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Showing results for 'Fed BC/BS'.
Found 17,501 results
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I have Anthem BC/BS of California. No problems at all. Approved the same day it was submitted. I had done all of my prelimary stuff with Cigna and they required everything. My employee changed insurance on January 1st and my surgery was scheduled for February. They have been great. My surgery cost me less than $500 total.
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.Too late,I am already discouraged. Of course all of the crap happened over the holidays. So I won't be able to get in touch with anyone until Wednesday. The other concern I have is that my husband's company is looking into changing insurance companies. So if I plan to use bc/bs to cover this, I have to do it quickly. Day One Health is basically on Michigan Ave in Chicago. I researched it before I chose them. I really think they dropped the ball on this. It seemed like I was kind of being bum rushed because my appointment was late on Friday and everyone wanted to be off for the for the holidays. They closed the office until after New Year's Day. I remember two things my bc/bs rep told me was I did not have a behavior modification program. That is exactly what the dietician discussed with me. I had no exercise program. That is my point. I am injured and that's what made me gain the weight. Worker's comp will not cover anymore treatments. So I am going to court for a settlement. When I receive a letter from Traveler's Insurance saying they will not cover more treatments. I will be able to go thru bc/bs to help my back. My pain management doctor says losing weight will really help my condition. I told my dietician that. She wrote something down. If that was going to be a problem, she should have talked to me about it and encourage me to at least walk 30 minutes a day. The other thing I "think" my bc/bs rep said they need blood tests results. Has anyone had to submit a blood test to bc/bs? If not, I misunderstood him. Someone on this board suggested I join a gym or go to the YMCA That was an excellent suggestion. I can cancel that after surgery.. Thanks to all of you that responded to my post.
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AniO- I had a pain in 2 teeth actually and the worst one needed a root canal, which has been done..and today I start the process of getting a post and crown put in. The other tooth still bothers but only when I drink anything cold. I will tell you that from this whole experience, I did learn that you need to tell ur doctor bc I almost didn't and it's not worth taking the risk if you have an infection...have your dentist tell u if it's an infection, it could be an infection especially if it's a crown you already have in place... the problem is when u have infection. I'm hoping I'll get good news today from the dentist so I can finally schedule my surgery. I'm glad I'm not the only one with these second thoughts...but I know that I spent almost a year doing the research and the steps to get to surgery and it's the best thing for me. I think it's the actual fact that my body, the stomach I was born with is being changed...and that kind of change it forever...so it's scary, but the alternative which could be DEATH if I don't get rid of the weight is just not an option. Thank you all !! I hope it's good news this afternoon for me
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I Didn't Sign Up For This....
usedtobebigdaddy replied to ldb1095's topic in LAP-BAND Surgery Forums
similar situation, getting revised to the vertical sleeve, band destroyed my esophagus, mysterious manufactured 1.5cc's of fluid. Since emptying I've had constant diarrhea and have gained back 50 of the 100;bs i had lost. I cannot wait to get this voodoo piece of cr@p out my body -
Is anyone required to go to therapy weekly by your surgeon?
gina171 replied to TanairyVSG's topic in POST-Operation Weight Loss Surgery Q&A
I sincerely doubt your surgeon would recommend this to you if he/she didn't think you personally would benefit from it. And I hear a few things here.....you've been twice, never for more than 6 months bc it's too repetitive, there's nothing to talk about, it's awkward so you just don't like it, and you like to do your own thing. If it's repetitive, what is it repetitive about? What keeps coming up repetitively? If there's nothing to talk about, how did you wind up in therapy before for 2 separate efforts? And now you're being recommended to a third try from your surgeon? It becomes awkward for you and you just don't like it.....no one likes anything awkward. That's life. Pushing through it is what you do, not avoid it. The only way out, is through. You like to do your own thing....how has that worked for you -- or for ANY of us here -- in terms of food and weight control issues? Typically if we are all here, we haven't done too well doing things our own way. I don't see what you have to lose by seeing a therapist and really digging in to see what you can learn about yourself. I can't imagine feeling like I had nothing left to learn about myself and how I move through the world. I am not trying to be harsh, I honestly think you should get all the help you can during this huge physical AND psychological transformation. And yes, I do have a bias. I have been in therapy (I am an abuse and trauma survivor), and when I look around at my family, the only truly functional ones are the ones who have faced their problems head on and fiercely through therapy....the ones who rejected therapy and did things their own way, who thought therapy was useless after a few months, who thought they didn't need anyone's help to learn how to change/grow .... they are all either addicted to something, codependent, depressed, or dead by suicide. I know that's harsh to hear, but that has been my crystal clear experience. Very few of us wind up on the operating table just because we thought food was delicious. People are more complex than that, whether we believe it or not. Please consider giving therapy a chance at this time....what harm could it cause to try? Sent from my iPad using the BariatricPal App -
Dear JulieG, I hope that you can take what I say as helpfull, and I am sad that your main support person has opt-ed out, it really leaves a big hole. What concerns me is that we all need a network for support, not just one person to bear the main burden (as it were). I dont know, perhaps you do have a network of face to face people, not just us here. We need human companionship, but as Jahair said, sometimes we dont realize that some relationships arent really support, but enabling. Sometimes the forbidden relationship causes it to appear more appealing than it really should be. I hope that your can connect with several people, even be the support for someone elses journey through thier rough places. We all have them. Please do not isolate and focus on what you dont have, it will drain you of happiness and ambition. Your sound like you have a heart of gold, and its breaking. You are worth the effort it can take to reach out to others. Dont let the rejection of this relationship cause you to not reach out for help with someone else. You have recognized the value that a supportive friend adds to life, Just think if you had ten of them! I really hope you press on with this, the need for relationship is normal and inside each of us. Did you know that if a newborn is fed, clean and left alone without human contact they usually die? I wish I could cite the research I read on this once. I was stunned and I never forgot how important the touch from another person was so powerful. I dont think you are odd, or wired wrong, I just think that now you are recognizing your need and that is the first step in getting it met, right? You are precious. Dont forget it.
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Thanks everyone, I am actually on the Merinea (an intra utirine IUD) so I forgot about it when they asked what meds I was taking, because I don't ever think about being "on" it (Seriously the best BC EVER!) But they said it was fine. It has very low hormone levels and localized. 3 more days! yikes. Thanks for all the info though. Sara
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I was also told to stop taking the BC pill right away, the paper work i was givin said at least 30 days, but from the time of my first consult to my surgery day which is the 19th of this month was not 30 days so i am not sure why they do it.
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HELLLOOOOOOOOOOOOO everyone. My name is Simone I am 25 years old livein in tasmania, australia. I had the band on the 13th of October 2005. I have lost 53 Kilos, I am not sure what that is in pounds or lbs. Except I have been in and out of hospital with my band, well into emergency. As after I eat food (solid) or even mushy food. I get the worst pain in my rib cage under my breasts around to my back rib cage area. Oh its the worst pain, nothing I do will make it go away. I dont vomit often I guess thats because I can not eat. my diet is generally a cup of soup, sometimes chocolate and cups of tea and juice. So much agitates it. I keep going to my specialist he tells me if i keep loosing wieght it will stop as the band is tight around my tummy and there was alot of fat or somthing. BUT COME ON its been so long and I live in fluid and Im just feeling fed up. I was 155 kilos I am now 102 kilos. Anyways I havent had any xrays or anything he just flobs me off. Its not him going through it every day. So I booked in to get a second opinion. Im thinking they might change the band or somthing... Has anyone had this???????????? what did they doooo? and whats the outcome??? When I go to the hospital they give me stuff for reflux and then an injection for the pain then send me home. Morphine has been the injection or other potenant drugs... They think that I have inflammation or somthing... ANYWAYS hope some one else can help, I feel lost... Sim... HI FROM AUSTRALIA
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Anyone have BCBS insurance?
jjinWA replied to christo5's topic in PRE-Operation Weight Loss Surgery Q&A
I have fed BCBS. 3 months with a NUT, physc eval, proof of weight 2 years before(2012 and 2013) and dr requirements of EGD and cardiac consult, and some blood lab results. So far, out if pocket about $500 which included my $350 deductible. Not sure what my surgery will cost me once the ins pays what they contracted with the hospital and drs. -
Dell, hope BC covers the band procedure for you. If not, there are self-payers here that can give you advice. How much weight would you like to lose? Best of luck to you!
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Lap Band Surgery Insurance Denial
Brit7 replied to loveleelovableness's topic in Insurance & Financing
Don't give up. BC denied me twice and only authorized surgery after being contacted by a lawyer. Authorization was granted 12/23 but, too late for me to request time from work. Insurance companies are crafty...So, a new year and surprise to me my employer signed with a new insurance- Blue Shield. Another auth. request...and happily BS authorized first time. About the lawer, my surgeon referred me to a lawer hired through Allergen (makers of the Lap band). This may be an option for you. I can certainly give you their contact number.... Good luck and dont give up, that 's exactly what the insurance companies want you to do. Brit7 -
I just got approved from BC for a revision from sleeve to Rny
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It could last at least 6 weeks. I went to the ER bc I thought I had a blood clot but didn't, and the ER doc told me I was gassy (listening through stethoscope) and may have a leak. I though WTH? It wasn't he just didn't have any experience with bariatric surgery.
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In her November O magazine she wrote an article about her thyroid problem and how she put on 20lbs bc of it. With all that she has had going on this year, it's amazing it's only 20lbs. Her dog died by choking on a plastic toy, her school scandals and her thyroid problem. Like most, I have followed her weight over the years. Just like mine, up and down....
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Please help me...
IndioGirl55 replied to CrynNside2BThn's topic in Tell Your Weight Loss Surgery Story
Crynside - I couldn't say it any better - I have BC CA I went directly to an approved surgeon in my book - after I called my carrier to make sure it was covered - 1st appt 5/31 - was banded on 7/17 and had tons of pre-op test cuz of my age and cuz I never go to the doc to get those nasty annual test. It's the best thing i have ever done - this site is so full of great info - keep reading and asking questions. We are here for you.. -
wow - Jess and Eric out the same night!!! Thats cool - I'm hoping it gets down to Zach and Jameka now - I like Dick and Danni but I think that they've had it easier in the game bc they've had each others alliance and Zach and Jameka have been getting through each week alone, Zach especially. BUT I think it would be fun to see Dick and Danni together at the end just to see who the others would vote for. How about Eric mimicing Dick last week - my dd and I laughed our butts off! The whole Cereal thing was a hoot. We think that was the funniest thing ever on bb.
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Northern/Central california surgeons?
amjblui1 replied to RaiderRob's topic in Weight Loss Surgeons & Hospitals
I will be using Ajay upadhyay at Alta bates summit medical center in Oakland. I do not know if they take bc or not but he has come highly recommended. -
So I'm thinking about giving up on my insurance fight and just switching to self-pay. I had a slipped band over a year ago. It took 6 months to get the insurance company (Fed BCBS) to finally agree to remove the band but they denied a revision to VSG stating it wasn't medically necessary because my BMI was under 35. I submitted an appeal to the Federal Office of Personnel Management in October for what was supposed to be a 60 day appeal. They "lost" my case and had to start over. Then they closed it because they didn't understand I was asking for a revision and not some sort of random partial gastrectomy. They finally sent it out for review but it sounds like they didn't select a bariatric surgeon because the answer last week came back that it isn't medically necessary because my weight isn't over a 40 BMI. The told my attorney to wait for the report and then call and talk to the nurse but I haven't heard back yet. At this point it's been almost 7 months since I submitted the appeal. This has been going on for so long I'm almost back to my original weight. If I had it to do over again I'd have done a self-pay revision with Dr. Aceves right from the start. Heck, I'd be at my goal weight by now. I just don't have it in me to keep this up. I went ahead and requested a surgery date with Dr. Aceves and put first-class airline tickets on hold on my miles. I can't think what hoops the insurance company would have next. They just don't get that the standard of care for a revision doesn't require you to regain all your weight first. I could go forward with the surgery and then sue them after the fact but I'm not sure it's worth the mental energy after all this. I had some old Microsoft stock lying around and it's almost enough for the surgery. I'm thinking that I'll never miss the money and can just get on with my life. I don't want to self-pay up here because it's really expensive and they don't cover complications like Dr. Aceves does. I could be down there next weekend having this done and just moving on. Thoughts? I could use some additional input... Thanks! Britt
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I am type 2 diabetic. Purpose for surgery is to help control. I've had it for 18 years so any hope that it will completely go away is little. Keeping it controlled is my goal. I was told anesthesiologist will not do surgery unless my bs is 200. I was told not to lose any weight so I was eating whatever. After being told this I'm no sugar no carb. Hoping to get my numbers good for Nov 4 surgery. I'm trying to be so obedient to all the rules and the rules keep changing. I really want to hear from other diabetics and their journey! Sent from my iPhone using the BariatricPal App
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Just Sleeved In Mexico
Skyjack1 replied to Skyjack1's topic in Mexico & Self-Pay Weight Loss Surgery
Just wanted to give everyone an update I am leak free. I got back to my hotel today and relaxed poolside for a few hours. Then my husband and I hailed a cab and took a 3 hour tour wrapping things up at Tijuania beach. It is breathtaking. My husband got to induldge in the local eats and drinks. I was a bit jealous because I am a foodie although I was not hungry at all. I recommend mexico! I highly recommend Dr. Lopez and his wife Dr. Osana. I paid 4500 and 900 for our plane tickets. I have spent money here but you dont have to if you dont want to. Whatever any one has put in your head about coming to Tijuania is complete BS. it is a great city. People are exteremely nice and accomodating. They completely bend over backwards for you here. I went through the company A lighter me and Janese was my coordinator. By the way my doctor has visited me already today and will be back tommorow. I highly doubt you will get that kind of treatment in the US. My husband got a kidney transplant from Johns Hopkins 2 years ago and said the service here is comparable to the service at Hopkins. The only difference with the states is the doctors have way less experience and often encounter problems and leaks in baraiatric surgery. They have been doing it here for way longer. -
A contiouns pain in neck and shoulders
sarujah replied to sarujah's topic in LAP-BAND Surgery Forums
Thank you verymuch for your response, I was dieing for some one to answer...my doctor was so negative with me, and I am sure it was because of the surgery.... Ok... well... I geuss I have to live with it till its' over.... but what makes things hard is that after the fill it is not easy to take pills...... pls. support me to survive eating and drinking after the fill.... when I see that some of you got 5cc. from the first fill, I get horrified, I was filled 1.75 and still is afraid of drinking Water or any kind of liqudes... I am afraid of eating... after he 4th or 5th bite I fell showeked and a huge pain in my stomack, I don't know how am I going to get used to it... sometimes, I feel like missing the liquids diet, at least you drank and never was in pain..... What is making things bad I guess... is that I am used to drink a lot of water (more than 2-3 big bottles), and now I am affraid to take a sip... Pls. Kaboom help from your experience... you have been band for a long time... Wen to be honest I am taking a lot of pain killers... I am fed up, I have to go back to work this Sunday... I am an administrator at a school... and time has come to go... I still feel tired if I am out of the house for more than 2 hours. and can't really move my neck to the sides comfortabley and completely.... I did X-rays for my neck and everything is normal.... Kaboom do you advise me to go back to gas-X? thanks guys :think -
Just banded on Friday!
4mykidzinVale replied to ladybug3's topic in PRE-Operation Weight Loss Surgery Q&A
I am preparing to be banded next Thursday the 29th. A little nervous...not about the decision, mostly about keeping myself fed afterward and what I should be stocking up on at home. Best wishes to you!!!! -
Peer to peer review today [emoji45]
vandernoordh posted a topic in PRE-Operation Weight Loss Surgery Q&A
Today is my peer to peer review, I couldn't sleep last night bc I'm so anxiously awaiting the outcome. I was supposedly denied because I don't have a comorbidity. I have a fatty liver, high cholesterol, and pre diabetic. My BMI is 42. Please pray that I get my big fat approval and I can get on with my new life of living instead of just existing! Thank you all in advance! Sent from my iPhone using the BariatricPal App -
Excess Skin after weight loss with VSG
johan22 replied to jenn20's topic in PRE-Operation Weight Loss Surgery Q&A
i have heard (could be a myth though) that if someone loose weight very very slowly the skin will shrink back. it makes sence somehow,the skin has time to adjust.......but i don't know if there is any truth in it or just bs.
