ravin2faith

Same here...my weight kept going up that is why I decided to go into 2 protein shakes/day, light meal supper, and exercise. I feel great but the ultimate is when I weigh myself on Saturday--that will be one week and see if I lost a few pounds. Good luck to you! Keep me posted on how everything is going on your end.

I have decided to do the most bravest and commendable thing ever....loose weight on my own. I drink two protein shakes as meal replacements and a light supper--consisting of lean meat, low carbohydrates and exercise. I just started this past week and I hope that I loose weight. As far as BCBS I am going to reduce my health plan to the lowest plan until I find another provider. I in the near future plan to lobby congress for protection against insurance providers that do not cover medically necessary surgical interventions for the obese like me. What is your plan?

Do not feel bad I got a denial for the same thing even though I had a six month thorough weight loss program. I am not bothering with them. I am going to cancel with BCBSIL because they are there just to make a profit. We should have Michael Moore cover bariatric surgery specifically BCBSIL and I am sure they will cover it!

I am from TX as well with BCBS IL and indeed there is not blue cross bariatric centers but from what I understand if you have ppo then as long they are in network you will be covered 90/10 depending on your plan out of network is a different story. The six month diet will be accepted just make sure it is well documented about 1200 calorie diet, portion control, excercise. The 5 year weight history is the same that I used just general office visits. My claim has been submitted and awaiting response. Have you had your claim submitted yet? What city are you from? I am from Corpus Christi tx. would if be okay to swap email addresses? Mine is ravin2faith@yahoo.com

I called blue cross blue shield and I was told that I was not denied they just needed additional information from me. The Rep that I had spoken with was obviously misinformed. I turned in my necessary documentation and now I am waiting for a response once again!:thumbup:

My claim was submitted with BCBSIL and denied by some nurse there said I did not have my 5 year complete weight history and six month diet even though they were both submitted so they must have overlooked it! I am resubmitting my claim with additional weight history information and my doctors additional notes about my six month diet that include weight, portion contol, healthy diet, excercise. How many times can you try and be denied? Why did they deny I wonder I have submitted all the required documentations i.e. sleep study, blood work, nutritionist, 6 mo. diet, psych eval, 5 year weight history, letter of medical neccesity. I guess once my doctors office resubmits I will know if they approve this time around or not.:crying:

Has your surgery been approved yet? I have not heard anything back from mine yet so I will be calling the insurance company directly to make sure they have indeed received my claim.

I have BCBSIL as well. My claim was submitted yesterday with all the requirements including my 6 month diet! I am waiting on the decision from my insurance carrier. :biggrin:

Good Luck to all of us on getting approval!

How do I make my ticker work?

I will let you know what their decision is. I am glad to have registered with this support group because everyone else is soooo tired of listening to my concerns on my possible approval for my gastric bypass surgery.

How is someone able to get BCBS Federal? I know alot of people personally that are instant approvals with federal.

I live in Texas and have BCBSIL and I am waiting for the decision from the insurance company since my claim was sent on 1/30/2009. Who is your doctor that will be doing the surgery? Good Luck!

I have gone through all the requirement of the sleep study, blood work, psych, letter of medical necessity, 5 year weight history pheeew and now I have to wait for my claim to be processed by BCBSIL and hopefully it is approved. Waiting is the worst! I cannot sleep because I am so worried about what the decision is going to be.