Dr. Miles or Dr. Schmitt patients

[JASON R 0]

Great News!!

I found out today that insurance approved my surgery, so I'm scheduled for June 30th. I still have to get released from the other Dr. Schmitt on my CPAP usage (they are so darn picky), but other than that I am good to go!!!!! :thumbup:

congrtaz! im so happy for you. it want be to long and you will be a new bander.

I'd be stuck in the bathroom for a week if I tried to eat cheesy fries!!!

don't worry i can't even eat fries. they hurt so bad to try to eat. and i miss me some cheese fries too.

[Crimson Tide 7]

LOL about the cheese fries. I can't eat any kind of fries. Maybe i'll learn that one day. I got wize today ordered from Arby's and gave my curly fries away and took the meat out of the bread and just ate it.

[kaninag 35]

I didnt realize how limited the fast food menu is to lapbanders. I work for home health and if I have a long day I have to stop for food.....There are no choices....the grilled chicken isnt even good for you! And all they carry are sandwiches!! I just eat the meat...lol I tried the whole boil some eggs and put them in a little cooler or other things but man did my car stink!!!!

[debbut 0]

I didnt realize how limited the fast food menu is to lapbanders. I work for home health and if I have a long day I have to stop for food.....There are no choices....the grilled chicken isnt even good for you! And all they carry are sandwiches!! I just eat the meat...lol I tried the whole boil some eggs and put them in a little cooler or other things but man did my car stink!!!!

I know what you mean. I'm on the road a lot right now with classes and there is nothing I can eat. Tried pintos and cheese from Taco Bell but there is no way I'm doing that again. I've begun taking a little cooler everywhere, packed with lowfat cheese, ff pudding, cottage cheese, my lunch etc. It's a new habit for me but I'm getting used to it. After being on the liquid diet, I feel better since I got all that fast food out of my system so I'm not missing it that bad.

On a different note, I've noticed I'm getting hungrier and hungrier but have been able to be careful about what I eat. I go for a fill in two weeks. Maybe it'll help. I did get in trouble at a restaurant the other day. It was a small mom and pop joint. I wasn't thinking and ordered a chopped chicken plate with two sides. I ate about half the chicken and was full. When they cleared away the plate, the waitress was upset because she thought I didn't like the food. I ended up explaining to her that i had a lapband and I ordered too much food. She laughed and told me to order the sandwich next time and to keep working on getting used to my stomach.

Deb

[Fordgal88 7]

I did get in trouble at a restaurant the other day. It was a small mom and pop joint. I wasn't thinking and ordered a chopped chicken plate with two sides. I ate about half the chicken and was full. When they cleared away the plate, the waitress was upset because she thought I didn't like the food. I ended up explaining to her that i had a lapband and I ordered too much food. She laughed and told me to order the sandwich next time and to keep working on getting used to my stomach.

Deb

LOL I love the looks I get when I only eat a little bit of my food. Its that worried that the food sucked and they won't get a tip look.

Well wish us look on our tournament! If we finish in the top 4 we will play in the state tournament in Fyffe next week and if we do good there we will go to the World Series in South Haven Mississippi!

Have a great support group tomorrow! Keep me updated on how it is going! Let Veronica know I am not bailing! LOL

Have a nice weekend everyone!!

=)

Shawna

[JASON R 0]

yea the fast food is not a good place at all for us banders.

well im loving the scales right now. im down another pound from the first of the week.

[tom sawyer75 0]

Hello everyone. I am a newbie to this forum but I have to ask, did anyone's BCBS insurance not cover the band surgery? My particular policy says that any sort of gastric surgery is not covered at all but then I've heard of people that did get covered even though they had the same exact insurance. I'd hate to be wasting my time with the insurance part.

Thanks guys!

[JASON R 0]

Hello everyone. I am a newbie to this forum but I have to ask, did anyone's BCBS insurance not cover the band surgery? My particular policy says that any sort of gastric surgery is not covered at all but then I've heard of people that did get covered even though they had the same exact insurance. I'd hate to be wasting my time with the insurance part.

Thanks guys!

first off welcome to are little family here.

my bcbs didn;t say it wouldn't cover , but it did say it would only pay 50% of the cost. but it payed for more like 90% of everything. the best thing to do is get the people at the doctors office to look at it and get them to run it.

[akfmurphy 0]

Hello everyone. I am a newbie to this forum but I have to ask, did anyone's BCBS insurance not cover the band surgery? My particular policy says that any sort of gastric surgery is not covered at all but then I've heard of people that did get covered even though they had the same exact insurance. I'd hate to be wasting my time with the insurance part.

Thanks guys!

Hello and welcome!

I totally understand why you would ask. I have BCBS and read hundreds of postings about some people being covered and others not being covered. I suggest you do what I did-email BCBS customer service with your policy number and ask them specifically about your procedure (if you haven't already done so). Then I would ask the insurance goddesses (Angela is my contact person and she is fabulous) in Dr. Schmitt/Dr. Miles office if they can get you more information if needed.

I am a teacher and have BCBS PEEHIP, which does cover the procedure. Your policy may be different based on where you work, which is why I suggest contacting them directly with your policy number.

Good luck with the process. I just found out yesterday that I was approved, after the 6 month waiting period and an initial rejection. DON'T GIVE UP!

Amy

[kaninag 35]

Hello everyone. I am a newbie to this forum but I have to ask, did anyone's BCBS insurance not cover the band surgery? My particular policy says that any sort of gastric surgery is not covered at all but then I've heard of people that did get covered even though they had the same exact insurance. I'd hate to be wasting my time with the insurance part.

Thanks guys!

Also ppl can have the same insurance as you but if their employer pays for the option to have gastric surgery coverage then they may have it whereas you may not...but yeah always have the docs run it cuz like Jason mine said it would only cover 80% but it covered almost all of it. Good luck and welcome!!!!

[kaninag 35]

YAY-I can eat CRABLEGS!!!!!!! LOL, I'm so happy I didnt have any problems at all!

[readyforchange09 2]

Hi everybody, I got APPROVED!!! Date is July 2nd! Thanks for all the support.. I want to know how Venzwife is doing, I havent heard from her since surgery, and am worried about her. Well, thats all YEah!! gOOD LUCK fORDGAL WITH THE TOURNAMENTS

[kaninag 35]

hi everybody, i got approved!!! Date is july 2nd! Thanks for all the support.. I want to know how venzwife is doing, i havent heard from her since surgery, and am worried about her. Well, thats all yeah!! Good luck fordgal with the tournaments

yay congrats!!!!!!

[JASON R 0]

Hi everybody, I got APPROVED!!! Date is July 2nd! Thanks for all the support.. I want to know how Venzwife is doing, I havent heard from her since surgery, and am worried about her. Well, thats all YEah!! gOOD LUCK fORDGAL WITH THE TOURNAMENTS

congrtaz! im know you are happy.

so before long we better see you at the support groups!

and by the way, i didn't see anyone except kanina at the support group last saturday. i can't tell you how much this support groups are good for you. so we ALL need to try to attend them. i know shawna had baseball games. but what about everyone else?

so lets try to make the next one everyone. and don't say its to much of a drive. theres more then one person that drives over 110 miles one way.

and everyone remember its fathers day, so call go see your fathers and let them know you love them.

jason r

[tom sawyer75 0]

Hello and welcome!

I totally understand why you would ask. I have BCBS and read hundreds of postings about some people being covered and others not being covered. I suggest you do what I did-email BCBS customer service with your policy number and ask them specifically about your procedure (if you haven't already done so). Then I would ask the insurance goddesses (Angela is my contact person and she is fabulous) in Dr. Schmitt/Dr. Miles office if they can get you more information if needed.

I am a teacher and have BCBS PEEHIP, which does cover the procedure. Your policy may be different based on where you work, which is why I suggest contacting them directly with your policy number.

Good luck with the process. I just found out yesterday that I was approved, after the 6 month waiting period and an initial rejection. DON'T GIVE UP!

Amy

Yeah, I've got Angela working on it now. I did receive the rejection letter by BCBS but she is appealing it for me. Is there anything else that I can do other than beg and gravel...lol?