Denied By BCBS HELP

[brandiddy 9]

It seems like every office is different in their requirements too. I never got a booklet that said it was an insurance requirement. That's strange. Especially since we both have BCBS.

BTMOMOF3

[brandiddy 9]

Charlotte, NC. Dr. Gersin

BTMOMOF3

[fat76 8]

The bariatric center gives you a book and then at the top it's highlighted on how many pre-authorization weeks you need in a sense 6 months for me

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So when are you planning on having your surgery

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[chryss 61]

My BCBS says I need 6 months of nutritional coaching. My endo is writing 2 letters (November, December) for the coaching. I started seeing a Bariatric nutritionist this month. Hoping to have the 6 month requirements don't by April 1st.

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[fat76 8]

I work for a company on asmo manufacturing we have one in North Carolina also

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[fat76 8]

Yes that's the same program I'm going through right now

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[brandiddy 9]

Well good luck! My surgery is scheduled for April 10th. It was suppose to be sooner but I work for the school system here so I'm having to wait until spring break so I can have some recovery time.

BTMOMOF3

[fat76 8]

Did you have to go see a psychiatrist also

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So they scheduled your surgery before your six months of nutritionist classes were done

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[brandiddy 9]

I don't have to do 6 months of classes. I seen my nutritionist once. In 2 weeks time, I did my fitness eval, talked with a physc doctor, talked with a nutrionist and spoke to the surgeon. Had my upper endo laat week. I go back in March for a bone density scan, another nutrition class, another meeting with the surgeon and surgery in April. My pre op diet starts March 27th.

BTMOMOF3

[fat76 8]

It's interesting how different states do different things I have to do the fitness thing also just one Time Fitness so I'll see I'm trying to get all my stuff done and see maybe my surgery will be before then

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[fat76 8]

I'm 5-3 in about 250 pounds now

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I wish I would have started this program back in September when my family doctor recommended it since all I was doing was getting weight continuously

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I'm 39 years years old

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[sleevinpops 303]

This makes me nervous to hear. I also have BCBS. I bounce from 36 BMI to over 40. I also have GERD but in the last year am medicated for high blood pressure and high cholesterol. I'm hoping my HBP will help my approval.

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High blood pressure and cholesterol will definitely help, you should be good.

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[Daenerys Targaryen 109]

Bcbs denied my revision two days before my scheduled surgery (I had already been on the livershrink diet for two weeks). I fought them all summer, but finally it was a combination of hiring a Lindstrom Obesity Advocacy lawyer and my surgeon doing a peer-to-peer that got them to overturn the decision and pay for the surgery. I had jumped through all their hoops- six month doctor-supervised diet, etc. Don't give up hope! Denials can be overturned.

Edited January 29, 2017 by Daenerys Targaryen

[fat76 8]

No good

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[fat76 8]

When is your surgery?

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Where you from

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