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Olarance75

Gastric Sleeve Patients
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Posts posted by Olarance75


  1. I'm not sure if I chickened out or something but I cancelled my surgery for tomorrow morning I am so upset with myself. I shouldn't have told my supervisor as a friend what I was having done I believe she sabotage my process so it will take maybe 30 days for approval then I'm good but my approval from the insurance company ends at the end of the month. Discouraged!!!

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


  2. So my insurance now will only cover it if I have sleep apnea type two diabetes or some heart disease either one thank god I don't but I think I have sleep apnea lol so there gonna send me to test for that. I am borderline line diabetic but that's not enough unless my doctor prescribes me meds=(

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


  3. UGH...Tomorrow is my day and I am so nervous I feel like I don't want to do this!! I remember a few weeks ago I was so macho and I kept saying how it wasn't a big deal but here I am today questioning my decision. UGH!! There is no turning back now. I will do this I just need to get over this emotional crap. I also think it may be because I am hungry. :blink: Damn stomach!

    . 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


  4. 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


  5. 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


  6. 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


  7. 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


  8. 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.


  9. 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.


  10. 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

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