kaydefowlr

I was approved for the Lap RNY Gastric By-Pass on June 18, but my surgeon (Dr. Foreman of Al. Surgical Associates Bariatric Program) insisted I lose 30 lbs prior to surgery. So this is where I'm presently at - in the middle of trying to lose 30 lbs. At the time of my consult (Aug 2009) I weighed 371 lbs and was told I had a pre-exisitng condition that would not lift until May 26th of 2010. So I began my BC/BS required 7 office visits in 180 days prior to pre-approval submission for surgery. Since Aug 09 I had gained up to 393. So not only do I have to lose down from that to 371 I then have to lose 30lbs before surgery. :-( When I met with Dr. Foreman I clearly remember him recommending the VSG w/duodenal switch due to my Super Morbid Obesity - I was uninformed at that time about VSG and therefore when I was put on the spot to choose what surgery I wanted I chose the RNY. Thus why his office insurance rep submitted me for RNY and my subsequent approval. Here's the rub, I don't want RNY - all the research I have found clearly shows that the VSG assists the Super Morbidly Obese at losing weight all the way to the healthy goal and keeping the weight off longer if not for life! I called BC/BS today and inquired as to what I would need to do to possibly appeal to Blue Cross for a conditional approval - and I was told to write a letter including all relevant information pertinent to me to the Medical Review Board. I am going to start this first thing tomorrow. Anyone on here know of anyone with BC/BS AL who was approved for the VSG???? Did they have to appeal to the board??? Thanks in advance!

Chin up! It will all work out in the end. I have 226 lbs to lose so I def know how you feel. LOL. At least you have a husband - someone whom you can turn to. That is lovely - I'm hoping to get one of those one day after I'm at goal. LOL. Hang in there. We hear you and you aren't alone. Hugs.