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Hi I have BCBS-MA. They were very helpful and informative when I called to inquire about bariatric coverage and promptly emailed me the relative policy which I brought to my consult. I was told at my consult that they are extremely easy to work with. They also base their approval on your starting weight. Unlike some insurance companies that go by your weight the day of surgery. This would be relevant if you are at a 35 BMI and just qualifying - you would then have to be careful not to dip below that. Not with BCBS-MA. I've had lots of appointments/tests going through the program, and they've paid for everything (minus appropriate co-pays). That's about all I've had to go through with them so far.
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Hello Everyone, It has been a very long time since I have been to this forum and I wanted to check in to see how everyone is doing. I also wanted to catch up with my crazy life. Anyway I have been offline in the bariatric world just living my life. After a while things just start settling down and years go by... times change... faces get older and brains get used to life in the "new normal". I don't know if an of you will know my story so to make it short I have been through THREE WLS's. Yes, I said three... a lapband, a Gastric Sleeve and finally I resolved to be a RnY Bypasser. Ha! No regrets.. well maybe a few.. I'm human after all. ANYWAY!! I need to reconnect because I have NOT been working out much at all. Just the very minimum and even these past few weeks I have done nothing. No bueno! So, as I was lying in bed just now something just zapped me the hell out of it and I decided I needed to get UP!! Sheesh... So, here I am! Ready to get back to my serious workout and being kind to my body. My muscles are crying to come back out and play. I'm here to chat anytime. I probably have the most experience of anyone you'll ever meet as far as weight loss, gains, all surgery types, workouts, eating plans... anything. But I also need some accountability too. I'm older now and I see it. I see that I can't do this alone. I need my bariatric friends for guidance and a KICK IN THE BUTT! A shout out to anyone who remembers me. Check in and say hi! I really miss you guys. Much love and all peace. Irene and my most recent selfie. I'm on Facebook and IG too. FB: Irene Janel Avila and IG: Pookies_Mama
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Just to share...the story angers me
swimbikerun replied to silvertaurus's topic in Gastric Sleeve Surgery Forums
Phantompouch, have you been evaluated by someone who knows what malnutrition is by the *medical research*? If you have problems, feel free to message me. I'll help in any way I can. I've had enough retaliation from doctors from some miscues from the bariatric surgeon, I know what the situation feels like. -
Why are you crying everyday? You're feeling bad from your pre-op diet? Do you have a therapist associated with your bariatric practice? You should NOT be this distraught heading into your surgery. You really need to talk with someone who can help you put your fears and concerns into perspective. A week before my surgery I was nervous, but it was that good, "I can't wait!" kind of nervous, like before your wedding or when you do a pregnancy test and you WANT to be pregnant...you shouldn't be crying and dreading it. It may be that the time isn't right in your life for something of this magnitude. I'm 5 weeks post op and have had the worst post op care. My NUT has actually stopped emailing me when I have questions and I don't actually have a follow up with my surgeon until next week. I've had no Vitamins as my paper stated I shouldn't take them until week 6. I use this forum a lot to help me through but I'm not getting the medical support I need. Sorry to hear that! Post op care is so important. I hope you will mention to your surgeon that your NUT ignores you emails with your questions. I am also surprised that you were not allowed vitamins till week 6. I had chewable BN Multi and a vit B12 spray, that I started couple of days post op. Yes, regular vitamins can be too big and too hard to swallow, and can bring on the nausea early post op. This is why there are special bariatric vitamins for early post op recovery. I hope that your next week's appointment with your surgeon will be fruitful for you, and that you will start feeling much better soon! All the best!
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Stay away from slimfast if at all possible. There is usually a very high content of sugars. Even Ensure is way to high in that respect. There are plenty of product our there that will fit your needs as a new bandster that is low in sugar and carbs. Bariatrix makes a good product. You can find quite a few different things at Bariatric Advantage. (Nutritional supplements for Gastric Bypass Bariatric Surgery Patients from Bariatric Advantage) Hope that helps.
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My name is Melissa and I am 39 years old. I have two children ages 17 and 10 and I run a daycare in my home, which I've done for over 10 years. I had surgery on July 5, 2006 and my surgeon was Dr. Oldham with Bluegrass Bariatrics. I've lost about 40 lbs. and know that I need to get serious and follow the band rules because sometimes I do and sometimes I don't. I'm going Friday for another fill. I made the mistake of staying too tight and had to have most of it taken out. I'm now starting to get restriction again. Good luck to each of you wherever you may be on your journey!
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Do you miss food?
ShelterDog64 replied to KaiserKid's topic in POST-Operation Weight Loss Surgery Q&A
Why are you crying everyday? You're feeling bad from your pre-op diet? Do you have a therapist associated with your bariatric practice? You should NOT be this distraught heading into your surgery. You really need to talk with someone who can help you put your fears and concerns into perspective. A week before my surgery I was nervous, but it was that good, "I can't wait!" kind of nervous, like before your wedding or when you do a pregnancy test and you WANT to be pregnant...you shouldn't be crying and dreading it. It may be that the time isn't right in your life for something of this magnitude. -
Do you miss food?
ShelterDog64 replied to KaiserKid's topic in POST-Operation Weight Loss Surgery Q&A
Why are you crying everyday? You're feeling bad from your pre-op diet? Do you have a therapist associated with your bariatric practice? You should NOT be this distraught heading into your surgery. You really need to talk with someone who can help you put your fears and concerns into perspective. A week before my surgery I was nervous, but it was that good, "I can't wait!" kind of nervous, like before your wedding or when you do a pregnancy test and you WANT to be pregnant...you shouldn't be crying and dreading it. It may be that the time isn't right in your life for something of this magnitude. I'm 5 weeks post op and have had the worst post op care. My NUT has actually stopped emailing me when I have questions and I don't actually have a follow up with my surgeon until next week. I've had no Vitamins as my paper stated I shouldn't take them until week 6. I use this forum a lot to help me through but I'm not getting the medical support I need. Sorry, I thought you were pre-op for some reason. I agree with OzRoo, you need to let your surgeon know about the NUT. It's surprising that you're not on vitamins, six weeks is a long time to go without them when you're eating minimal nutrition. I'm glad the forum has been helpful, but it can't take the place of good medical supervision...I'm sorry yours isn't better. -
Help! Went to regular food after only 2 weeks.
Cleo's Mom replied to aprildurham23's topic in POST-Operation Weight Loss Surgery Q&A
Annie - I'm with you and I've said that several times on this board. There should be a dietary standard that bariatric surgeons have their patients follow. And there should be sound medical reasons for it. And the patients should be told what they are. I am a patient who asks a lot of questions and gets copies of every test. I also thought they attended symposiums and topics like this were discussed. While I am not a fan of one size fits all medicine it seems like from doctor to doctor that is the approach each uses. If it is a strict doctor - all his patients are put on the most restrictive program, etc...I would like to see more uniformity among these surgeons. There are standards of care for cancer patients, why not bariatric patients? -
Welcome to the board. I go to Dr Malley's practice and Dr. Fearing did my surgery at New Hope Bariatrics. I really recommend New Hope and Dr. Fearing, and the seminar (if you haven't gone yet) is very informative. The one thing I will say about Malley Surgical Weight Loss is that when you make your appointments for follow-ups and fills, make a few of them in advance as the doctors' schedules book up. The reception staff didn't ask to do that for me automatically, then looked at me like I was an idiot when I couldn't get in within 2 weeks for a fill because someone at their reception should have scheduled the appts in advance. Oh well. --Carrie
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Take THAT! Christmas!
lsereno replied to Madam Reverie's topic in Weight Loss Surgery Success Stories
Congrats Madam! And great drawing LV! Overweight is a great place to be as far as health is concerned. My bariatric doc had a little chart that showed overweight BMI who exercised were healthier than normal BMI that didn't exercise. Lynda -
4 Months Out, 17 lbs to Goal.... Am I Done Losing?
Teachamy replied to niassy151's topic in Gastric Sleeve Surgery Forums
Are you eating maintenance calories now? I think I am more or less maintaining right now, eating between 900-1000 calories a day. But I haven't weighed in about a month at my bariatric center. I've weighed in at other doctor appts. and seem to be maintaining based on their scales. But looking back at my log, i've noticed my carbs creeping up a bit lately, so I am heading back to basics and eating about 800-900 a day. I know plateaus happen when one is as close to goal as we are--but I would say keep plugging away at it. Log everything, get your protein and water, and if you are exercising like crazy, make sure you are eating enough calories. -
Insurance may cover protein shakes
dstgirl11 replied to BrittneyMarie80's topic in PRE-Operation Weight Loss Surgery Q&A
My sister started getting the shakes from Insure in January when she had her surgery. Unfortunely, when I tried last week they said Alabama had not renewed there contract at the present time. I was so disappointed because the insurance company paid for it and it came directly to your front door. Hopefully, the contract is renewed before my surgery date. Good luck! -
You should just move on from the whole Insurance issue and seek out financing that is specific to plastic surgery. Start looking at options that are offered on this site like bariatric pal mx. It seems like so many people have had WLS and the plastics done in Mexico that it is just as viable an option as getting it done here in the U.S. at a much lower price. Good luck!
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The best Psychologists specialising in weight loss surgery?
lizonaplane replied to Lornapc's topic in Gastric Bypass Surgery Forums
Honestly, it's very hard here in the states to find bariatric-competent therapists too. I am just using the one from my surgery center, and it takes months to schedule an appointment with her. I really like listening to podcasts made by/for the bariatric community - Our Sleeved Life Podcast and Breaking down Nutrition with Dr. Susan Mitchell, and check out "the sleeved dietitian" on Instagram. She has a program called TRIBE. Good luck! -
What were your insurance company requirements for approval?
Peacedove replied to 🅺🅸🅼🅼🅸🅴🅺's topic in Insurance & Financing
CC.... Blue Shield varies DRASTICALLY from state to state. I'm told that Alabama requires 6 months of doc supervised dieting, as does GA. But I have BS of CA and although I live in GA, they give me all the same benefits as a policy holder in CA. So, they approved me in 4 days without the 6 month dieting! It was crazy unbelievable. I got evaluations from the shrink, the dietician, and the surgeon gave the medical and surgical evaluation....after I'd only seen him once. I also happened to have a letter from my orthopedic surgeon in favor. They approved me with no questions asked. As for getting your Primary Care's approval. NOT necessary with a PPO. Just make sure you pick a bariatric surgeon that is in your PPO network. I have to drive 3 hours to get to mine. But BS is also saying they will reimburse travel expenses because of this. -
Please help hungery!
olliensys replied to tamaraking's topic in POST-Operation Weight Loss Surgery Q&A
There is a book on Amazon called Bariatric Foodie protein shakes. Its a small cookbook of only protein shakes..this morning i made a Peanut Brittle shake with 1 scoop vanilla protein, soy milk, powdered peanuts , sugar free caramel syrup..um um good! -
Anyone have 6 month diet waived by insurance?
TheGamer replied to hurley911's topic in Insurance & Financing
I did not have to have the six month diet. My insurance company (UMR) gave conflicting information on if it was needed or not, so my bariatric center just went ahead and submitted my paperwork for approval to see what would happen. After a month of processing, they came back with approval, no diet needed. I should note that I had a very high starting BMI, weighing about 380 at the beginning of the approval process. -
The Bariatric Pal chat room was a great source for real-time information while I was making decisions to prepare for surgery. With the relocation of the chat room, it is really dead and difficult to find anyone. I think the veterans know about it, but I rarely see "new faces". Can the chat room be restored to the main menu bar? Fred
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Down in the dumps, wls diet sucks!
Tierra T Tij posted a topic in PRE-Operation Weight Loss Surgery Q&A
How do people going about dark sad feelings when doing the gastric bypass diet when you have zero friends or family who support you? I've been having this problem and it has been a struggle. I feel very alone and when I'm lonely and sad I want to eat but I know I cannot emotional eat. On top of that my wls surgery is May 15th so I cannot afford to do that. I feel like I've been feeling a million emotions at once. It's very hard for me these few weeks between not being able to eat much, only liking water and ice and it hurts to swallow due to my bad allergies, I'm just miserable! I just feel like I wish I had more people to vent to about these feelings besides my bariatric journal or my psychologist. I notice when I talk out my emotions it's better instead of feeling them because they derail me tremendously. -
There are others with plenty of protein. I use Muscle Milk Pro premade shakes because I became intolerant of whey protein. It actually has 32 g of protein vs. 30 g for Premier Protein. If you get sick of sweet drinks, I have liked several of the protein soups available here on Bariatric Pal
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self pay Bariatric Pay Mexico. https://www.bariatricpal.com/forum/486-mexico-self-pay-weight-loss-surgery/ The owner of this site (Alex) bariatricpal will delete any negative reviews of bariatric pal Mexico off this site. Note a surgeon has left their employment. Many have not received their refunds and the office and Alex are not giving explanations. Please read the reviews on this link from yelp . The owners and affiliates cannot edit or censor comments from clients. https://www.yelp.com/biz/bariatricpal-tijuana Alex will most likely delete this post.
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This may be slow in coming but I've come to realize something...this change is truly a process and is very, very different for each person. Prior to having surgery, my physician and his staff provided me with tons of information at each appointment. I have a wonderful binder (my bariatric binder) chronicling step by step, and day by day things from vitamins, what to expect before and after surgery, pre-admissions, examples of meal plans, what kinds and times to take in liquids, etc. It is so informative and I refer to it at least 20 times a day. During my appointment, my doctor as well as the on-staff nutritionists adamantly steered me away from certain carbs. I was under the impression as soon as something sweet or some bread like substance hits your palate I'd regret it instantly. It was/is because of this that I have stayed on point. That and I'm only 3 weeks post-op. Anyway... I've read the occassional post where someone may have had a weak moment (nope, I'm not judging) and they never mention getting sick. How can this be??? Of course this is his profession, but I now know my doctor is really committed to steering me away from the potentials of what contributed to me having the surgery in the first place. Yes, these things could possibly make me sick but why go there. He's actually aiding me in my lifestyle change by assisting with changing my mind set. Just one more reason why I love, love, love the bariatric staff at Temple University Hospital!!!
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Low Calorie intake Is it healthy??
DidThis4Me replied to Creekwood's topic in PRE-Operation Weight Loss Surgery Q&A
I take chewable bariatric multi vitamins & liquid B vitamins. I don't feel dizzy at all. -
Do I Have Any Chance With This Gastric Sleeve Appeal?
lisahg replied to lisahg's topic in Insurance & Financing
Thanks for your reply and support! It is pretty discouragning to have done all the prelim. stuff and then get denied. Apparently there is a stipulation with my bcbs that you have to have a bmi of at least 50 to qualify for the sleeve. I didnt realize this when I first started this process but I still dont plan to go with the band or bypass. As a result of doing research for my appeal letter, I learned that the vsg was historically performed at the first in a 2-stage bariatric surgery (the 2nd being the roux-en-y or bd switch) for people with a bmi over 50 that are high risk. So my insurance hasnt updated their knowledge on the sleeve and its benefits for lower bmi people. I hope things go smoothly for you. Lisa
