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Showing results for 'Fed BC/BS'.
Found 17,501 results
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Bluenightmare, what was the reason for the denial? I know BC in New York covers banding, so what was their specific reason? Are you on a group policy that has an exclusion or something?
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I called my insurance provider today BC/BS of Oregan and they said WLS is an exclusion to the plan. Of course! However, my question is this... Many people that work from home or have small business often purchase their own insurance plans. Has anyone researched this method? Even with the hefty premiums, it's not as bad as a $20k surgury! Thanks
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Maybe, I'm on puréed foods but I often just have the protein soup broth. But last night I swallowed a bite of protein chicken noodle and immediately threw it back up. :sigh: I feel so weak. My muscles hurt and I get short of breath doing simple tasks (like I gave my 4yr old a shower and after I washed him I had to sit down bc I was out of breath and dizzy. This is a new symptom.) I knew it was going to be hard but I didn't realize how hard and food is gross and hurts my stomach. Thanks for responding. I'm looking forward to soft foods I'm hoping ill have more options that my stomach will like. And I want caffeine and maybe some plain mashed potatoes. Lol
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Please tell me u mean car insurance company n not ur health insurance company bc if so that is a total breach of confidentiality...n I would report the worker.. sor go through that even more Reason to prove their ass wrong ry u had to
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Where's the "I'm full" feeling??
cfuture88 replied to michellefall's topic in POST-Operation Weight Loss Surgery Q&A
I was also told that I would not be hungry after the surgery, BS!!! The other thing that surprised me is the realization that the feeling of fullness is not the one we are used to but rather a sensation of having something in your esophagus that has only gone half way down. And since you feel like something is stuck- you don't eat anything else, especially if you follow the rule of no drinking while you eat. I got Protein liquid (clear) fruit punch concentrate (3oz=42gms protein) at bariatriceating.com. I dilute them with Water so they taste like Vitamin Water and it helps with healing and hunger. I am on fulls now so I puree fat free Soup, make fat free/sugarfree pudding, jellow, custard and mush it in my mouth. Since these go through the band easily (and don't feel stuck)- you do get full. Thank goodness. -
Good luck with ur journey. I was sleeved 11-12-13. I had to do a 6mo thing with my pcp before ins would cover surgery. During that time I lost 15lbs. Morning of surgery I weighed 260. I was very nervous the day before surgery but surprisingly I wasn't too nervous that morning. I had a rough 1st night in recovery threw up/dry heaved all night so I had to stay an extra night but the next day was better. It took me a couple of weeks to feel 100% human again but overall had a good experience. Only issue i have had is i got dehydrated and needed fluids at 3 1/2 weeks out bc i couldnt get enough fluid in. Still having a hard time with that but getting better. At 5 weeks out I got on scale and for 1st time in 15 years the scale was under 250 (I almost cried). I'm at 227 now and so excited to see whats in store for me . I wish u well for ur journey. Good luck!
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I really don't know anyone who has been through gastric bypass rny and I have so many questions about my pre-approval process. I have a patient advocate but I'm so nervous and fearful of not being approved. I really don't know what to do. I have a BMI of 40.5 and my 90 day diet will be up on January 23, I have Cigna health ins and they do cover bariatric with a 40 BMI and a 90 day med supervised diet. My physician does not normally do these things he refers patients to a nutrionist however I could not see a nutrionist bc they kept cancelling due to the holiday season. During my 90 days there has been no blood work no tests to see if I am diabetic or anything...just talks about my weight my excercise and mindful eating with notes each time. I have not lost any weight at all so far...and my physician is set to refer me to a surgeon. Once the surgeon sees me then they will file with my insurance ...I guess my question is has anyone had a similar experience? Did you get approved without having to run all those tests with your physician in the 90 day period? My surgeon will run tests of course, and I meet the minimum for BMI without any co-morbiditites... But I am afraid that I will not be approved bc I have not seen a nutrionist yet, just going to the Dr and talking about my weight loss attempts, with no actual weight loss. I wish I knew someone who had the surgery so I could ask things...but I don't. This support group is really my only outlet for this..
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Bcbs Federal Basic Vs Standard For Gastric Sleeve Surgery
Amanda Pierce replied to Mel34's topic in Insurance & Financing
I have the lap band since 2008 and want to try the sleeve. I have basic federal bc/bs. Do you know if they will pay for you to have another sgy? They paid all but my copay for sgy and physician fee before. The also paid all but 175 when I breast reduction. -
Bcbs Federal Basic Vs Standard For Gastric Sleeve Surgery
hacnmac replied to Mel34's topic in Insurance & Financing
To you guys who have the basic BC/BS, did you lose weight during the 3 month supervised diet. I am finding it really hard to diet knowing I will be so restricted once I have the surgery................HC -
Eating out?
ebthompson2010 replied to ebthompson2010's topic in POST-Operation Weight Loss Surgery Q&A
Thanks everyone! I do pack a lunch often. But sometimes I just get so fed up with the same things. I have found that a 1$ side salad and a grilled chicken wrap at McDonald's works well. I just take out the chicken and add it to the salad and get the fat free Italian dressing. Add it all together then shake it in the container. I focus mainly on the chicken but I get some salad in. I'm proud of McDonald's for offering a small salad on the 1$ menu. -
Anyone used BC/BS that works for General Motors? What Dr did you use, what city, state? Do you know what diagnosis code was used? thanks
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Had surgery yesterday (11-12-13). My 1st night was terrible. Couldn't keep water, ice chips, broth ANYTHING down. Today was supposed to go home but didn't get to bc of that. Had bp spike and qestioned if I had done the right thing with having surgery untill good friend reminded me why I wanted this surgery so she put my mind back at ease. I'm praying these popsicles (only thing my tummy can handle)will keep staying down and I can go home tomorrow.
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5 Day Pouch Test
HealthyNewMe replied to steph2012's topic in POST-Operation Weight Loss Surgery Q&A
Haven't tried it bc I'm still losing and following guidelines.... Just am now getting to the GREEN. But, I saved this website as a possible future reference..... Thanks and Good Luck! -
Bad news from my doctor
cookielover replied to cookielover's topic in PRE-Operation Weight Loss Surgery Q&A
You are right, but there is not that many doctors in BC, Canada doing the surgery. So, I am going to prove him wrong. I was thinking and I think he was speaking from past patient experiences. And there is nothing about me that is "go-with-the-flow". I am going to totally KICK BUTT. My Goal: 101 pounds. Yeah you heard me, deal with it Doctor! I am going to throw your "average" out the window. And guess what, I am going to do a post-op diet, even though you didn't mention it. Because after what I have read here tells me that it is much better for my recovery! So HAH! I am so ready to do this thing. Let's go. -
I finally got approval!!!!!
JillianRN replied to crecia1975's topic in PRE-Operation Weight Loss Surgery Q&A
Congratulations! I can not wait to "Do a little dance." My paperwork has been sent to BC/BS yesterday..I am so excited, a little apprehensive because of the insurance wait..Praying for quick news..I will follow your process and look forward to reading about your success! -
I have Anthem BC of CA and the doc's office is sending my auth request this week. Hoping for and early June surgery date. I can't wait!!
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Let us know what the ins co says. You might want to check with ReneBean after you get your letter. She had to appeal to the state of California because of denials from her ins. I believe she had BC/BS. But I know she has shared with some others her letter of appeal that she wrote. She won her case. GOOD LUCK. M
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Update now 41 pills a day, no wonder why im always sad
nancy264 replied to nancy264's topic in Gastric Sleeve Surgery Forums
They make me sick to take them, I hate it. They are from diff dr's my reg dr. nurse called me to make an appt bc she hasn't seen me since nov idk why she has to see me anyway I have an appt for the 6th and I called the hosp pharmacist to tlk about all those pills. I pray I don't have to keep taking them all. a lot are for pain but the pain been ok, I take them everyday even if im not in pain bc I guess I have to, that's what the bottle says take everyday 3 times a day Hope to stop them all soon -
I have Fed BC/BS of Colorado. I received my denial letter yesterday. Is there any chance I could get a copy of your approval letter? I would certainly appreciate any ammo I can get! Thanks so much! -Lisa dentonpl@aol.com
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Anthem BCBS of Ohio APPROVAL (low BMI)
JennBand08 replied to jillissac's topic in Insurance & Financing
I have Anthem Bc/Bs of Connecticut and was approved too. My BMI was also 37 with borderline Diabetes and High blood pressure. My PCP wrote a letter saying he thought it was a good idea. I got approved within a week! -
Had surgery last Tuesday. I went back to work Monday. But being in my feet for 30 mins my back aches really bad. Anybody else had that? Is it just bc of surgery?
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Im sooo disappointed and mad I could SCREAM!
Heather Meyer replied to Dreamingofhealth's topic in Tell Your Weight Loss Surgery Story
Im from Bc Canada and i was told the wait list in Victoria Bc is 5 years and the sleeve isnt an option..its bypass only...i got fed up and went the mexico route...im having surgery in TJ Mexico on september 11th..trust me..its cheaper then private hospital and clinic and its faster then waiting a couple of years...my reasoning: if i have to wait for five years i will be dead or in need of a liver transplant -
How soon before you went back to work after surgery?
TulipStar replied to crazy4jags's topic in PRE-Operation Weight Loss Surgery Q&A
Everyone is different and I had heard stories about people going back in to work the next day, well let me tell you, that was not the case with me! I am only 29, and I have a generally high tolerance to pain (I have had surgery before and refused morphine & the pain killers and only took tylenol). So I was quite surprised when this surgery had me down for so long. (in my mind, I thought I would be back to yoga, running and step classes on day 3, but was surprised when I still couldn't get out of bed by myself by day 4). I think that by day 6 I felt that I would be able to go back to work. I went back to work on day 7, but it was still hard for me, so I worked from home most of that first week back. The most pain I had was around the port area bc they stitch it to the muscle, so I had to be really careful about getting up from sitting and sitting. I couldn't sleep in my own bed until about day 6 (slept in a recliner). Good luck!! -
Smoking increases you odds of gettin a blood clot. To me that wasn't worth the risk. I quit a month before surgery which was my DRs orders. I havent cheated once. BUT 20 days after my surery they found a HUGE clot. Every nurse and DR would ask me if i was smoking or on the BC pill. I quit them both preop and haden't started them since the surery. Clots are danerous so maybe if you think of the complecations that may come from smoking before surgery, maybe it'll help you quit. I'm on blood thinners for at least 6 months and possibly the rest of my life. I don't know how long after the surgery it's safe to do it. ~~Kelli
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New to site-Waiting on approval
htaylor1021 replied to ws467's topic in Tell Your Weight Loss Surgery Story
I have Highmark bc/bs ppo also. I was only required to do 6 months of supervised meetings. I just had my lost visit with the psych and nutritionist on Friday. I don't know if they submitted the paper work friday or if they would wait until Monday. WS467 have u heard anything back yet? Nursenky9, I have been following your trials among the threads. What happens now that they have refused to accept some of the stuff you submitted. Please keep me updated. I will be sure to do the same too. I am Heather btw. I live in CT. I am a peditatric home care nurse. Married 1 DD. (2 if u count DH)
