babycakes68

I'm very happy for you on your decision. kuddos for u!:bananalama: I do wish you the best. I read your message and I wanted to ask you, what type of 6 month weight loss program are you in? The reason I ask is that, I have met all my requirements with my Insurance, however I still need to complete my 6 month weight loss program. My BMI is 36.5 and I'm afraid that if i loose too much weight, the insurance would denied me. My problem is that all my life I can loose the weight but i can keep it off. I have also develop Health issues with my overweight. :present: I feel so overwhelmed if I'm not be able to get the surgery.:cheers2:. Can you please give some advice?

Sorry, I don't have Anthem Medicare, however I have Blue Cross/Blue Shield. I have denied twice because they are still requesting 6 month hystory of a clinical supervised weight loss system. My PCP has submitted hystory of me, taking Adipex (diet pill). The information he submitted, has the date, weight and blood pressure. This information has shown that the Weight loss system did not work on me, however insurance still not satisfied. It's so frustating!!! Does anyone out there have a similar situation?suggestions? Please!!!!!!!!!!!

ND-girl, in answer to your question, Yes, this letter was written by my PCP. The letter stated that: I've been his patient since such & such date, that I'm 5'2 tall and my weight had been between 171 and 200 lbs for the last three years. I had tried and failed numerous diets which he had supervised. I've also exercises several times a week. He also attached the weight and date fluctuation for the past three years. In addition to that he added my medical conditions, which are high cholesterol, sleep apnea, back pain and depression. He emphasied that he supports my decision and that he believes that my medical conditions will greatly improve with the surgery. I thought that will be enough but apperantly not.

HELP! My doctor and I have decided that i'm a perfect candidate for the Lap Band. I have gone through all the steps necessary. Surgeon Consult, Psych eval, Nutritionist Eval, I'm just wainting on BCBSIL to approve the surgery. As most of you know I;m required to submitt hystory of medical supervised, or commercial diets within the last 5 years, and 6 months of hystory on supervised diet. My doctor PCP wrote a letter giving the last 3 years of hystory of yo-yo dieting and 6 months of medical supervised diet. However BCBS is not satisfied with that. Has any body experienced that? Please let me know what experiences that you had in regards this issue. I'm hoping to get banded before the end of the year. PLEASE!!!

Definitely thanks for the quick response:tongue2:. Hopefully I don't have to go on a two week liquid diet. I do give you guys kudos:thumbup: for what you've accomplished with the pre-op diet. I wish that I'll be able to do as good as you guy did. :smile2:

I'm curious, I'm waiting for Ins. approval. How is it decided on when to go on pre-op diet, and is the diet the same for every one that is getting the lap band?

Thanks to all for responding on my question. I just hope that my BCBS will be as quick in approving me, like most of you. :wink2:

Does anyone have BCBS of Illinois?:thumbup: I have met all the requirements, had psych eval, nutrionist eval, clearance letter from my PCP, I suffer from moderate/severe sleep apnea, high cholesterol, my gall bladder was removed in August because of my weight. My PCP is recommending for me to have the "sleeve gastrectomy" or the "lap Band" . I would rather have the first because is a permanent procedure. I need some comfort from someone that has gone throught the same agony of the "waiting for insurance appl.:thumbup:

Hello Forum Members! This is my first time in the Forum, I'm currently waiting for insurance approval. I have Blue Cross/Blue Shield from Illinois. I'm 40 years old and have Sleep Apnea/High Cholesterol and Acid Reflux. I have attempted for years to loose wait and like many I end up doing the 'Yo-Yo Dieting" My Primary Doctor recommended for me to have the "sleeve Gastrectomy". However I was told the that the Insurance would not cover the sleeve gastrectomy because is considered an investigational Procedure. So if in fact is not covered, my doctor suggested the Lap Band. Can someone tell me their experience with the Band?