capawana 0 Posted July 4, 2011 I have my first consult this week and want to have all the info needed to get the ball rolling...I have BCBS PPO..Any info would be greatly appreciated...My BMI is 44.3 and I have lost 80 lbs over the last 2 years thru Weight Watchers and working out...But cant loose any more...I have controlled B/P with meds and a Genetic Heart Defect....Does it sound like I could be approved? Share this post Link to post Share on other sites
Rachel412 116 Posted July 4, 2011 My biggest advice to you is to eat a big heavy meal before your appointment. It's a couple extra pounds that it'll look like you lost when you go back in Share this post Link to post Share on other sites
BaileyRose 13 Posted July 4, 2011 I went in to my consult with Theo pieces of paper full of questions. I also printed off my insurance policy stating that it does cover weight loss surgery... But the office didn't need that. I like the bug meal idea! I should have done that. Instead I went hungry so every appointment after that I had to go without eating Breakfast because i wanted to make sure I didn't gain any! Haha Share this post Link to post Share on other sites
Kate rules 43 Posted July 4, 2011 Check your BCBS medical policy (depends on what state policy issued in) and see if medically supervised diets are required for approval. Bring any diet history with you (including notes from your chart regarding your medically supervised diet programs). I decided I wanted to use the surgeon I had the consult with before I even went in there, so I brought copies of my results from a recent endoscopy, etc., with me to the consult. I was FAST-TRACKED. First consult May 17, surgery July 5. I went in to my consult with Theo pieces of paper full of questions. I also printed off my insurance policy stating that it does cover weight loss surgery... But the office didn't need that. I like the bug meal idea! I should have done that. Instead I went hungry so every appointment after that I had to go without eating breakfast because i wanted to make sure I didn't gain any! Haha Share this post Link to post Share on other sites
capawana 0 Posted July 4, 2011 Do they put you on a diet while waiting for approval? So odd but isnt that why we want the lap band to help keep us on track and help us from over eating....How often do you need to go to the doctors office for weight ins..Weight Watchers has stopped working for me, will they put me on a liquid diet from the start? Very confused Share this post Link to post Share on other sites
capawana 0 Posted July 4, 2011 I'm in NJ and have 2.5 years of Weight Watchers weigh in s and 1.5 years of my gyms records of all my work out time..And all medical history . I would love to be FAST TRACKED..Thanks for the info Check your BCBS medical policy (depends on what state policy issued in) and see if medically supervised diets are required for approval. Bring any diet history with you (including notes from your chart regarding your medically supervised diet programs). I decided I wanted to use the surgeon I had the consult with before I even went in there, so I brought copies of my results from a recent endoscopy, etc., with me to the consult. I was FAST-TRACKED. First consult May 17, surgery July 5. Share this post Link to post Share on other sites
Kate rules 43 Posted July 4, 2011 Depends on what your BMI is regarding whether you are placed on liquid diet before surgery. I did not have to do the two week liquid diet because I lost a fair amount of weight prior to surgery (tomorrow!). Get all your records from Weight Watchers. Also, if you saw your doctor for obesity during your weight watchers efforts, get a copy of those medical notes. My BCBS PPO plan required either a six consecutive month diet or two 3-month (consecutive) diets conducted under medical supervision). What state is your BCBS plan issued in? Not necessarily the state in which you live. Do they put you on a diet while waiting for approval? So odd but isnt that why we want the lap band to help keep us on track and help us from over eating....How often do you need to go to the doctors office for weight ins..Weight Watchers has stopped working for me, will they put me on a liquid diet from the start? Very confused Share this post Link to post Share on other sites
capawana 0 Posted July 4, 2011 My BMI is 44.3 and my insurance was issued in NJ...Best of luck to you with the surgery...Cant wait to hear how well you do . Depends on what your BMI is regarding whether you are placed on liquid diet before surgery. I did not have to do the two week liquid diet because I lost a fair amount of weight prior to surgery (tomorrow!). Get all your records from Weight Watchers. Also, if you saw your doctor for obesity during your weight watchers efforts, get a copy of those medical notes. My BCBS PPO plan required either a six consecutive month diet or two 3-month (consecutive) diets conducted under medical supervision). What state is your BCBS plan issued in? Not necessarily the state in which you live. Share this post Link to post Share on other sites
Kate rules 43 Posted July 4, 2011 https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/0/85256c0d004f6650852577a7003c9eb0?OpenDocument&Highlight=0,obesity&Click= here is a sample medical policy from NJ. Good luck My BMI is 44.3 and my insurance was issued in NJ...Best of luck to you with the surgery...Cant wait to hear how well you do . Share this post Link to post Share on other sites
capawana 0 Posted July 4, 2011 Thank you so much and please know I will keep you in my prayers for your success with the battle of the bulge.. https://services3.ho...0,obesity= here is a sample medical policy from NJ. Good luck Share this post Link to post Share on other sites