Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Hello from the San Jose, CA



Recommended Posts

Well, I'm getting started. I want to do this so bad. I've contacted my Dr. and will be seeing him soon to start the process.

How is it getting qualified and approved by Blue Cross Insurance?

Share this post


Link to post
Share on other sites

I have blue cross of CA (now known as Anthem of CA). I had no problem getting the prior-auth. And as soon as I was done with all the pre-op tests and evals, it just took a couple days for my auth to go through and get approved. You just really need to do your research and find a Dr. who is in-network, and uses a facility that is one of Blue Cross' "Center Of Excellence" (COE). The Blue Cross COE standard is probably the most important if you want to go through insurance. I went through several surgeons before I found one that was up front and honest about their facility. Eventually I just started calling bariatric surgery centers and hospitals in the area to find out if they were a BXCOE and then asked which Dr. did their bariatric surgerys. Thats how I found Dr. Billy. He was also recomended on the lap-band web site. Otherwise Blue Cross will not pay anything. And Blue Cross of CA is terrible about paying for the after care. My Dr. just charged me a "fee" and that covers all the follow-up care for my procedure.

Share this post


Link to post
Share on other sites

Hello there, I'm in California too...also with Blue Cross I'm just starting my process, I go in for my consultation on July 11th. I too am hoping for a speedy hurdle free approval.

Hoping all goes well for you.

Share this post


Link to post
Share on other sites

Well, I'm getting started. I want to do this so bad. I've contacted my Dr. and will be seeing him soon to start the process.

How is it getting qualified and approved by Blue Cross Insurance?

That is good to know. How long ago did you have your surgery? Are you happy you did it?

Share this post


Link to post
Share on other sites

Hello there, I'm in California too...also with Blue Cross I'm just starting my process, I go in for my consultation on July 11th. I too am hoping for a speedy hurdle free approval.

Hoping all goes well for you.

Same to you. Let me know how it goes. Good luck, God Bless and I hope you have a safe surgery.

Share this post


Link to post
Share on other sites

I live in Gilroy and went to Doctor Robert McKeen . He operates out of Good Samaritan Hospital in San Jose. He was out of network for me so I had to do an inclusion with United Healthcare since there was no surgeon 40 miles from my house.

Share this post


Link to post
Share on other sites

I live in Gilroy and went to Doctor Robert McKeen . He operates out of Good Samaritan Hospital in San Jose. He was out of network for me so I had to do an inclusion with United Healthcare since there was no surgeon 40 miles from my house.

What is an inclusion? Was Dr. Robert Mc Keen good for you?

Share this post


Link to post
Share on other sites

HeY!!! I just got his # today from Good Samaritan. That's where I'm going. How was he? I go the the informaitonal meet tomorrow held at Good Sam.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×