Olarance75

glad to hear your doing well. You are on your way.

I went today for my nut class. I have to start liquids on Sunday. Surgery time is 1:30 pm. The full liquid isn't as bad as I thought. Going shopping Saturday to get my Greek your. Was surprised that you can eat oatmeal. Have to have less than 10 grams of sugar per serving. Also bought peach wey protien to mix with soy milk. We can do this

sorry to hear that. . If you want to share then maybe we can all help you with information. Totally up to you no pressure. We are all afraid that's normal. Have faith everything will work out

why did you cancel.? Did you open ur case with jobs disability?

the same applied to me. If your bmi is under 40 you have to have additional co morbidity issue. I have sleep apena

good luck today.....let us know how it goes.

. Good luck on the first step on your new journey

. Don't second guess it. You are at the beginning of a whole new life. Embrace. Plus I will need this same pep talk next tuesaday

Good luck to everyone going to surgery today. Your finally sleeved

Congrats on the successful surgery. It's great that we can all support one another thru this journey. What protein shakes does everyone like the best

I just got the call today. I'm down for September 17th. I am excited and nervous. It's finally going to happen

I would call the surgeons office and BCBSM to ensure that NUT notes count. The medical policy states Dr. Notes. I wasn't able to use progress notes from sad kin complex and I went for 6 months last year and was seen by nurse. So please check with your surgeon and the insurance

I am wondering if maybe the office is still reviewing your chart to make sure all documentation is in order. My dr.s office called and told me I was approved. Two days after all my paperwork was in.

I work for bcbs of mi and the 6 consecutive months are clearly documented in the medical policy on gastric bypass surgery. I pulled the policy and read plus plenty of my co workers have had surgery so they helped me

I filled out weight watchers food journals and turned those in to show previous weight loss attempts. Also I work for Bcbs and they paid for my weight watchers as well as my medical weight loss. We pay out of pocket and submit for reimburstment aspart of our yearly employee allottment for healthy living. Let me do some research tomorrow with couple of friends who had procedure to see what they used

When was last time you saw Dr.

The medical policy that the insurance companies use isnt misleading. for bcbsm of mi the policy clearly states 6 consecutive months uder dr supervised care. A dietitian is not a medical doctor.. They only monitor your food intake. Whereas a medical Dr. Also sends you to other specialists like cardiology to ensure enverything is ok. Your going to need cardic clearance and surgeon doesn't refer you for that

My surgeons program didn't have any additional requirements for me to follow. I believe that depends on individual and your medical status. Follow up with your baratric program coordinator to determine what else outside of the insurance requirements is the surgeron requiring from you. i know some people have been required by their surgeron to loss x amount of weight before they will perform the procedure

Just hang in there. Everything will work out and your time will come. My primary gave me the run around for three months after he wrote my letter of support. He would not release my medical records. I continued to go to his office weekly, wrote letters requesting my records and paid additional office visit copays. It was nightmare and I thought I was going to need to find new Dr and start diet documentation all over. Finally on 8/27y Bcbs had to intervene to get my medical records released to the surgeon. He complied and sent to surgeon the very next day. I am now waiting on surgery date. So I would suggest that you request in writing for utilization review at bcbs the requirements. You have vented and now its time to move forward. Stay on top of everything. Schedule appointments with your primary and the dietian for this month and get started. Your goal is to have all 6 visits finished by first week of Feb.

Which bcbs plan do you ladies have

Pre auth is no longer required. Surgeons office must have all documentation. Once they have all required docs they schedule surgery and bill insurance once completed.

Also make sure to schedule 2 Drs. Appointments per month to ensure that if you miss one/they cancel you still make appointment for that month. I had 3 appts scheduled per month to ensure I was covered. My doctors office is horrible and has tendency to cancel and reschedule you for the next month. Nope not me.

They are not going to approve without the six months from your primary doctor. Don't get discouraged. The 6 months will go by really quickly. Trust that it is for best that surgeons office didn't proceed. Bcbs has been going back requesting chart reviews on patients 2 yrs after procedure and when required documentation is not there, member is billed and they take money back from surgeon. Schedule appt with your doctors office today for this month. Lets get started

I'm sorry this happened to you. I have question. are you seeing your doctor or the nutrionist? I work for insurance company and just want to make sure your seeing your primary doctor for six consecutive months.

My doctor submitted on 8/30 to insurance. I also work for the insurance company so I don't know if that made difference