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Posts posted by TGTCEGCC
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Here it is...
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I’m having a horrible time with the business office of my doctors office. I live in NC but my insurance is through MA. They keep telling me I have a 6 month wait/supervised weight loss program but no one I’ve contacted at BCBS MA sees that requirement. Just wondering if anyone else has run into this issue and if so what did you do? Thanks!
I have blue shield of Ca and spoke with them twice and they have said only 3 months/ 12 weeks but the coordinator also gave me a sheet yesterday with the 6 month /24 week option checked off and i even said to the doctor that’s wrong lol and I think they just assume all BC or BS requirements are the same and not by specific policy! I have a copy of blue shields specific requirements if you’d like a copy, it’s a pdf.
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I went and saw my primary care doctor this morning and he agreed to the referral to see the bariatric surgeon. He also thinks I have sleep apnea so he referred me to pulmonology.
The bariatric department already called me today to schedule the consultation.
My partner and I feel it would be best to have a baby now instead of after the surgery(so I don’t gain the weight back) so I’m going to speak with the doctor and see how long post partum before I can have the sleeve.
I also want to know if I can get any of the pre-op requirements out of the way now since I won’t be getting pregnant till July anyways. I am hoping to have the surgery while I’m still off on maternity leave (California gives us about 5 months of leave for bonding and recovery) so I’m hoping within that time frame he would allow it. I hope he doesn’t feel it’s a dumb idea to even see him now since I still want to have a baby first.
I’ve been wanting this for so many years and have done so much research. I just now finally have an insurance that covers it(and at 100%).
Wish me luck and if you’ve been in this similar situation. Let me know what it was like.
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It's a YES!!! IT was approved and my Surgery will be MAY 7th!!!! WOOHOOOO!
Approved the same day!? Congratulations!!!!
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Go see your PCP and tell him your concerned you have sleep apnea because your tired all day and snore super loud. Ask for a sleep study. Most overweight people have it to some degree, there’s your co-morbidity
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I’m worried RNY would make this issue worse 🤨
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*I think it’s actually called fructose intolerance. I know I have this because I only have Pain when I eat carbohydrates and sodas.
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Hi everyone, I have not had any WLS yet but am looking into everything so I joined this group a bit ago.
I was wondering for the people who already have fructose malabsorption, did the RNY Make the grassiness worse or did it help?
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Good for you! Glad you got your process sped up also! [emoji1317]let ya know how everything goes. [emoji173]️
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That’s amazing that they simply waived it. I would love to know what your appeal letter said! [emoji1317]
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I’ve seen a lot of post where people have had the revision surgery’s covered:)
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Is it the same insurance company as the previous surgery?
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So glad I found this thread! I’m having mine on the 28th and I have to have an all liquid diet for 2 weeks before surgery. My start weight was 251, I lost 20 pounds before being considered so my BMI is now 39%. Don’t know why my dr is so strict when I don’t have very high BMI and no other health issues (no diabetes, no high blood pressure, etc.) Today was day one of liquid diet and it was rough. I can imagine it will become harder and harder as I will be even more hangry. Any suggestions out there?
Hot broth, and lots of salt lol
The World In My Eyes reacted to this -
@rachelzf Thank you! That’s a totally reasonable expectation. I wasn’t sure what the standard wait time would be in that situation. I was just curious how possible it would have been since I would like to utilize my off work time as best as possible, but if I have to go back to work and then go off again, then that’s what I’ll have to do!
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I like how people in this app like to reply to comments/questions that they don’t actually have answers too but opinions.
Thanks!
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I want to do all the steps to get my insurance to approve my WLS procedure, but I plan on conceiving this summer, and would like to have the surgery about 6-8 weeks after delivery. I don’t breastfeed, as my kids are usually lactose intolerant.
Anyone have any info on how long after I’d have to wait or how long you had to wait after delivery??
Requirements for Blue Shield of California
in Insurance & Financing
Posted