nursesunshine

No, I only know about FEP BCBS.

BMI and comorbidity needs to be present for at least 12 months if you are seeking eligibility based on BMI of 35-39.9 with at least 1 comorbidity. If going by BMI of 40+, you need to have that BMI for at least 12 months. Turned out the month my BMI hit 35 was also the month (07/2020) I was diagnosed with mild OSA and started CPAP therapy. My consult was in February, I had planned to pay out of pocket. My insurance coordinator recommended I wait until July to submit my paper work. Paper work was submitted 07/07, approved 07/13 and I had surgery on 08/04.

Insurance provider is Regence in WA state and my copay was $300 five weeks ago.

The problem is with sustained and extended release medications, they require more time to breakdown. Zoloft is fine. Talk to the prescribing provider or a pharmacist the next time you refill.

Had the VSG on the 4th, was in and out of the surgical center in under 11 hours. No gas pain and I've been keeping water and clear protein drinks down without nausea. Lots of sipping, doesn't take more than 3 to feel chest pressure. I'm still surprised this is going so well. I was supposed to take Lyrica, Tylenol and Ibuprofen on a scheduled for pain; I've mostly taken Ibuprofen since Tylenol doesn't do much for me and Lyrica is a no-go. I had 1 oxy yesterday, none today. Worst is the incision by the navel which affects how I sit or turn. The only thing bugging me is difficulty finding words and choosing similar but incorrect words when I speak. It was my first time receiving anesthesia and it was rough in recovery. The surgery practice has a great protocol to manage pain and nausea before surgery. I was out and about for the past 2 days without any issues. No food cravings or hunger, I spent the morning showing off my baking skills to out of town guests. I was on my feet all day without feeling tired. There is some really great food around me but I don't feel like I'm missing out. Good luck to everyone having metabolic surgery this month.

🤞 for no complications + a smooth recovery.

August 4th.

I'm so glad I saw your post. I've been worried my insurance provider won't approve because I have mild sleep apnea. The comorbidities covered includes sleep apnea but doesn't say it has to be severe like my old plan.

Check if your antidepressant is available in liquid form.