TracyinKS

I just watched a web presentation required by my doc and they said for a desk job a few days to a week, but something like construction may take a few weeks

Hey!!!!!!! ME TOO... BCBS SC HERE WE COME!

Stacy: I know what you mean.. it took me a solid year of debating it.. and trying to just do it myself again to come to MY decision.... yours will come in time.. no matter what it is, it will be the right one for you

WELCOME and CONGRATS!!!!!!!1

I can not wait to join you in bandland!

MCWMS!!!!! LOL that is so funny.. yeah.. I hang my life out there for all to read about, and if you've lurked over there for years you've seen me go DOWN the scale, and you've seen me go back UP! I still love my lcf buds, but I KNOW I run the chance of getting flamed by so openly announcing my choice to become a bandster.. but I don't care....

We ALL have our journeys, and I know that LC works FOR ME and I know that I'll be sticking to LC after the band, because the band is a tool for me to keep the weight off... AFTER I LOSE IT YET AGAIN.....

Update to this original post.......... I decided to have Dr. Malley in KS, do my surgery... he is well talked about on here and on OH dot com. I signed up for his seminar and I actually have my consult scheduled for 1/08/2007. They emailed me today with a web movie they want me to watch before my appointment...

I upped my FSA account to cover my out of pocket max, and I just got the card today... (It is so cool.. it's a prepaid Visa debit card with the entire amount on it) all I will have to do is swipe it at Dr. Malleys, and I'm paid for! that said........ if for some reason my insurance flops.. I will be buying a TON of Over the counter meds for EVERYONE this year! LOL

Thanks for the post mcwms.. I think that is pretty neat that you recognize me from the other site............. or that means I have a big mouth! LOL ROFL!!!! BOTH

I look forward to YOUR updates as you join BandLand!~:clap2:

Hey Tracey,

This must be very exciting for you. Can't wait to see your results!! I have a few questions for you if you don't mind. FIrst I am new here and have jsut started looking into the Lapband procedure. I have Federal BCBS of Delaware. They have been really great in the past with all of my surgeries for disk problems etc. I am also on BP meds as well as Migraine meds. What do you think think the chances of my insurance covering this procedure with a BMI of 35.5?

Thanks

Jeanette

I would check with your HR/Benefits person, ask her what your SPD says... for instance ours say BMI over 40, OR BMI of 35 and two comorbidities........ also you could call BCBS and ask them what your SPD says... (they should have it loaded to their system for refernence)

wooooooooooooohooooooooooooo!

I would try and call your company EAP plan first..(it is free).

and the grits may be too sticky for you to eat........ don't know, just a guess

From an HR standpoint...(my job).... Yes, they will look at you like your crazy, because changing policy is for the most part a pain in the butt and most likely something that is discussed on a Benefits Committee... (at your corporate level)

This is what I suggest........ start seeing a doc OR start a supervised 6 month diet plan SOMEWHERE.. keep all documentation.....When your benefits kick in THEN talk to your HR department and ask them what the process is for a medical appeal, if they don't know ask them to contact corporate and find out what the procedure is.... (NOTE: you don't have to disclose to the people in HR what you want done.. that falls under HIPPA) Just say that you will be needing a procedure that is most likely not covered and you want to know the appeal process......... Then you might call your company EAP (employee assistance plan) and make an appointment for a counseling session....... talk about your struggles with weight..

Company EAP's are offered everywhere..... Usually a company break room or bulletin board has a poster with an 800 number on it.. what most don't realize that these services are FREE to employees, and you can talk about everything from domestic abuse to Credit counseling... OUR plan is good for the employee AND all their family members... 6 FREE sessions PER incident.... (Meaning that one month you could call for your credit problems, and the next month your teenage daughter might run away)

My point being.......... call the EAP, talk about your weight, GET DOCUMENTATION FROM THE MEETING... (this may satisfy the phyc eval)

Lets face it....... if this is excluded under your policy you are going to have to jump through hoops to win an appeal.......

If all this fails...... appeal with the state insuarance board.... (KEEP MULTIPLE COPIES OF ALL your documentation)

and GOOD LUCK!~

UPDATE: I just got off the phone with the program coordinator at the surgeons office.....

I am scheduled for the seminar on 1/6/2007, and she went ahead and scheduled my consult with the doc on 1/8/2007!!!!!!!

wooooohooooooooo!!!!

WELCOME!!!!!

I'm an Atkins fan too... but like you it always comes back when I start eating trigger foods....

I'm hoping to get banded in January!

Woooooooooohoooooooooooooo!!!!!!

How exciting!

From what people have said on this forum...

WORK THE BAND and it will WORK FOR YOU!

First is to find out what your self pay options are close to you., then weigh that against going out of state (Like Colorado, Utah, Mexico) where I've seen packages listed for around 10K.

ON Capitol Ones website, you can click the calculator to find out what your payements would be...... Do a search on this site for other medical financing companies... or heck even go out on google and search.

GOOD LUCK!

I am so excited to join everyone in bandland.........I'm crossing my fingers for a quick insurance process!

WOW!!!!!!!! all the way to Hungary! Did I read that right?

Thanks for posting.. and I LOVE the pic of your doc!

WELCOME to the boards! I have yet to get into bandland, but I am hoping for January or February.

I think the pain you are talking about is caused from post fill swelling.

This place is so great.. just read, read, read.... and post, post, post!

Thanks ladies... I can barely contain myself...... I have to go to a seminar before scheduling a consult with the surgeon... and I'm hoping to just blow them away with all my paperwork.

I upped my Flex Spending Account to make up for my outta pocket max... if this doesn't go through, I'm going to be buying A TON OF OVER THE COUNTER MEDS! LOL

WELCOME! This place is so great... read on

Wooooooooohoooooooooooo!

WOW!!!!!!!! the stories on here are soooooooo telling.

My mom (who is also big) is the hardest on my self esteem..... even when I'm down to a 12 see will say.. hurtfull things... I don't think she means too, but she does.

CONGRATS!!!!!!!!!

My son, who is now 3 was an Atkins baby... (meaning that I have PCOS) and a low carb diet straightened up my cycles and allowed my body ot ovulate.... ANYWHOO it was a wonderful suprise.... I was 33 when I had him.... My advice is to ENJOY every bit of your condition.... knowing that you are creating a life it pretty amazing....... I took it as my one chance to do every thing motherly........ drink your Water, and do everything to keep the little belly bean safe and secure!

again CONGRATULATIONS!

ahhhemmmm: that is bs...... my good friend who had the bypass is holding firm at the 200 mark, and she is in a size 10 because she is so dang tall... 5'10".... she just went in for an estiment on the work.......... boobs, arms, tt.... 12K. the most important thing her doc said was that the maintenence of the weight loss is key........ she thinks if she had it all done she would lose another 10-15 lbs.

Your sis is just trying to rain on your weight loss parade......... don't let her!

Hey I would say go for it and see if he will throw in a year of free fills for compensation!!!!!