mizpk83

Congrats.... thats is great looks like the insurance companies are on the roll. I thought my approval would take 2 weeks or say by reading with others were saying it only took 2 days.

Hi Princess.. I told my boss and conworkers that u have to have my gallbladder removed.. I really don't need the questions...and opinions that they have.

Hi Princess.. I told my boss and conworkers that u have to have my gallbladder removed.. I really don't need the questions...and opinions that they have.

My Dr. Office submitted me on 2/7 I called everyday until I received an approval on 2/9 so that was two days lucky me.

My Dr. Office submitted me on 2/7 I called everyday until I received an approval on 2/9 so that was two days lucky me.

Good afternoon, I had a friend that did not know the policy has changed that she no longer needed the 6 month supervised weight requirement. She is so happy and will be in surgergy less than 2 weeks. If this apply to you please contact your doctor. I am posting information from Blue Cross Blue Shield webiste: Title: Bariatric Surgery Number: SUR716.003 Effective Date: 02-01-2012 Legislation: ILLINOIS: None NEW Mexico: None OKLAHOMA: None TEXAS: None FEDERAL (applies to all Plans): None Contract: Each benefit plan, summary plan description or contract defines which services are covered, which services are excluded, and which services are subject to dollar caps or other limitations, conditions or exclusions. Members and their providers have the responsibility for consulting the member's benefit plan, summary plan description or contract to determine if there are any exclusions or other benefit limitations applicable to this service or supply. If there is a discrepancy between a Medical Policy and a member's benefit plan, summary plan description or contract, the benefit plan, summary plan description or contract will govern. Coverage: NOTE: Check member’s contract for benefit coverage for bariatric surgery. PATIENT SELECTION CRITERIA FOR COVERAGE For a member to be considered eligible for benefit coverage of bariatric surgery to treat morbid obesity, the member must meet the following two criteria: 1. Diagnosis of morbid obesity, defined as a: Body mass index (BMI) equal to or greater than 40 kg/meter² (* see guidelines below for BMI calculation); OR BMI equal to or greater than 35kg/meters² with at least two (2) of the following comorbid conditions related to obesity that have not responded to maximum medical management and that are generally expected to be reversed or improved by bariatric treatment: Hypertension, OR Dyslipidemia, OR Diabetes mellitus, OR Coronary heart disease, OR sleep apnea, OR Osteoarthritis; AND 2. Documentation from the requesting surgical program that: Growth is completed (generally, growth is considered completed by 18 years of age); AND Documentation from the surgeon attesting that the patient has been educated in and understands the post-operative regimen, which should include ALL of the following components: Nutrition program, which may include a very low calorie diet or a recognized commercial diet-based weight loss program; AND Behavior modification or behavioral health interventions; AND Counseling and instruction on exercise and increased physical activity; AND Ongoing support for lifestyle changes to make and maintain appropriate choices that will reduce health risk factors and improve overall health; AND Patient has completed an evaluation by a licensed professional counselor, psychologist or psychiatrist within the 12 months preceding the request for surgery. This evaluation should document: The absence of significant psychopathology that would hinder the ability of an individual to understand the procedure and comply with medical/surgical recommendations, AND The absence of any psychological comorbidity that could contribute to weight mismanagement or a diagnosed eating disorder, AND The patient’s willingness to comply with preoperative and postoperative treatment plans. Contraindications for surgical treatment of obesity include: Patients with mental handicaps that render a patient unable to understand the rules of eating and exercise and therefore make them unable to participate effectively in the post-operative treatment program (e.g., a patient with malignant hyperphagia [Prader-Willi syndrome], which combines mental retardation with an uncontrollable desire for food). Patients with portal hypertension, an excessive hazard with laparoscopic gastric surgery. Women who are pregnant or lactating. Patients with serious medical illness in whom caloric restriction could exacerbate the illness.

Thanks for the info... BSBST approved it so it was a 2 day turn around that is awesome. Now I am just waiting on my surgery day.

I know the feeling how about my file was sent on 2/7/12 and I called everyday until I recieved a approval on 2/9/12 so that was 2 days...woohooo I am excited.

This is what I call HATERS....when you drop more and post your pictures she will be the main one asking you the details on the bad. Im not banded but when people start asking I am sorry I will only share that I made a lifestyle change and watching my portions of what I am eating. Many people thrive on the cons, lapband is 10x safer than any other surgery. Tell her to do her research and mind her business.

I am hoping for a March date.... will keep everyone posted.

I have BCBS of Texas and I didnt need any weight loss history. You might want to give your insurance company a called they had a policy change of 2/1/12 at first I had to have 6 weight loss visit as a result from the change I dont need them. Good Luck.

Great... thanks for the info so I would know what my visit with Dr. Reilly would be like.

I hear it gets better... My friend actually just had her miracle child.

Wow...I'm glad I was only 2 months in..how long did it take to get your approval.

Hi Ladies, Congrats on your weight lost. Those are good questions. Keep us posted on how your visit went.

Hi... I actually told my close family who was very supportive. I also told 2 of my close friends when I mentioned it to others I received negative feedback...so with that being said I'm not telling anyone else... I figure it's known of their business.

Good Evening, Have anyone used True Results Houston for thier Lap Band Procedure using insurance. I am curious to know how did the process go. When was the paperwork submitted to the insurance company for approval. I have Blue Cross Blue Shield of Texas. Thanks in Advance,

raindygus I have 4 more next one is Feb.17th I think everything is moving fast. Sweetsouthern girl I am having mine there as well with Dr. Reilly.