A few questions from a newbie

Mrsace13 · November 6, 2008

I went to my drs today and seen him for the first time except the seminar. He asked me how much weight I needed to lose, I said about 95 pounds. He said a successful weight lost is 55% of your weight so I should lose 55-60 pounds. Of course I want to lose more than that! Can anyone explain what he meant. If I work hard at this I can lose the rest, right?

The lady that does the insurance said it takes about a week for her to get my paper work ready, then the submit it to the insurance and they have 45 days to respond but normally respond in a 2-3 weeks. I have seen so many of you say you got an approval in a few days, I didn't know it was going to take that long. Then she said he would schedule my surgery in a month after my approval, wow, during the holidays!! Oh well, I'm not going to put it off, that is for sure.

I'm not even sure if my insurance is requiring 6 months yet. They said it normally does but I don't think I have B/C B/S PPO of Florida, my husbands corp office is Ohio so it may be from there. Does anyone have B/C B/S PPO of OH and know their policy?

Thanks for any help.

Mrsace13 · November 6, 2008

Sorry for posting again, I didn't see it come up on the new post, I don't know if I did something wrong.

gonnaloseitall · November 6, 2008

I'm on Anthem of Ohio which is part of the BC BS network. They do require the 6 mos. I think it all depends on the person who reviews your file. You may not have to wait the 6 mos. Good luck! Let me know how it goes.

heather.vasquez · November 7, 2008

Teresa, It appears everyone's wait time is different... I had to go through the 6 mos wait and had to test everythign shown below the ticker. My paperwork was faxed on 10/31 and was Received 11/3 and they told me it could take up to 30 days ....sooooo I may/may not be banded on the 18th that is pending approval. My Husband thinks i'm nuts to do it through the Holiday's but I figured it will keep me on track and I will be a few LBS. thinner on New Years.

Good Luck on your journey I have heard BC/BS Sheild responds promptly because they are such large companies they process them all the time.

gentylwind · November 7, 2008

My doctor was very firm that if you follow what you are supposed to do and get your fills as you need them, you definitely can lose all the weight you need to lose. 50% is a statistic only. You can be 100% or nothing if you make up your mind to do so.

Mrsace13 · November 8, 2008

Thank you. I just want to get the approval and be done.

I know what you mean about the holidays, if they want to do this on Christmas Day, I'm ready, lol. If I have to be on my liquid diet on Thanksgiving, Christmas or New Years, I will!! I just want to start this and start my new life. I know I have more holidays to come that I will be healthy and looking good, lol.