Search the Community
Showing results for 'Fed BC/BS'.
Found 17,501 results
-
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..
-
I'm unable to keep anything down bc of the band not nausea . My first pregnacy I gain like 70 lbs obviously pre band . Just wondering if anyone else had had any problems like this . My band doc is worried and wants to x ray band but my obgyn thinks baby is growing fine ? I don't know what todo . Kinda freaked out . Some days i can't drink water
-
Yes, absolutely being overweight can affect you having your period. The heavier I am, the less often I have it. Maybe twice a year at my heaviest. I once got down to almost being in a size 14 and my period was almost completely regular again. When I gained my weight back, I went back to being terribly irregular. Being overweight affects our hormones (which is another reason for the hair growth). I'd talk to your doc about this or go see a gyn. Mine wanted me on BC pills to keep my . regular. That didn't work so well for me, so I switched to medroxyprogesterone, which I would take only if I went for 3 months with no period. Still, if you are almost 19 with no ., you will want to have an exam. Starting at 18, you should have a yearly pap smear anyway, so if you haven't started, now's the time. :huggie:
-
I was turned down the first time. A week befor I was scheduled for surgery BC/BC standerdized the approvall criteria. Before I only need a referal from my PCP and the phsyc eval and dietician eval then they said I (we all) need a six month supervised weightloss program with in two year prior to surgery, which I did not have a supervised program in the past two years. As soon as iI completed that, we re-applied and was approved within a week. The case worker, at BC/BS were very nice and extremely helpfull. I started with a BMI of 43.5 (286 lbs) after the six months I'm at a BMI of 40 and (264 lbs) If you get the requirements from the insurance co inadvance and be sure that you company doesn't have an exclusion to WLS its easy and doesn't take as long as it sounds. I got a lot of help and encouragement from friends on this site. Talk to people and all will be willing to help. GOOD LUCK
-
Surgical glue? Gas pain in shoulder
Smiley2013 posted a topic in POST-Operation Weight Loss Surgery Q&A
Sooooo...I had my procedure today! Yay! I was feeling soooooo sleepy after the procedure, the nurse said its bc of the meds. Anyways I asked the nurse if there was any dressings etc to change n she said no, the doctor used surgical glue. I've attached a pic, so u guys can see. Now I have the infamous gas pain in my shoulder! I'm using a heating pad, I still feel swollen so I am going to walk around the house n drink some hot green tea. Any other suggestions? -
Hey Y'all, I am a new richmond bander. I had my surgery on 8/21 (5 wks ago) and I lost 10 lbs but I think I have gained it all back bc I have had no restriction the last couple of weeks. I am not in that strong weight loss mindset yet. I am going for my 1st fill tomorrow and am hoping for some restriction. It looks like you guys are @ 5 months out. Have you found your "sweet spot" yet on the fills?
-
Facial Hair & Hair Loss Question
mommy794 replied to MyVSG2012's topic in PRE-Operation Weight Loss Surgery Q&A
There is also the No-NO hair remover home laser, and the new ones are approved for use on the face. I think I will be getting one of these REAL soon bc I have noticed all my hair is growing faster...now I read it's prolly the Biotin... LOL O well it's a trade off bc the hair on my head is thinner..so I'm trying to get a jump on that since my surg is 2-6 but now my leg and face hair is double time -
Still Confused. WHO am I supposed to be seeing? Federal BCBS
NinaB replied to fluffytofit's topic in Insurance & Financing
I am also FED BCBS.. Pick a surgeon. Usually you do the supervised diet with them. -
ok so i reallllly need to vent and im so lost and confused. so i have insurance through my mom. My surgery is scheduled for May 10th. She just text me letting me know her company had a meeting today and they will be letting 24 people go and they will receive their notice of who it is on April 26th. april 26!!!!!!!!!!!!!! why?! i dont know how all this works. will her company give her a "grace period" of coverage and if so how long? im so frustrated. i called the surgeons office and explained to them whats going on they said if i need to schedule it sooner they can move up and just to let them know asap. bc if i get it done on the 26th id have to start my liquid diet asap. im so unprepared for things im gonna need. my boyfriend was going to help me out with things and hes busting his butt as his job trying to get overtime in. and to top it off the reason y i scheduled it for may 10th was to give me time bc the insurance will pay 90% and im responsible for 10% upfront. so now im like great. and bc im getting this surgery i might lose my job. i took me 2 yrs to find a job and now i got a great one but ive only been here 2 months and i doubt theyd be ok with me asking for 2-3 weeks down time.
-
Ok Sorry Guys This One Is For The Ladies!
GonnaBHotMama replied to blackanese25's topic in POST-Operation Weight Loss Surgery Q&A
Oh..good point! Mine isnt regular because Im on the pill and for some odd reason it makes my periods either not come or it's verrrry scant. We have to get off our BC pill for 6 weeks before surgery so hopefully I'll have mine before. You know, this reminds me of after having a baby. lol Weird bleeding and I have to wait 6 weeks to start my pill back up, so that 6 weeks is like "healing time". Oh well....completely worth it. -
i am a long time sufferer of heartburn and have been on nexium for years, when i saw my GI she seemed to think with weight loss that might go away.... now that im 9 days post op and on liquids of course i have no heartburn and my surgeon did prescribe Pepcid in liquid form. i haven't been taking it bc the liquid meds r so nasty to me. but i see alot of ppl post that acid cause hunger and etc...did u all take it after surgery? or is it ok to skip it?
-
Hi!! I was banded on July 8th..(congrats BTW) I WISH I was burping!! The gas pain sat in my chest and HURT like a 24 hour heart attack! it felt soo good to burp to release some gas! LOL But from what I have read, you will have alot of gas for a couple weeks (whether it sits or comes out) bc of the CO2 that they pump in your stomache during the surgery... I know its not lady like, but I'd rather burp all day than sit in pain :wink2: My gas started to move into the back and was so painful ..i am a baby :biggrin: but it's FINALLY getting better. remember...WALK WALK WALK! It helps the gas! as far as you getting out of breath, are you walking too fast? remember we had major surgery, so take it easy... and if it doesnt get better...ALWAYS consult your doctor!! GOOD LUCK!!
-
I'm getting the Band bc in the past I also have tried dieting, the part of losing weight is easy like Sweetpea said but my problem is maintenance.... That's why I think I need the Band the most! Its like a "headstart" for me bc I thrive on results.... The Band is so nevessary. I only wish I could have gotten it before I was 30! The last 10 years have been so challenging w/ diets that have failed for me.
-
All Choked Up And Out Of Ideas..
Mjv013 replied to christinanewhart's topic in Pregnancy with Weight Loss Surgery
I after to agree with one of the other posters. Lap Band is something to take very seriously. You have to be commited in everyway to be successful. On that note, being diagnosed with pcos myself, I can understand your struggle. Metformin also did nothing for me. None of the pills and diets worked. With so much stacked against you its hard to lose weight. Trust me, I totally understand. Then trying to throw getting pregnant in the mix.... forget it. My Dr at one point told me that we would not help me get pregnant until I lost X amount of weight because the risk of sever complications was high. I did have to agree with him but it was horrible the first time he mentioned weight loss surgery. I was 271lbs at that point. I too have never had a regular cycle and had little hope after 17 years of getting pregnant. After more depression and more failures in dieting, I finally got the band. #1 to be healthy. I had given up having children especially since I was pushing 34. Each time I went to the Dr, something else was wrong. High blood pressure, high blood sugar, sore knees, bad skin.... the list goes on and on. I had surgery 10/2009 at 291 lbs and do not regret one single moment!! It has been the best decision I have ever made. Within 4 months I stopped all 7 of the medications I was taking. I never actually had cysts in my ovaries and was cleared of pcos. Fact: most people diagnosed with pcos do not actually have cysts or they can clear up. So I went on birth control because I was still having irregular periods. I stopped taking my BC on Nov 24, 2011 and found out on 12/26 I was expecting my first. I understand that each situation is different, but after 17 years of heartbreak and tears, I can finally say "I'm gonna be a mommy"!! If you are prepared to work hard nothing is impossible!!! Good luck and keep us posted on our decisions!! -
I ultimately told UHC to go f@*& themselves and wound up self funding. They can kiss my large arse and the sting of the cost is subsiding with every pound I lose. My experience, though, came from me following up on a number of health issues over the last year. Each surgeon/doctor I met with coached me to have bariatric surgery. I took their referrals and went straight into THE bariatric program. Seemed a logical progression. The problem is that THE program, while affiliated with the area's most prestigious hospital (out of 6 hospitals) wasn't yet certified as a "center of excellence" (bariatric certificate). They had a great staff, very supportive....and each were former bariatric patients, too.......excellent surgeon...etc, etc. They told me that it'd be no problem to continue and they'd had UHC patients go through all the time. 1/2 way through the deal UHC....who'd been supportive....all the sudden balks over the lacking "center of excellence" bullcrap. I involved the HR department of my employer......and found out that we were actually dropping UHC and moving over to BCBS. The games continued. Our policy with UHC would have only covered me at 50% anyway.....and UHC was delaying. It was looking as if the surgery would be delayed to 2016....by then I'd be under new insurance and no telling how long I'd wait then. Good news was for me, that when I did contact the center of excellence program they were fast in getting me started. They also had been at this for a while longer and had special self-funding insurance safeguards....you self fund and part of your money purchases a policy that covers ANY complication that comes from your bariatric surgery for out to 8 months. This was very appealing to me and I jumped all over it. I'd already met most of my pre-op requirements for the surgeon and my patient advocate at the new center was extremely fast, aggressive and organized. She and I stayed in contact and had everything wrapped up swiftly. The end result was that I had my surgery on October 13, 2015.......when it was looking like at best it would be late December or beyond. By self funding I was able to anchor down the timeframe and it actually cost me less than it would've to use my insurance. Wild ride. The upshot of my story is this.....when working with UHC, or any of them for that matter.......stay in step with them upfront and avoid any bs later on. Involve your HR department at work if/when you are able to. It's amazing how much they can help. Best wishes.
-
need to step it up!
cmarie317 replied to cmarie317's topic in POST-Operation Weight Loss Surgery Q&A
It's just hard sometimes bc I get bored or something. I've found I like riding a spinning bike with a video. I'll step it up and try it more. -
Bc I'm brand new at this. My Doctor never gave me much in terms of how I should eat. I've basically relied on google and pinterest to tell me what to do. I mean why are you worried specifically? Anything going wrong? Any issues?
-
Hi guys! I haven't been back on my thread to see all the nice comments from you all:) Question. What exercise do I do? I have a very supportive post op mama who paid for a personal trainer and I have since then paid to keep her bc she is awesome. I see once a week and do Zumba elliptical or bike for pure cardio during the week (trainer sat mornings) with trainer we work on cardio by means of no machine. killer! But I just mentally committed to getting it my schedule I was slacking post holiday craziness. Feel free to message me anytime Shopping is a constant and I can't believe the confidence I've found in being able to shop in regular stores. And play with my wardrobe not just hide behind black. Thanks for the constant support! -Jenn .::SurgeryDate 7/25/12::.
-
Jesus did exist but his birth has nothing to do with December or mid-winter. It's most likely that Jesus was really born between about August 24th and September 12th given what history has revealed. I am agnostic and don't stand for the illogical choice people make to put their faith in fake gods in the sky (or elsewhere). Religion is something for the non-scientific people among us to cling to because they fail to see the ability of humankind and our vast range of achievements. The concept of christmas and its supposed link to Jesus' birth is a confidence trick pulled by the early christians. They were struggling to popularise their religion and the status of its leader, Jesus. They could not get many people to believe that a human could be the son of god (as they claimed). They, i.e. the christians, noticed how popular the pagan mid-winter festivals were in northern Europe and ancient Scandinavia. The mid-winter solstice (the shortest day) was popular with many pagans as a last festival day before the two or three months of animal hibernation and deep cold ahed for them. Bit by bit, the christians hijacked the winter festival and aligned their celebration of Jesus' birth with it. Over the next 1400 years they made a dent and grew their religion. Come the medieval times, the reformations and the schisms, Catholicism gave way to both MORE dogmatic and LESS dogmatic versions or christianity. Anyway, we are stuck with the whole BS connection of christmas to something pagan that was used to give it an imprimatur.
-
I'm doing good but I'm having great difficulty with the Protein. Every time I try to mix it with anything it causes instant nausea and stomach cramps. I'm praying that when I enter the next stage of puréed foods I'll be better able to disguise the taste of the protein. I discussed this with my doc and he's not too worried about me not getting the protein while it's crucial to my successful weight loss, he wants me to focus on getting in my supplements and staying hydrated. I tried the muscle milk for the first time today. It made me feel a little nauseous but as I'm sipping on it slowly it's better than anything else I've tried thus far. All the best to you!!! Hi April21Sister! Just hang in there, I too was getting fed up with liquids and purée, I just started putting in more flavor in my food, I even had mushy Cereal yesterday. I'm feeling ok except today and yesterday I was so tired and feeling chills, I slept extra hours, also having a little pain on my left side near the stitches don know what that could be. I'm seeing my doc and nutritionist on 21st, hope he can answer. Very confused on how much to eat, I guess we are afraid of eating to much and worried about any complications, we should relax I guess and learn to understand our bodies more...lots of learning ahead. I'm going to try the Premier Protein from costco. Stay strong and keep up the progress...!
-
Moving Onto The Next Stage Of Food?
bariatric op number 4 replied to theby_88's topic in POST-Operation Weight Loss Surgery Q&A
The reason some have different rules is for healing, but also for your head to mend too. We obviously can't eat correctly, or we wouldn't be here now, if you imagine going back to being a child liquids, to purée, purée to solids, your making simple choices re training your mind to appreciate food a lot more savoring basic foods, and then when you are totally fed up with one stage and you move on to the next you really enjoy that food, a food that before your op you wouldn't have even looked twice at because its not covered in cheese or loaded with calories. It's helping you to eat like everyone else. Steady and slow draw it out as long as you can, you have the rest of your life to eat, make the most of this opportunity xxxxx -
Where is everyone from and sleeve date
tscrapbooking replied to djnkidz's topic in POST-Operation Weight Loss Surgery Q&A
I was sleeved on may 16 - from vancouver, bc - sleeved by dr. Nguyen in richmond, bc -
Hey world- so this is a silly question- was anyone concerned bc they felt too good? I feel like a did the day before surgery, just normal- Drink my clear liquids (Diet) a bit slower, sure but nothing like misery I see people post about? Weight loss hasn’t been crazy for this week... maybe 5#s?
-
APPROVAL with HIGHMARK and a DATE w/ "Borderline" BMI!
missysue replied to twinRN's topic in Insurance & Financing
Good Luck!! Where in Pa are you located? I also have highmark bc/bs. I go for my sixth appointment the end of this month and then will submit. -
Yes I checked with BC/BS PPO back in June 2010 and they told me that Medicare does not cover VSG surgery but they do. I was told by BC/BS PPO that I met their requirements and they would pay even if Medicare denied it. I have to wait & see if this is true. Shady Grove Hospital did not bill BC/BS because they said if Medicare did not pay for the surgery neither would BC/BS. BC/BS told me that is not true so I called Shady Grove Hospital and told them BC/BS want my claim to cross over to them and they will decide what to do. Shady Grove filed a claim with BC/BS after I insisted they do and start doing their job correctly. I have at least 30 days until I find out what is up. The surgeon does not take any insurance except Medicare so I need to appeal Medicare decision because until Medicare agrees to pay the surgeon I am in for $9000.00. BC/BS may pay him some money for the surgery if they pay some on the hospital. Medicare needs to get with the times & recognize VSG surgery. Gastric Bypass is becoming obsolete because VSG is much better surgery and allows the patient a normal way of living. I can eat most anything now except in smaller portions. I continue to lose weight and I feel great. No Dumping.
