be going smoothly." Boy was I wrong. Gave them a week and called back to see what was going on. Kristi was very nice and looked through my file. As of right now, they are denying me until they get my psych evaluation to make sure that I'm not crazy for wanting to do this. What's really bad is that I did my psych evaluation on Jan. 17, 2006, and BCBS has already paid the claim to the DR that I saw. So now that it's after hours and I can't talk to anybody at the surgeon's office I have to sit and stew until the next day. I've sent the person an email that handles the insurance problems and I've called the answering service and left a message so they will know ASAP what's going on and now I'm venting on this board because I don't know what else to do. AND I"M NOT GOING TO EAT OVER THIS!!!!!!!!!!!! (My favorite way of handling stress) Luckily I have my diabetes support group meeting tonight so I can go and vent to people that I haven't even told what I'm doing, but they totally understand things that go wrong. I've jumped through all of their hoops and somewhere along the way they dropped one. Not me!!!!!! I've seen the DR's and paid the bills and waited and waited and waited and waited and I guess I'll wait some more. I was hoping to do this over Spring Break so I wouldn't have to take time off from the kids at school, but if this delays things for another week or two, then screw em. I'm taking however much time I need. I have plenty of sick days and I've had perfect attendence for the past two years so I deserve to do something for ME. Hmmm at least now I can think about doing something fun over Spring break since it doesn't look like I'll be having surgery until later. Well, I feel much better now. Audra :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad: :mad:

There was a report about this on our news last night. It's nice that the government is doing this and the neat thing is that the insurance companies usually follow suit and allow for coverages that Medicare allows. :clap2:

Neat thread. I am another one waiting to hear from the insurance company. I called last week and found out that I made it past the RN review and my file is now waiting for the DR review. It's almost time for my weekly phone call to see what's going on. But between the diabetes, high blood pressure, and the high bmi I don't really see how they can deny me unless they find some strange reason. :car: I started my journey two days before Thanksgiving and would love to have surgery over spring break, but I'll do it whenever the approval comes through. :mad: Audra

I really hate this waiting stage. You just never know what the person on the other end is thinking when they review your file. The insurance person at my surgeon's office told me that the insurance company has 90 days in TX to make a decision, but I'm planning on calling them at least once a week to make sure they don't forget about me. :heh: :heh: :heh: I've met all of their requirements and jumped through every hoop they asked me to. You would think that they would rather pay for the surgery rather than all of the medications, dr. visits, etc. that I have every year. Good luck to all of us! Audra

I've done my consultation and I'm waiting on insurance approval also. I've gone through Dr. Adam Smith. http://www.fortworthlapband.com/ I also have BCBS TRS Active Care 2 Audra

What if you don't have a recliner? Any other tips on how or where to sleep, get up, etc???? Audra

:update: I spoke with Customer Service at my insurance company. It seems my file has made it past the RN review and is now waiting for the DR to review it. They told me that he's had it since 2/8 so hopefully he'll get to it soon. I did ask if there could be any missing information and the rep said that since the RN didn't send it back, then it should be complete. Why is waiting the hardest part????? Audra

Hi, I've done my consultation with Dr. Adam Smith at LBS in Ft. Worth. There were several in the area that I looked into, but I went to his seminar and really like him. He has also been banded himself so to me that means he knows what I will be going through. I'm still waiting for a response from my insurance company. Everyone in his office though has been super great. Audra

I really hate it when people act like that. That is just plain mean. But when the person behind the counter who worked there laughed, I would have complained to the manager and stated that they have some very rude employees and that I will take my business some place else and that I will make sure that all of my friends and anyone else that asks about that establishment knows how they treat their customers. But that's just me. Audra :couch2:

:nervous I just found out today that all of my paper work has been sent to my insurance carrier. They told me the carrier has 90 days by law to make a decision. Please don't let it take that long. :drama: Audra

Not me! I have to make sure that my neck is totally covered at night when I go to bed. Any other part of my body can stick out, be uncovered, whatever, but if my neck is uncovered then the vampire can get me. :eek Audra

I have a NordicTrack treadmill that I got at Sears for somewhere between $700-$900. I really like it. It has a wide track and a variety of "bells and whistles" that I actually like to use. One of the things that I looked at was the built in fan. I tried several of the treadmills in the store (very important) and discovered that I didn't like the single fan blowing directly in my face. My NordicTrack has a fan on each side and blows around me, which I like. I keep mine in the living room so that I can either watch tv, movie, or listen to music. Audra :music:

I'm so glad that's over. It wasn't bad at all. The interview part was pleasant but filling out the scantrons for the tests was a bugger. The doctor told me that I should have the results by this weekend but he felt that everything looked good. Audra

I got a call from the psychologist this morning telling me that he had an appointment this evening at 7 pm if this was good time for me. IS IT EVER!!!! He's the last step (hoop) I have to go through before everything is submitted to the insurance company. Here I was thinking I would have to wait a week or two for an appointment and I get to go TONIGHT!!! (I'm just a little bit excited) I can't believe that there could be light at the end of the tunnel. Audra :clap2:

I'm meeting with the nutritionist on Monday and I've been told that it's an hour appointment. What exactly are we going to talk about? I'm just curious as to what to expect. Audra

I did see the nutritionist today and it was ok. We discussed what I eat on a normal day and the times of day that I do eat. She did tell me there are some things that I will give up forever (carbonation) and that if I don't take the time to chew my food, then I would definitely remember to chew the next time. I did get some new information, but most everything we talked about I had already ready on this site and other sites that I have visited. I'm now down to just one more step and that's the psych evaluation. Audra

I've been lurking on this site for a couple of months now and have found it to be one of the most informative that I've found on the net. I've had my first consultation with my surgeon and I'm scheduled to meet with the nutritionist on Jan. 16. My PCP is on board with my plans and was pleased to hear that I'm considering the lap band. I still have to schedule my psych appointment and then I guess all that will be left is waiting on the insurance company. Audra another lap band hopeful in the DFW area

Thanks for the warm welcomes. This adventure seems to be getting closer each day. I'm scheduled to see the nutritionist Monday, Jan.16, and I've been precertified by insurance to see the psychologist for that evaluation. Now all I need is a date to see him.