CHI-Girl

do they require, pre req's. Also do they give a lot of problems approving? I was advised only to call and ask if the cover Baratric surgery by nurse at surgens office. Not met with him yet, but have the referal and am scheduled for seminar 6th of September. But I guess I'm just paronid. I asked where I could find the details and she said on line looked and no online access. So now what, I'm afraid to call them and ask. Do I just wait till I go to seminar. :thumbup: My stats: 5' 0.5" Tall 219 (BMI around 41 or 42. I just weight in at doc 2 days ago lost 5 lbs this month so haven't checked BMI) I have sleep Apnea -Just recieved Cpap machine a week ago today! I have joint issues tendintas in my knees and back pain which I did theropy and MRI and nothing wrong machenically. :tt2: I just turned 30! What are my chances of an easy approval process with BCBS of Georgia (side note I like in IL and have BCBS of GA go figure!!!) Another side note I'm new here and don't see spell check :cool2: I spell terrible sorry!!! I live and breath spell check guess can't do that here! if their is a spell check plz someone tell me where :wink::w00t:

So this is all new to me although I've been doing research and going to doctors visits and having all kinds of tests done and well my doctor finally gave me the referral to a surgeon. Although I confused. I called the doc and I have to do some seminar before they can give me an apt. The girl was really nice and advised me to see if my insurance covers bariatrics and to not ask to many questions, so I did just that. I was advised that it is covered if medically needed once approved they will cover 100%. I also asked where on line I could find the requirements so she told me where and so I went to look but that info is not online. So I came across something else in the benefits website under doctor search and it didn't have names of doctors but approved facilities for bariatrics and this doctor is not affiliated with any of the 4 hospitals in the Chicago land area! So am I just wasting my time with this seminar if this doctor isn't affiliated with one the the 4 hospitals? Ugh... Anyone have a suggestion for me. I will tell you that I was diagnosed with sleep apnea (just received my cpap machine a week ago) my BMI is 41 or 42 and I have been having back issues and went to therapy and MRI's and nothing is wrong mechanically. I have issues with my ankles and knee's giving out I'm like 5'. 0.5" and as of yesterday 219 (I lost 5 lbs this month, I'm so proud). I have BCBS of GA and I live in Chicago land area go figure out of state insurance! Does any of this look hopeful? Some one anyone give me some inspiration words of wisdom. I've been wanting and pushing doc to say ok lap-band since early this Year and it's now August and I just turned 30 2 weeks ago and want to enjoy my 4 year old daughter and life.

Ok so great news, I called to make sure this doctor my PCP referred me to was on my network and all the dreaded things I was afraid to ask and GUESS what! He is on the network and if approved for what they call medically necessary they cover 100% and the guidelines are not crazy like some that I’ve seen so I should be ok. Now I just need to wait for this seminar that I go to on Sep 6th with Dr. Kane in Arlington Heights, IL. Thank Goodness he is in my network!!!!!!!! I almost feel so silly for being so nervous but after reading some blogs I feared the worst! I guess that’s not the worst thing to do, because if he had not been in network I would have been bummed to have to start looking for a new Doc. Ok I will continue to keep you in the loop Oh Illiana yes girl you’re so right I’m a Pioneer and a MOM and I can do anything!!!!!! Hey now I’m a rock star….. Ok seriously if I’m this happy now imagine when I get to hand in all the paper work and finally get my APPROVAL LETTER lol I’m going to get on my desk and DANCE like a ROCK STAR lol. Peace out!

So this is all new to me although I've been doing research and going to doctors visits and having all kinds of tests done and well my doctor finally gave me the referral to a surgeon. Although I confused. I called the doc and I have to do some seminar before they can give me an apt. The girl was really nice and advised me to see if my insurance covers bariatrics and to not ask to many questions, so I did just that. I was advised that it is covered if medically needed once approved they will cover 100%. I also asked where on line I could find the requirements so she told me where and so I went to look but that info is not online. So I came across something else in the benefits website under doctor search and it didn't have names of doctors but approved facilities for bariatrics and this doctor is not affiliated with any of the 4 hospitals in the Chicago land area! So am I just wasting my time with this seminar if this doctor isn't affiliated with one the the 4 hospitals? Ugh... Anyone have a suggestion for me. I will tell you that I was diagnosed with sleep apnea (just received my cpap machine a week ago) my BMI is 41 or 42 and I have been having back issues and went to therapy and MRI's and nothing is wrong mechanically. I have issues with my ankles and knee's giving out I'm like 5'. 0.5" and as of yesterday 219 (I lost 5 lbs this month, I'm so proud). I have BCBS of GA and I live in Chicago land area go figure out of state insurance! Does any of this look hopeful? Some one anyone give me some inspiration words of wisdom. I've been wanting and pushing doc to say ok Lap Band since early this Year and it's now August and I just turned 30 2 weeks ago and want to enjoy my 4 year old daughter and life.

HI, I'm not too far from you! I'm Near Elmhurst! I'm just starting all this to. It's great to see a lot of people from IL. I really want this to work out for me so bad!

So this is all new to me although I've been doing research and going to doctors visits and having all kinds of tests done and well my doctor finally gave me the referral to a surgeon. Although I confused. I called the doc and I have to do some seminar before they can give me an apt. The girl was really nice and advised me to see if my insurance covers bariatrics and to not ask to many questions, so I did just that. I was advised that it is covered if medically needed once approved they will cover 100%. I also asked where on line I could find the requirements so she told me where and so I went to look but that info is not online. So I came across something else in the benefits website under doctor search and it didn't have names of doctors but approved facilities for bariatrics and this doctor is not affiliated with any of the 4 hospitals in the Chicago land area! So am I just wasting my time with this seminar if this doctor isn't affiliated with one the the 4 hospitals? Ugh... Anyone have a suggestion for me. I will tell you that I was diagnosed with sleep apnea (just received my cpap machine a week ago) my BMI is 41 or 42 and I have been having back issues and went to therapy and MRI's and nothing is wrong mechanically. I have issues with my ankles and knee's giving out I'm like 5'. 0.5" and as of yesterday 219 (I lost 5 lbs this month, I'm so proud). I have BCBS of GA and I live in Chicago land area go figure out of state insurance! Does any of this look hopeful? Some one anyone give me some inspiration words of wisdom. I've been wanting and pushing doc to say ok lap-band since early this Year and it's now August and I just turned 30 2 weeks ago and want to enjoy my 4 year old daughter and life.