Everything posted by Texas89
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Irregular Periods "/
I took provera and now regret it abit,im on my period now,i wish it wouldve came on its own nd not because of the pill...i have forgot what a period is like.. I have bad cramps. Its been a week with today...I hope it stops by tomorrow,i dont wanna go to work with a heavy flow and cramps for 12hrs... "/
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4 Months And Loving It
What protien shakes do you drink?! As of right now i weigh 280(jus this morning),surgery on sept 14th..any tips on how to start off and what type of excerise for loose skin?!
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Irregular Periods "/
Mine are different its goin to be a year without a period (oct).Ive gone to my obgyn and she said it could be because of my weight..ive had bloodwork done and EVERYTHING has came out good..pap smear,A1C,thyroid,STDs,iron,cholestrol,vitamin D...I had an appt for a sonogram but wasnt able to go because of my job(points)...i was not so concerned when younger but now i someday want to have a child..i started my period at the age of 12yrs nd been regular till 18 from there it went down it started every other month then every other 3 to 4month and this time almost a year without it,so my obgyn perscribed me "provera" to have my period once so it would clean out(build up)..Ive finshed my meds and still nothing... hopefully it is because of my weight..surgery date sept 14th at 7am..
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Irregular Periods "/
Hi ladies Anyone with irregular periods before WLS surgery?! If so has it gotten regular after surgery?!
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Denied Blue Shield Of California (Ppo)
Approved!!! It only took 2 days for my approval surgery date: sept 14th at 7am....
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Denied
Hi have you been approved yet?! I have highmark bcbs and it took 2days to approve me for the sleeve, if you wanna know how i got approved with a bmi less then 50 then message me..
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Approved!
So how long did it take the ins to approve your surgery?!
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Dr. Nick Nicholson Anyone
And you step on the scale with clothes on,i sometimes remove my shoes...
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Dr. Nick Nicholson Anyone
Is this is dallas Tx?!,cause i know theirs a surgeon named nick here,but anyways i go to Dr.Jay in dallas,i have bcbs highmark,most bcbs require a 6month consecutive nut/exercise visit nd psych eval....i had to pay the eval out of pocket...anyways before u get weighed drink alot of water,try to weigh over 40(bmi).just in case u have no co morbid..nd dont miss no appointments,i skipped one nd ill probably get denied,here's the down part u probably need a bmi of 50 to get the sleeve,at least thts my policy criteria...so ur gonna need to find a Dr tht gives a shyt(as in peer to peer,and appeal).i was goin to Dr.Stowers nd when i found out myself about the bmi 50 for the sleeve they gave up,thts why i chose Dr.Jay,anywho me and the insurance cord came up with a plan,hope it wrks because i dont want the bypass...maybe ur requirements are different...
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Found A New Job!
A question ive been wanting to ask...last week i put in a application to a job closer to where i live,my medical file has been submitted to the insurance,if approve nd have my surgery done nd quit my job afterwards ,will my insurance continue to pay or will i have to pay the remaining balance?! If i do get the job closer to my home i will enroll for health insurance....
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Help With Appeal Letter
Hi...i have the same insurance(highmark)....nd my surgeon said he was gonna try to get me approved by doin a peer to peer.. My last visit for the 6months nut nd exercise is nxt week...i wanted to ask you were your 6months visit consecutive?!did u skip an appointment?! Becuz i went 01,02,04,05,06,07....notice how i skipped 03(march)...i keep thinking ill get denied becuz of tht...
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Denied Blue Shield Of California (Ppo)
Congrats......about tyme...ive been reading your posts and started to think what if i get denied too...you getting approved gives me hope on my approval... (:
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Anyone With Highmark Bcbs?!
I found another surgeon who is going to do what he can to get me approved for the sleeve...i wanted to ask you did u do the supervised excerise for 6months...?! Or just the nutrition diet thingy?!
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Anyone With Highmark Bcbs?!
I have to go with the bypass becuz my ins coord said its the ins policy,not only tht but i wasted my tyme there...The surgeon tht was goin to do my surgery doesnt do bypass...if it wasnt for this forum and some research i would still be goin with no worries...thank god i found out..
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Anyone With Highmark Bcbs?!
Okay now i get it....what ur sorta talking about ...i read the form(IRO)...after my first denial ill then send my paper wrk to the IRO... I was so clueless becuz ive never dealt with insurance or had any surgery done what so ever...im not gonna worry so much about it...i have faith
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Anyone With Highmark Bcbs?!
*perfect
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Anyone With Highmark Bcbs?!
Oh god...so i have to write a letter saying why i should get the sleeve...does it have to be prefect?! Like as in proof read and correct spelling, punctuation marks and the whole writing thing with foot notes and printed out on white paper?!..or just note book paper and a pen..do u have any websited where i could get ideas from nd what IRO the one in texas or does ot matter what state?!
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Anyone With Highmark Bcbs?!
Congrats...could you pls tell me what u did to get approved?! I live in dallas tx btw...or could u give me any hints...pls i dont want the gastric bypass...why reroute my insides when i could just get a partial of my stomach removed ...
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Anyone With Highmark Bcbs?!
Hi I only need my last visit then my file will be submitted?!just want know has anyone got denied with the insurance i have now?! Highmark bcbs pittsburgh...