estar7708
Pre Op-
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About estar7708
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Rank
Intermediate Member
About Me
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Gender
Female
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Hi, I was just sleeved 11/14. I'm on full liquids )I think ) till 12/7. But I can't have pudding or yogurt. Does drinking near a shake matter? I'm so terrified of stretching out this sleeve! Sent from my iPhone using the BariatricPal App
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Thank you everyone for the replies!!! Sent from my iPhone using the BariatricPal App
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And yes BMI over 35 needs one comorbity. Sent from my iPhone using the BariatricPal App
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Ok thank you very much. The insurance company won't give me a straight answer. My surgeon felt it would be too risky to dip below that 40 upon submission because as someone said above they may say "well you can do it on your own". I definitely have no comorbities so I think it's too risky. I'll just maintain and be fat till November or December lol Sent from my iPhone using the BariatricPal App
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Hi, My insurance requires 6 months of supervised NUTs. I'm currently in between month 4 and 5. My BMI is just over 40 (no comorbities). My starting weight was 232. If I dropped to 220 (BMI 39) would they deny me or do they just look at the starting BMI? My surgeon at first said don't lose too much and that got me thinking. The ins reps can't answer me! It's highmark blue cross PA. Thanks so much Sent from my iPhone using the BariatricPal App
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Hi, I have blue cross Highmark PA. I live in mass. I'm 2 months in..can my dr submit soon so that I can get a date on the books or do you have to submit after the 6 months?? Sent from my iPhone using the BariatricPal App
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PA Highmark BCBS PPO Insurance- I need help!
estar7708 replied to cls5186's topic in Insurance & Financing
Can I ask the people who have been approved by insurance--when did you submit to insurance? I had my initial consult 6/15. I've done all the pre op--2 NUT visits, can they submit to insurance to at least get approval pending the outcome of the 6m? Sent from my iPhone using the BariatricPal App -
PA Highmark BCBS PPO Insurance- I need help!
estar7708 replied to cls5186's topic in Insurance & Financing
Thank you for posting! I started Jenny Craig in February (didn't do well) do you think that could count as the start of the 6m? Sent from my iPhone using the BariatricPal App -
PA Highmark BCBS PPO Insurance- I need help!
estar7708 replied to cls5186's topic in Insurance & Financing
I also exercise a lot. I lost 90 lbs through diet pills and maintained 12 years. It was multiple pregnancies that it put back on. Exercise has never been my problem it's food :-( Sent from my iPhone using the BariatricPal App -
PA Highmark BCBS PPO Insurance- I need help!
estar7708 replied to cls5186's topic in Insurance & Financing
My surgeon never said anything about a weight loss requirement. My BMI is borderline (39/40). I've done pulmonary, cardiology, NUT, psych and headed for the sleep study. I'm nursing my 8 month old so I don't mind the fall but I don't feel I need 6 months. My surgeon said 3/4 months which seemed more reasonable. My consult was 6/15. Sent from my iPhone using the BariatricPal App -
PA Highmark BCBS PPO Insurance- I need help!
estar7708 replied to cls5186's topic in Insurance & Financing
Hi! I also have this insurance. Is there anyway around the 6 months? I met with a surgeon....I have cardiology and pulmonary clearance,:did the psych eval and one nutritionist appointment.,really don't want to have to wait 6 months! Sent from my iPhone using the BariatricPal App