joyaskins34 31 Posted December 1, 2012 Btw that scripture is perfect! And so is His timing;-) just the selfish part of me forgets who's in controls sometimes! 1 xX_iSLAY_All_Day_Xx reacted to this Share this post Link to post Share on other sites
xX_iSLAY_All_Day_Xx 21 Posted December 1, 2012 Yes! They gave me a surgery day because I specifically asked for that day.. I was kinda surprised too. I was told that as long as I follow what they say to do exactly, there shouldn't be much of a reason for them not to approve. So I listened and started the "diet" over. My doctor hasn't did this before so I have to tell him exactly what should be documented... hopefully she is correct. I trust that she knows... since she deals with these people on a day to day basis...idk lol Share this post Link to post Share on other sites
joyaskins34 31 Posted December 1, 2012 That's awesome! The doc that's doing my diet. Does it all of the time so he better do it right! Lol Sounds like we will b going thru this together ! Share this post Link to post Share on other sites
xX_iSLAY_All_Day_Xx 21 Posted December 2, 2012 Yes mam we will!!! Springtime here we come! 1 joyaskins34 reacted to this Share this post Link to post Share on other sites
laura619 3 Posted December 2, 2012 I feel bad for you all who are having trouble getting approved! I was borderline too...a bit before...but with my comorbities, Horizon BCBS just wanted to see attempt proof (printed out membership to WwAND with my pcp's letter...I didn't have any trouble. Since the surgery I am w/o HBP, HC, Diabetes (a biggie!!) and my sleep apnea is almost nonexistent. Still c-papping though..number is way down...not sure I'll be a candidate for total removal but hey! Feeling great. Best wishes to all of you struggling to get the approvals! Keep on keeping on! Share this post Link to post Share on other sites
joyaskins34 31 Posted December 2, 2012 Laura I am going to new surgeon the other one I went to was great but the girl who does his insurance not so much.. She was NOT a. Patient Advocate @ all but that's ok .. I have a good feeling! I go the 19th Share this post Link to post Share on other sites
Lovelycurves 94 Posted December 7, 2012 Goodluck to you all! I finish 6 month supervised diet febuary 5th. Will do psych eval, pulmanologist,(spelling?) Cardialogist, nutritionist, another class, and sleep study starting this month and finishing by febuary. Will switch insurance plan march 1 hope to submit everything the week of march5th. Have aproval by end of march and surgery by end of april at the VERY latest! Although my bmi is at like 54. and I have high blood pressure. Although lately only been borderline high (dropped about 10 lbs in the last 4 months of diet) so assumeing that's helped my hbp. I'm excited and waiting seems like a life time although its actually gone by pretty fast and just hopeing everything goes as planned. Praying to god for everything to go as planned and god willing it will! My insurance plan I have now rarely approves anyone and needs 5 years of all sorts of records so can't wait to switch (as suggested by my surgeon and all the people involved in helping me get approved) and should be approved (the insurance plan I'm switching to approves people with bmi of 35 and above. (No need for comorbities, but having them puts the cherry on the cake) so cannot wait. Hope everything goes smoothly for all of us and good luck to you all! And yay we are all pretty much on the same schedule for our diets and whatnot! Share this post Link to post Share on other sites
joyaskins34 31 Posted December 7, 2012 No it doesn't work for everyone .The surgeons all agree its another way for insurances to make u jump thru hoops & give up.. I myself need to loose about 110 pounds to fall in to the healthy BMI category.I feel good about this and am keeping the faith;-) Share this post Link to post Share on other sites
xX_iSLAY_All_Day_Xx 21 Posted December 7, 2012 I agree! It doesnt work for everyone! They know that...smh Having that said,according to the BMI Charts obesity begins at 31-32. So, why not review those who are 31- 34 as a case by case basis. 35-39 (having a co-morb qualifies you according to your plan), 40> (obviously need help...and qualifies you according to your plan?) I mean they made up the rules.. they say we are all fat at 31- 32! lol Share this post Link to post Share on other sites
bakawaka 108 Posted December 7, 2012 i went ahead and chose to self-pay ($30,000 total). I viewed the surgery as an investment in myself. I cannot rely on insurance companies for my health. The insurance company does not care about my health. I hope that one day the American system will treat healthcare as a right rather than a privilege. Only we as citizens can advocate the necessary legislative change. There are groups that we bariatric patients can join to help make the necessary legislative changes regarding bariatric surgery. 1 lovealways reacted to this Share this post Link to post Share on other sites
mommy2boys 40 Posted December 8, 2012 Lol its official as fat as I am I suck at gaining weight under pressure. I had to go ahead and submit with a lower bmi... Share this post Link to post Share on other sites
joyaskins34 31 Posted December 8, 2012 Mommy what is ur BMI an what insurance ??what i & keep us posted!!! Share this post Link to post Share on other sites
joyaskins34 31 Posted December 8, 2012 Yikes!! Lol I meant keep us posted lol mommy Share this post Link to post Share on other sites
mommy2boys 40 Posted December 8, 2012 I submitted and they said they bounced it back to Dr office.they needed him to sign off that I knew ins and outs or surgery. They sent it on to insurance all forms in...if that's all they asked for so you think its a good sign? Share this post Link to post Share on other sites
mommy2boys 40 Posted December 8, 2012 I'm a 37.5 for bcbs il Share this post Link to post Share on other sites
