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My Approval Story Bcbstx



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No problem, good luck!

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Did u have to go for radiology and cardiac clearance?

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No just endoscopy and gallbladder ultrasound

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Dr. Macik office just called me and stated that they will submit to my insurance on Friday. I need a cardiac, pulmonary, and upper Gi clearance for surgery, once approved.

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Oh sweet day in the mornin'!!! You just literally MADE MY DAY! I'm down in the Corpus Christi area and I also have BCBS of TX...and i'm just waiting on the approval...they have had my case since the 23rd...and I just have not been able to bring myself to call them back again and see if the have a result....I'm too afraid of rejection! I know every case can vary...but reading your story made me feel so much better,gave me some hope....and a little kick in the rear...THANKS! I'm gonna call in the morning!

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BAHAHAHAHA!!! I just found out that they approved me two days after it was submitted!!! I cried like a baby! I'm so excited I think I just might explode!

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Congrats love bug good luck

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Ahhhh!!! I also have BCBS of TX and tomorrow will be 3 weeks of waiting for approval :/ they sent a letter to my Dr. Last week requesting additional info (a copy of post op procedures from the doctors office) Dr office submitted it on Tuesday... Still waiting....

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Did u have to go for radiology and cardiac clearance?

Hey there...

Did you have to go for the pulmonologist and cardiology clearance?

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Jerseygirl68, what plan do you have and do they cover 100%? I have horizon bcbs epo plus

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I am excited while awaiting approval from insurance. I have my pulmonary, cardiac, and upper GI clearance . I have bcbs of nc.

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I got my surgery approved. Love the weird letter you get, yeah approved but not exactly saying they are paying for it guaranteed ( all insurance mumbo jumbo). Now I have my surgery date, Dec 6. I developed shingles and could have had a sooner date in Nov but had to take steroids for a bit. Well it will work out this way. I can get everything in place for the holidays and my surgery. Now I just need my cardiologist to send over that stress test to my surgeon. I signed off on that in July but some how it still hasn't been sent ( less than 5 miles).

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I got my surgery approved. Love the weird letter you get' date=' yeah approved but not exactly saying they are paying for it guaranteed ( all insurance mumbo jumbo). Now I have my surgery date, Dec 6. I developed shingles and could have had a sooner date in Nov but had to take steroids for a bit. Well it will work out this way. I can get everything in place for the holidays and my surgery. Now I just need my cardiologist to send over that stress test to my surgeon. I signed off on that in July but some how it still hasn't been sent ( less than 5 miles).[/quote']

Congrats! I'm happy for you! I was expecting to have mine before the end of the year, but they couldn't get me in until January 14th. It isn't as soon as I would like, but I'm sure it will be here before I know it! Keep us posted on your progress:-)

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I am in nj. I had my consultation with the surgeon last week all my appointments are set up I have a tentative surgery date of April 14. Bcbs epo. Fingers crossed all goes well and quickly.

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I am so confused. My doctor's assistant is insisting on 3 months supervised diet, but when I called BCBsTX they did not have a time frame requirement. The assistant's response was that she could try submitting now, but I could be denied. Then I started this with a BMI of 41 but after a month I am down to a 39 and afraid they won't approve me. So confused!! Any advice?

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    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 2 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.

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    • 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

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      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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