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Showing results for 'Fed BC/BS'.
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Thank you for the reply! I was so worried when I saw the scale - I am so so good abt Protein and Water on normal days I don't miss a beat but I was camping in a tent on a conservation & I did have some chicken breast to grill but only the first couple days bc it won't last in a cooler - so I was doing protein shakes and tuna and I am kicking myself right now bc I don't want to set myself back .... I just have to be patient! Sent from my Z970 using the BariatricPal App
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Innocent Question From My Son
GeauxForIt replied to ArcusX's topic in Tell Your Weight Loss Surgery Story
It didn't hurt my feelings at all. It came from a place of love and, ultimately sadness bc to her, not being able to run and jump and play games is probably one of the saddest things she can think of. I will have this surgery and I will lose this weight and I will run and jump and play games with my children again very soon. -
BCBS Denied hypertension controlled by meds
Read2016 replied to anxiouslywaitingforsurgery's topic in Insurance & Financing
You don't want to get me started... This entire thing is BS, it's all to discourage people... The insurance company rather see you dead, it's cheaper or maybe not depends on the cause of death lol Sent from my iPhone using the BariatricPal App -
Psych Evaluation today.....don't know what to think?
flmama replied to Sleeved_4.3.13's topic in PRE-Operation Weight Loss Surgery Q&A
Mine was also intensive. I also cried during the interview portion and it was fine. They are just trying to make sure you are crazy enough for it to interfere with your compliance afterward or to not understand what you are undertaking. They don't expect perfection. I am diagnosed with obsessive compulsive personality disorder and general anxiety disorder and I am fine. The ocpd probably actually helps with my compliance bc it makes me a very black and white rule following type of person. -
Long vs Short Wait Time....necessary?
socalkelly posted a topic in PRE-Operation Weight Loss Surgery Q&A
The first facility I interviewed required a 4 to 6 month waiting period before surgery even though my insurance requires one (Anthem BS CA). I'm interviewing another this Wednesday who only requires what the insurance requires. Pros/Cons on the waiting period? I know what to do, I need a tool to help me do it. -
Still having problems after esphogous diliation, slippage? (long, but plz help!)
Staceinurface posted a topic in LAP-BAND Surgery Forums
Hello all, this is really my first real post. I was banded on 06/05/09 and haven't really had too many problems until now. Two weeks ago it felt as if my band had tightened itself, I couldn't eat much at all, but could still handle liquids. Then, over a week ago, I could no longer handle any solids OR liquids. I throw up EVERYTHING. I had the worst reflux/heartburn I've ever had in my life, just from a sip of water. One sip of water would cause that extreme pain for about 4 hours. I didn't think it had anything to do with my band, so I went to a GI specialist, he did an Upper GI and ended up having to stretch my esophagus bc it was swollen shut, and took a biopsy to see if I have berrits disease. I was able to hold down 2 glasses of water and 6 small shell noodles that night. But the next day my problems were back. I have not been hungry at all, and I have not been nauseated either. When I throw up it's just like my body is rejecting it, the water comes back up as a foam. I'm able to drink vitiman water/powerade a little bit easier than water (not much) but it comes flying out the other end shortly after! I cannot lay down without throwing something up, I have to sleep sitting up. Someone please help me! What could be wrong?!?!??:thumbup: -
Watcher I had BC of CA PPO I think it took like maybe a week - my doc's office took care of all that - once I had my shrink visit and doc sent paper work I was approved within a week..- What did you mean by default date of 9/9 - if you don't hear from them you get to have surgery with our with their approval???
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Which plan do you have? PPO, HMO, Saver HMO etc? I am in CA too, can you tell me who your Dr is? I noticed that you didn't post your weight, but can I ask if you are more than 100 lbs overweight? I am so motivated by hearing good things about BC of CA! :clap2:
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Will I be able to get the Surgery
HealthierME2018 replied to SummerEssence's topic in Gastric Sleeve Surgery Forums
Hi Summer Essence. I am in a similar boat as you- my highest weight was 236 (but that was the day I gave birth to my daughter 2 yrs ago). In the last year or so I have been between 200-215 lbs (before pregnancy I was 180lbs). I am at 210 now, I started my preop diet yesterday & am scheduled for VSG on Monday. My BMI is just under 35, but bc I am not a BMI of 40+ and I do not have any comorbidities, my insurance is not covering it. I am getting a hernia repair (covered by insurance) and they are doing the VSG same time, so I am only paying the difference, which is approx. $3,000 which is 100% worth it. I do find it strange that so many people on this site say they paid 20-30K on these surgeries. I asked for the break down itemization and even if my insurance did cover it, it would only be between $12-15K. I see that we are both from NY, where would you be having your surgery that they gave you a quote of $28K? I also was considering the balloon back in December and decided not to do it once my doctor stated that there is minimal long term success and they only usually assist with a small amount of weight loss. -
I have BC/BS mass and it was great for me. I had no problems as I met the necessary BMI and had 2 doctors who sent letters of medical necessity for me. Overall, they did what they said they would do on their part. Good luck!
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So, anyways, as much as I hate to admit it, I was just dying over waiting on my insurance, Blue Cross Blue Shield of Minnesota, who I have through my husband's workplace. Well, all that is over now. Hurrah! I could hardly sleep over the fact that I spent 6 months going to Mayo out here, had a physcologist, worked out like crazy, etc. and it all would have been for not except for Blue Cross. Oh, I love them. And it wasn't that hard once I jumped through all the hoops at Mayo ( the craziness is, is that I did this for the bypass, and last month my surgeon said, "get the lap band" much less trama for your young body." ) And all these people said Blue Cross would never cover it, but they did! I guess they revised once in 2004, and then back again shorty after. Mayo wrote my letter, (and probably included the book's worth of info on me they collected in 6 months). After the secretary for my surgeon said they sent it to pre-authorization, I called them 2 days later and the gal there said,"I was very lucky to have Blue Cross/Shield, they are very good for approval and fast", they had it mailed, and exactly 12 days later ( including 4th of July) I and Mayo got the approval by mail. So anyways, for anyone out there like me, who was literally freakin' out, it was easy and painless with the insurance, the approval said "deemed medically necessary" . And also, Mayo in MN just started doing lap bands. Dr. Flo Que, she's great, and gets you in fast! Anyways, I didn't want to post this to gloat, just to let other worry-warts like me get some positive stuff, because I always loved the positive posts for insurance. Surgery 8-8-06
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Actually, have your pharmacy call for a refill. All the times I have ever done this for BC pills they will give you another month without seeing you. HTH
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Might also try the local health department for a BC pill prescription.
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I am a nurse and wear scrubs all the time. At work last night I was told to get some new dang clothes! They said I looked like I had on a droopy diaper bc my pants were so big! But they said it in a loving supportive way. Question, at what point did others buy new clothes? I hate to spend money now when I am only 1/4 of the way to my goal.
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I have BC/BS Federal Texas. I just found out that I have what the Dr. said I have what is called mechanical breakdown of my 4 year old lap band and now a hernia too boot that I never had in the beginning. I now have to have the band removed, the hernia done and a revision to RNY and I am trying to see if this might be a procedure that would be approved or not? Hope some one will answer me back
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I sure would like to know as well! I have BC/BS of AL too. I'm in the middle of compiling my 6 month diet information and all documentation I can think of to try to get this procedure approved. It is currently listed as investigational under their policies so I'm thinking it's going to be quite the fight. I would love to hear other BC/BS AL stories too!
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Hey y'all!! I just started my process about 3 weeks ago and I have BCBS Federal. I was wondering if anyone can help me out with specific details about what I, personally" had to hand in to my doctor/coordinator during my 3 month weight management. For example, food journal, excersice log, etc... Another question, My BMI is exactly 40 right now. Can I afford to lose a couple of lbs and still get approved? Or should I just maintain my weight?? I would appreciate anyones knowledge and experience about this!!
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So, I met every bit of criteria for the gastric sleeve. Did 4 months worth of required tasks and submitted for approval. Unfortunately, I had smoked but stopped a year ago. Apparently, by mistake, I checked I was smoking when I thought it said "have you smoked". There are no medical records of my smoking or stopping so now BC has denied me with the opinion that I have smoked in 6 months. I have written my own letter of appeal since I have no doctor proof and explained the timing and situation. Does anyone have any experience with this? Is there a chance at all that BCBS will take into account my letter? OR AM I JUST OUT OF LUCK? One more question....if they can take my word that I was honest and said I did smoke, why can't they take my word that I have stopped.
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This is normal. I have a 5 year old daughter, single mom. I will be sleeve in May and kinda have this thought at least once a week. I've done the if I'm gone letter, the will, and custody if I die (bc I want my father to have custody instead of her horrible father). This is normal, and I talk myself out of the death scares lol. Just imagine the beautiful life your going to have with your children, and how not only you but your whole family will benefit from this change.
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Hi Everyone! I Stumbled On To This Website In Hopes To Be As Educated About My Decision To Under Lap Band As Possible. I Have Just Begun My Journey. I Am So Apprehensive. I Have Had The Psychological Eval, ( Passed!..lol..) I Am Awaiting Approval From Bc/bs Ppo. When I Called They Said That My Policy Has The Rider And So I Am Praying That I Am Approved. Can Anyone Tell Me How Long This Whole Process Is Before You Can Have The Surgery? Thanks To All Who Have Written Post Op, That Helps Me Know What To Expect Too. Cathy
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I am just stopping by to introduce myself. I am very excited to have found this forum. I have not been banded yet but have begun the journey. I was just approved for surgery today after having my psychological exam. My next step is to meet with the surgeon. I have not officially heard if I have been approved for insurance but I meet I criteria, so I am hoping there will be no surprises there. I started this process 3 years ago only to find out that insurance would cover RYN but not the band. After the disappointing news I tried 1 more time really hard to lose weight and had lost 35 lbs, took me about a year, then started slowly gaining it back again. Fed up with the yo yo once more I called my insurance. Since then they have approved the band. Originally I had started the process with Dr. Malley in Kansas City, but when I started looking into it again he was 4 months out before I could even start seeing him so I did some research and decided to go with Dr. Hoehn. So far everything has been great and I am happy with that choice.:tongue:
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Thanks! I am genuinely so happy about beginning my new life Well my Dr has a very strict belief that what got us all to this point is carb addiction. We don crave carbs the same way we crave other food (Think back to when you were full after dinner.... until you saw the cheesecake... then magically had room for it???) It made a lot of sense to me, and i really like the support the office gives... because for me i am just not strong enough to have a bite of one cookie yknow? or a single small serving of pasta? I am allowed to have any normal sized meat, or fish, as many veggies as i want, and generous portions of fats like cheese, and some fruit. I avoid Banana's and oranges bc both are so high carb. I do sometimes eat other things, but when i do eat any kind of carb its always with extreme moderation. I have sugar free ice cream from time to time, but i never have bread, pasta, or rice of any kind. As far as being filled, i have a 6 or 7cc band and i have between .5 and 1cc... so i have VERY little restriction, which really stinks... im hoping that when i go in during the first week of October that i can get a bit more.... right now i can eat damn near a whole meal... its frustrating... but yknow, its still working so i cant be too upset! Last night i wore a pair of skinny jeans that were a 14 and it was actually big in some places!!!! yey!!!! ANy suggestions on food???
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Post op meat, is leaner better?
GotProlactinoma replied to Mhy12784's topic in Post-op Diets and Questions
My answer is no. Eat fattier meat, as long as you choose meat from healthy animals. Grass fed beef, the fat has some omega 3s. Care about the animals you choose to eat, make sure they were fed well and healthy. Then you can enjoy the fattier cuts or whatever. Fat doesn’t make you fat but it tastes better and is easier to cook. I eat well over 50% fat daily and for 6 months no stall in weight loss. I’m glad with all the attention I have to pay to every morsel that goes into my mouth, that fat is one macro I don’t have to care about. I choose full fat dairy and I eat the cuts of meat I want. It provides me with joy too, and doesn’t hurt my weight loss. Fat is yummy and healthy but just don’t mix it with sweet. -
Hi Sunny. In addition to all the above, I don't think BC kicks anything in. But like everyone else, you can claim it as a medical expense as long as your total expenses exceed $1,884 or 3% of your total income. I just got my T4 on friday, so very excitedly did my taxes on www.ufile.ca last night. It says I'm gonna get a very nice return, BUT... I want to figure it out to see how much of that is because of my student loans.
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ok i was told by a cardiologist that i would have to come off my bc for 2 months before the surgery? I have implanon which is an implant in my arm thats good for 3 years and i dont want this out. Am i able to sign something that relieves them of any legal issue if i get a blood clot or suttin. or has anyone hear of this? i mean this is a minimal invasive procedure i just dont want it out lol anyone that has similar problem?
