Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Got my denial letter from BCBS today :(



Recommended Posts

Thank you! and I just read your post and I am praying it all works out for you too!!!

Thanks as always for the support. I am looking forward to seeing your journey. Next up for you: a surgery date!!

Share this post


Link to post
Share on other sites

I have bcbs of Mississippi. I also have a herniated disc in my neck and have sacroiliac joint disfunction - besides all of these I also have a pseudo tumor cerebri- which steals my vision. I lost it for a week two years ago then regained it after an emergency brain surgery. I permanently lost my peripheral vision. The tumor thrives on weight.. After all of this and being referred by all of my specialist drs and having them send bcbs letters, bcbs has THE NERVE to say that in my position the sleeve is merely a cosmetic surgery and they weren't paying for it. Long story short, we paid out of pocket, and we are still fighting the insurance company

Hope you get approved!

Share this post


Link to post
Share on other sites

Oh my. I am sorry to hear that. I am glad you were still able to get the surgery. Maybe soon they will come to their senses and reimburse you if not for some of it

Share this post


Link to post
Share on other sites

Don't they even look at and read what is submitted??? Good luck!

Apparently not

Share this post


Link to post
Share on other sites

I received a denial for them too... I was really depressed, gave up my diet... Then I made the better desicion... Having my surgery in. mexico with dr Aceves... I feel great without 150 lbs in 8 mo.

Share this post


Link to post
Share on other sites

Kami63, do you have an update? Will the Dr do both or you at the same time?

Share this post


Link to post
Share on other sites

I am a band to revision patient. I'm in Chicago , I had band in 2008. I lost fifty pound but had complications. Bcbs said as long as the dr felt I needed it to be removed they will approve it. I had the surgery at one time. No denial and no records needed form the other hospital . I hope it works out well for you.

Share this post


Link to post
Share on other sites

Kami63, do you have an update? Will the Dr do both or you at the same time?

Yes! That is the plan anyway... I saw him and he actually said it was no problem to plan on it. So i am hoping to wake up from surgery Tuesday sleeved ;)

Share this post


Link to post
Share on other sites

Oh and I was approved for both by BCBS!!!!

Share this post


Link to post
Share on other sites

That's great! I'm so happy for you. Do you just love Dr Nick? I'm coming in behind you on the 16th.

Share this post


Link to post
Share on other sites

That's great! Did your surgery date move up to the 26th?!

Yes I love Dr Nick. He has been wonderful :D

Share this post


Link to post
Share on other sites

Thanks bscott92863 :) all went well today with psych! There are two parts the interview with te Dr. And the test that was 370 questions (whew!) Dr. Told me that I passed the interview portion and he will have the results of the test on Monday. Hope I passed he test ;)

just wondering a question I'm indecisive of the sleeve and the r an y... if so many people are getting the ban removed ... in the sleeve is new why not just do the r and y... what happens if the sleeve doesn't work like the ban... since the r and y has been out longer??? I'm thinking the sleeve is the way to go for me but just nervous..

Share this post


Link to post
Share on other sites

That's great! Did your surgery date move up to the 26th?!

Yes I love Dr Nick. He has been wonderful :D

No, it's the 16th. I didn't realize I typed the 26th. I edited it, don't want to jinx myself lol.

Share this post


Link to post
Share on other sites

just wondering a question I'm indecisive of the sleeve and the r an y... if so many people are getting the ban removed ... in the sleeve is new why not just do the r and y... what happens if the sleeve doesn't work like the ban... since the r and y has been out longer??? I'm thinking the sleeve is the way to go for me but just nervous..

It is simple for me. I don't want severe mal nutrition. I already have issues absorbing Vitamins.... Also it kinda freaks me out to have intestines rerouted. Lol

Share this post


Link to post
Share on other sites

It is simple for me. I don't want severe mal nutrition. I already have issues absorbing Vitamins.... Also it kinda freaks me out to have intestines rerouted. Lol

You have had it done already?

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×