Godschild

What type of lack of detail was missing?

BCBS is strong on documentation of behavior modification. They require your primary MD to document on this with each visit. When you do your visits be sure your MD talks and documents on how you are mentally preparing yourself for surgery and what habits you are improving to be sucsessful in your diet. BCBS wants to know what diet he has you on (low cal), what exercise you are doing, BMI, vital signs and Wt.

How many calories were you reporting on your 6 month BCBSIL diet? I have been doing everything to a T to their guidlines they have posted. I am just worried about getting denied. It is getting close now to the end of my 6 months.

The best gift you can give yourself is counseling. I learned what my triggers was, how to deal with emotional eating, and what to do in place of eating. It saved me.

That is part of the codependent nature of ACoA's.

People have a need to talk about things that are bothering them. The forum is a way to vent those feelings as well it is a way to reach out. Sometimes having someone know what you are going through helps you from feeling alone. Communicating your hurts, victories, trials and all other feelings is a way to release and let go as well as reach out and receive support. We all need that. :thumbup:

Quote "Also, I would worry more about stretching the pouch (like bypass folks can)" I watched a special where a surgeon showed how they can now repair a badly streched pouch endoscopically. They basically remove a section and pull it tighter, creating a smaller pouch.

You all look great!!!!

Hello Congrats on getting your band and on the soon to arrive grand baby.

Great....I will stick around. Mabey we can do coffee sometime as well. I look forward to meeting with you. Michele

Hi Mely My appt is at 2:30. I would love to stick around and get a chance to meet and talk with you. If not mabey we can meet up sometime. This is really nice having people close to talk to about the band. I have been talking with a few people from So Il that are getting bands by Dr. A too. One of them is from Marion as well. Your pic looks great. I have questions to ask. Lol...I am sorry. I look forward to talking. Michele

The best thing you can give yourself is a few months of counseling. You need to learn why you have the habits you do. You can learn to come to terms with it and make some healthy choices and create healthy habits. It you truely want to change the outside....you got to find out what is truely going on with you on the inside.

I too just finished my 4th appt. today. 3 more to go. i know it passes by fast, but I am soooooooooo ready to get my band. Banster Easter Bunnies Whooo hoooo!

That is hilarious.....I could barely quit laughing....thanks for posting

Well either way I am just happy to be getting closer to having it done. I was just trying to figure out when my surgery would be becasue where I work, I am the only nurse and I have to get a temp to replace me. Sometimes it is hard to get a replacement. I appreciate all the help on here. This is a great place to get help and advice. You guys are great.

I hope all goes great with getting your records transferred. I have to get mine transferred too. My next appt is Feb 5 in Herrin. What insurance company do you have? I am hoping I only have to do 6 consecutive visits (what my insurance people said) so that would put me at March with being done with my supv. diet. If I have to do 6 full months then it is 7 visits and that puts me in April. I know the time passes by quickly, but I like others cant wait to get this done. Let me know how things are going with you. You can email me at michelecotton@verizon.net. I don't have anyone else that I know that has done the band. I do know 4-5 that have had the RNY. Are you anywhere close to me?

I started therapy around 7 months ago (still go) and I have 2 months left to complete on my supv.diet. Wow...did I learn a lot about myself and my wt. I would reccomend it for anyone with a eating disorder.

I called my insurance office and asked them if it was 6 or 7 visits. They told me..." all we require are 6 consecutive monthly visits. Your primary doctor will submit a predetermination letter that states you have completed a 6 month supervised diet along with his office notes and that all requirements have been completed." So I am hoping I can get my band in March vs. April

Thanks...Im calling tomorrow

He will only be in Paducah 1 day a week. That is what he told me last Monday. I will see him in Herrin Feb. 5th. The bariatric program directors name is Heather and she is super nice. Just give them a call. This is cool. There are others in So. IL too. How far are you into getting your band?

How long did it take to get your approval after all your paperwork was submitted?

Thats what I am trying to figure out too. I have the same insurance and my dr. told me the first visit is day 0. Now I am learning mabey not. I will call my insurance tomorrow. This can be confusing.

I dont mean to ask so many questions, but I have been told that most often your first visit with your PCP is day 0 and then you have 6 consecutive visits after that. My first visit was Oct 13th. Would I still have 6 after that? I didnt know how to guestimate time at the end of March or the end of April. My boss is wanting to know when to start seeking a temp for me. Thank you all so much

Thank you for the responses. I have a PPO. Do you have a PPO or HMO? Did you have to do 6 or 7 visits with your PCP? I appreciate all the help. I am just wanting to prepare for time off and things for surgery.

I have bcbs of Il and your first appt. is considered day 0. You have to have 7 appts. You better not miss a month either or you will have to start all over again.