Federal Fep BC/BS Delaware - Approval in less than 6 hours!

[Tat19808 35]

My Dr's office submitted my packet to FEP BD/BS Delaware around noon. I received a phone call from My Dr's office at Noon today saying that last night they received my APPROVAL. I was approved in less than 6 Hours!!! She called them first thing this AM to confirm that I was approved, and was told that it was correct, It's a Go! She scheduled my FINAL surgical clearance with my surgeon for 2 weeks from today!

I am still sitting here in shock 2 hours later. My goose bumps are still here! I was all prepared for a fight... have a Primary care appointment set up for the appeal, I have requested all my medical records to send to Lindstrom Obesity Advocacy/ Weight Loss Appeals in California - I was going to hire them for the appeal. Now none of that is necessary.

I'm scared, nervous, happy.... So many emotions. I am so ready to take the next step.

I wish everyone a speedy approval process. IF you are denied, definitely consider Lindstrom Obesity Advocacy/ Weight Loss Appeals in California - they have a 90+% success rate of overturning denials. It's free to talk to them For me, it would have been money well spent.

[sassy683 184]

Congrats ... Do you have a surgery date yet?

[Tat19808 35]

Just got off the phone with them I am scheduled for 9/25

I am to start my Pre-Op diet on 9/11

Amazing how fast everything is going.

Looks like you and I have very similar Starting weights - I am 254

[sassy683 184]

congrats .... mine is 10/19 I start pre-op 10/3

Yes cant wait to get under 200lbs im ready for whatever is coming my way..

For 6 months I had to maintain my weight because the only thing that qualified me was my BMI which was 40.. that was the hardest thing because I couldn't afford to lose too much weight and I couldn't afford to gain too much weight lol....

Edited August 30, 2017 by sassy683

[Tat19808 35]

I was in the same boat. I had a 7 Lb window that I HAD to maintain - that was the hardest thing to do. I was lucky that Federal BC/BS only required 3 months of Nutrition and what not opposed to other company's 6 months.

But we've made it! Trying to stay in my window, I really tried to watch what I ate, which I always try to do. Since I was approved, I was now told that I can relax - just don't go crazy. I another night of all you can eat crabs, a steak dinner with all the sides, another night at a Fondue restaurant, another visit to a winery, and then to a brewery. That's it - Not that I won't have these again, well not anytime soon , nor in this quantity. Just in case my taste buds change and don't like these things anymore, I want one last taste.

Did you have to track what you were eating for a week to see how much Protein you were eating? I could not believe how little I consuming! What an eye-opener! Someone had told me to freeze Protein Drinks - Like Muscle Milk/ Premier Protein to have high protein popsicle Snacks. I guess you could do that with Greek Yogurt too.

I think tonight it will really hit me.....

What is your Pre-Op Diet? Mine is something called Robard - it's 4 Meal Replacement "Things" a day. Shakes/drinks/soups/pudding.... and can drink Gatorade, low sodium broth as fillers

[ZinNH 173]

Congrats on your quick approval! That's wonderful!

[Callisto 79]

That is awesome!!! I have federal blue cross blue shield and was denied about 2.5 years ago because my BMI dropped below 35 the year prior when I was on prescription weight loss pills. This time it took about 10 days to get an approval, probably because poor BCBS had to go through past medical records to verify my weight and the medical records are enormous. I was ready to put up a fight also. my 17 year old daughter's idea was "can't you just send them a picture of your body so they see that you need this?" HAHA! I was getting ready to submit a nude photo and hash out all my medical issues. I might not weigh as much as some but I am short and this body rejects me being heavy. I could literally weigh 100 pounds and still be within in my weight range so an extra 89 pounds on my small frame has not been kind to me. I have not been able to keep weight off long enough to reverse my medical conditions and I sure hope this is a tool I can use to maintain a healthier lifestyle. In fact, I know it will be a good tool because I am determined.

My surgery is 9/18, so pretty close to yours! I have been trying to MAINTAIN my weight also, they did not say anything about it going up but the dr said they didnt want it to go down much or I would be denied. In a way I am sick of eating to keep up five pounds and in another way I am starting to feel that I want things I know I should not have but know I will have to give up.

[belinda401 116]

Congratulations! It is amazing how after all of the waiting everything starts moving at lightening speed! I am in the same boat having to maintain my weight (I couldn't lose more than a pound) or I would dip below 35...for 6 months. My last weigh in is Tuesday so hopefully I will get an answer soon. I have Anthem CA and they have 15 business days to respond. I have also been holed up in my house for the past week with Hurricane Harvey so I am hoping I didn't GAIN weight on my last weigh in. Going to have to hit that Smooth Moves tea on Monday!!

Good luck and let us know how it is going