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Bering an Insurance Stalker finally paid off!



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Well its been a long stressful road but finally after three years and countless hours on the phone I have been APPROVED!! BCBS IL has denied me 3 times this week just because the werent looking at the info. They denied me for not having the 6 month diet documentation and for it being investigational. I called them and told then the documentation was there and that they had changed their policy as of July 1st. So it was noted and sent back over. Then they denied it for not having any new additional info but they hadnt l,ooked at the info. Yet another call and sent back. The last time they even had a medical reviewer look at it before sending it for review and she said it looked like everything was there. This time they took my phone number and said they would call me back by the end of the day with an answer. Of coarse it took 3 days of me calling morning and evening but finally this morning I got my Aprroval!! Hopefully I will update this soon with my surgery date!:thumbup:

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I'm truly happy for you. My daughter has BCBS and they denied her last week. She has been considering self pay, but she already struggles with money. She has excellent credit and could probably get a loan...but I feel that she doesn't need the added expense. I'm hoping that when she tries again, she will be approved.

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Lookin, tell her to just keep fighting! I know how stressful it can be! And how depressing, as I was denied a total of 5 times and each time I cried and screamed at the phone! If she can get to her policy online and read it so she can know exactly what they are looking for that helps! By the end I knew their policy better than they did! and had to tell them that they had updated it to include VSG. It depends on her specific p[olicy and her employers specific requirements! Good Luck to her! And to you it looks like you are doin amazing!

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congratulations, that's great, i went thru the same thing, in feb BC denied my d/t investigagtional. CA has a state office you can appeal to and i won my Independent Medical Review. Surgery was scheduled for two weeks from day of approval, 5/28/10 Two months out, almost, and i love my sleeve, you'll love yours, good luck, hope they schedule right away

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Got my date!! August 30th!!! so excited!!!!will be on a liquid diet for my County Fair (we show animals and stay there all week) and for my birthday but it will be well worth it....This is going to be the best birthday present!!

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    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
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      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

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