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Empire BSBS ????



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I have Empire, they required 6 months of monitoring from your PCP stating your failed diet attempts. You have to do a nutritional evaluation and a psychiatric evaluation. It then took less then two weeks for the approval.

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Sounds like this may go pretty smoothly.

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So I made my appointment today for the nutrisionist counseling and I go tomorrow. I will let you know how that goes. I called my current insurance company (who doesn't cover lap bad) and asked if they would cover the psych evaluation and OF COARSE they said no. So I need to make another call to my psych's office to see what their fee is for the testing and decide if I want to go ahead and pay out of pocket for the testing so I have all my ducks in a row when my new insurance kicks in on 01-01-08. I also called the new insurance company (effec 01-01-08) and re-confirmed that the lap band procedure is covered and that the only things I need is the nutritionist counseling, psych eval and a letter from my physician stating all the diets that I have tried and failed. I have been a busy little bee today!

keep you posted on my journey!

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Yay Jelbel! That's awesome. Keep us posted on how it goes!

No 6 months diet!

I was approved in 20 hrs. My date is Nov. 5th!

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I started walking from 30 min/40/1 hr. My back hurts when I start. I'm going to do a dancing dvd today,let's see.

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Hey, Jeibel

Do u have BCBS Empire insurance?

Caramel

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I went for my nutritional evaluation today. I have my letter from them recommending that lap band..yada yada. I am waiting to hear back from my shrink to see what he would charge me to pay out of pocket for the psych evaluation since my current insurance company does not cover it.

As always...will keep you posted on my journey!

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Got a call back from the shrink. Would be $350.00 as self pay. Think I am going to wait until it's covered.

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    • BabySpoons

      Sometimes reading the posts here make me wonder if some people just weren't mentally ready for WLS and needed more time with the bariatric team psychiatrist. Complaining about the limited drink/food choices early on... blah..blah...blah. The living to eat mentality really needs to go and be replaced with eating to live. JS
      · 1 reply
      1. Bypass2Freedom

        We have to remember that everyone moves at their own pace. For some it may be harder to adjust, people may have other factors at play that feed into the unhealthy relationship with food e.g. eating disorders, trauma. I'd hope those who you are referring to address this outside of this forum, with a professional.


        This is a place to feel safe to vent, seek advice, hopefully without judgement.


        Compassion goes a long way :)

    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
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      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

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        That sounds awesome. I'll have to check that out thanks!

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