BCBS requirements

[patricka76 10]

I have federal BCBS and they required 4 months of dr. Supervised diet and exercise and 2 years of weight charts, but finally got my approval so my surgery date is October 11

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if u don't mind did u go under your bmi requirement after ur diet?????

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[Racshelle 17]

September 28, 2016

PNWSleever,

Thank you for the updates, I check my email every day to see if you have told me something new. I am glad that we can see nutritionists as much as we need to. I feel that will be a valuable resource to help us build and maintain the right diets, which will help us to keep the weight off. I am excited I go for my initial consult tomorrow at 3:30pm EST.

Collette

[PNWsleever 44]

September 28, 2016

PNWSleever,

Thank you for the updates, I check my email every day to see if you have told me something new. I am glad that we can see nutritionists as much as we need to. I feel that will be a valuable resource to help us build and maintain the right diets, which will help us to keep the weight off. I am excited I go for my initial consult tomorrow at 3:30pm EST.

Collette

Exciting! Please let me know how it goes!

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[Racshelle 17]

PNWSleever,

I am in disbelief. I arrived 30 minutes early for my appt at 3:30. There was laughing from the time I arrived until I left. I was checked in, (I think I had too much done paperwork etc....) and eventually after 4pm I was called back by a person who looked at me in my opinion as if she did not want to help me. She gave me a dry hello, I actually saw her roll her eyes. She took me to a consultation room and then she told me to leave my things there and that she needed to weigh me and take my blood pressure. They ask patients to take off their shoes and socks to be weighed. I did and was weighed and then my BP was taken it was high. She asked me to go back to the consultation room and wait. She eventually came in to tell me "The nurse practitioner is not going to see you today." just like that, I asked why, she said because your blood pressure is high. I said I did not understand isn't that one of the things bariatric surgery is supposed to cure? I advised her that I understood what she was saying to me, I just wanted to know why I would not be seen because of high blood pressure. She went and took a few minutes and came back to say that "we do not deal with patients with uncontrolled high blood pressure." That I must go back to my PCP for my BP to be brought under control and that I could be refunded todays visit or leave the money for the next time I could be scheduled for a consultation. Once I was leaving the receptionist the nicest person I interacted with already knew to give me a refund I was not asked if I wanted to leave the money in place, instead I was given a refund. I got my refund and left. Honestly I feel that I was not wanted there as a patient and my BP was the excuse used to not give me a consultation. I left feeling disappointed and like I had wasted my time. I called the other doctor who was my first choice but could never get an answer at his practice for quite awhile this was before I ended up at the bariatric office I went to today. Today I got an answer at the bariatric doctor who was my first choice. I have an appointment on Monday at 11:30 am I am glad, truth is once I arrived I felt no so comfortable but was going to deal with it. I am prayerful I will have a better experience Monday and actually am able to get the ball rolling on Monday.

Collette

[PNWsleever 44]

Collette I am so sorry you had to go through that! There is no way I would ever want to work with an office that was so unprofessional and unkind. Everything happens for a reason and I'm sure you will have a much better experience with your first choice Dr. You deserve to be treated like a person not a number! Good luck on Monday!

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[Racshelle 17]

I agree, thanks.

[Racshelle 17]

October 3, 2016

PNWSleever,

I went to my appointment with my first choice doctor this morning. The reception and treatment I received was great. I was able to meet with the surgeon who was also great. I received my clearance needed (subtracted) from what I turned in this morning, she too said that there were few requirements for BCBSIL. I asked her how long did it take for approval, she advised that it was taking awhile because the paperwork in confusion between Teamcare and BCBSIL. Teamcare just started covering the surgery this year in January. I advised the now there is no confusion because BCBSIL is aware that they approve the bariatric surgeries, I found this out calling Teamcare who told me to call BCBSIL for information on the surgery. The only other thing they asked me to do was the psych evaluation. I have my psych evaluation tomorrow at 12n. I was told my paperwork would be ready in 2-3 days.

Racshelle

Racshelle

[PNWsleever 44]

October 3, 2016

PNWSleever,

I went to my appointment with my first choice doctor this morning. The reception and treatment I received was great. I was able to meet with the surgeon who was also great. I received my clearance needed (subtracted) from what I turned in this morning, she too said that there were few requirements for BCBSIL. I asked her how long did it take for approval, she advised that it was taking awhile because the paperwork in confusion between Teamcare and BCBSIL. Teamcare just started covering the surgery this year in January. I advised the now there is no confusion because BCBSIL is aware that they approve the bariatric surgeries, I found this out calling Teamcare who told me to call BCBSIL for information on the surgery. The only other thing they asked me to do was the psych evaluation. I have my psych evaluation tomorrow at 12n. I was told my paperwork would be ready in 2-3 days.

Racshelle

Racshelle

That is so exciting! I hape you eval goes well. It was easy for me and very educational. So glad to hear everything went well!

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[Racshelle 17]

Thanks. It went well. I will be cleared, the psychologist just wanted me to attend one support group before surgery and to attend support groups after surgery.

Racshelle

[paula2015 6]

I have federal BCBS and they required 4 months of dr. Supervised diet and exercise and 2 years of weight charts, but finally got my approval so my surgery date is October 11

Sent from my SCH-I605 using the BariatricPal App

if u don't mind did u go under your bmi requirement after ur diet?????

Sent from my iPhone using the BariatricPal App

No I haven't, I have lost some weight but still no under my bmi

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[Racshelle 17]

I was approved by BCBSIL. Found out today, thank goodness. I completed my pre-op appointment today and am on the schedule for gastric bypass on this Wednesday at 12:30 afternoon. Went out and bought sugar free popsicles, wylers sugar free singles, Apple juice, white grape juice, sugar free Jello and chicken broth. Tomorrow is the clear liquid diet, so I will have those items and I have to do a bowel prep. Not looking forward to the bowel prep...... Glad things are moving on.

Appointment with Dr. Macik on October 4th, submission to insurance 10/10/16, BCBSIL/Teamcare approval 10/24/16, surgery 10/26/16. I thank God for his blessings.

[PNWsleever 44]

I was approved by BCBSIL. Found out today, thank goodness. I completed my pre-op appointment today and am on the schedule for gastric bypass on this Wednesday at 12:30 afternoon. Went out and bought sugar free popsicles, wylers sugar free singles, Apple juice, white grape juice, sugar free Jello and chicken broth. Tomorrow is the clear liquid diet, so I will have those items and I have to do a bowel prep. Not looking forward to the bowel prep...... Glad things are moving on.

Appointment with Dr. Macik on October 4th, submission to insurance 10/10/16, BCBSIL/Teamcare approval 10/24/16, surgery 10/26/16. I thank God for his blessings.

So happy for you!!! I'm hoping to hear back soon. I think yours was sent in a few days before mine! This is so exciting!!!

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[PNWsleever 44]

Omg I just called and I'M APPROVED!!!!

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[Racshelle 17]

Omg I just called and I'M APPROVED!!!!

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Congratulations, glad to hear from you again, glad you are approved. I think the approval was last Friday. I called today and was told that I was approved. So glad. I have surgery on Wednesday I am doing GB because I have GERD, HBP, sleep Apnea, and borderline glucose levels, GB cures most people of all these problems. 60% for vanity, 40% about getting rid of all the co-morbidities I have. Do you have your surgery date yet?

[PNWsleever 44]

Omg I just called and I'M APPROVED!!!!

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Congratulations, glad to hear from you again, glad you are approved. I think the approval was last Friday. I called today and was told that I was approved. So glad. I have surgery on Wednesday I am doing GB because I have GERD, HBP, sleep Apnea, and borderline glucose levels, GB cures most people of all these problems. 60% for vanity, 40% about getting rid of all the co-morbidities I have. Do you have your surgery date yet?

No date yet. My surgeon is on vacation until next Monday so I will have a date by next Friday. Honestly I would do GB if I had any comobididies but the sleeve will have to do. Please let me know how you are after surgery when you are feeling up to it!

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