PWoo10

Eveyone who goes to that resturant knows what they are getting themselves into. That place has drawn attention to the amount of fats and calories that go into their sandwhiches. I think that itself is great. It is the silent resturants that cause us to eat the same amount of calories as this place but we don't think about it because we don't see the numbers. How many times do you see people go into the all you can eat places? There is no calorie counter there and they sure don't want you to acknoldge how bad it is for you because most people would think twice about going. I applaude the Heart Attack Grill for being honest and letting you know what is going into your mouth is what can kill you.

Were you sick before your surgery? What caused you to have the mucus? I figure coughing would be horrible after surgery.

I have been denied 2x this month alone by them. I meet all the criteria and have all the paperwork but now they are saying it isn't a medical necessity. I have a BMI with no comorbitites and I have proof of attempted weight loss for god more than 24 months, I have had 2 nut apts, 1 psy evaluation, consultation, seminar and a PCP letter along with 5 years of medical history. I guess being a healthy fat person you can't get surgery. Don't worry I'm am going to fight onces more then just give up and realize they must know something I dont'

I think we all get denied the first time. They want to see if we really want it. So appeal. Let them know you want it and are serious.

Might want to check because BCBS isn't suppose to require weight loss attempts anymore. However have you been getting annual physicals from your primary physician? If so those weights can show your have been overweight for years. I have BCBS-IL so my requirements could be same/different but you can never have to much information for insurance.

I have BCBS-IL but it isn't through Local One. All paperwork was submitted on 1/27 and I was denied 2/3 due to my doctor put all the information on one letter and they wanted it broken up. They normally deny everyone for something the first time. I'm going to call them back on Monday and see what is going on. So far I have had a nut. apt, a psych. evaluation, seminar, and consult. My doctors office doesn't go any further until you get approval. Good luck. BCBS-IL is pretty quick at processing and you actually talk to a real person not a computer and the staff has been so nice to me.

I just looked at it, they don't call me "Grace" for nothing. Good luck. Looks fun but I would be injuried.

I was told not to expect any weight loss until my first fill. After surgery your focus is on healing.

I want to go to Onederland

WOW Christy you are lucky. They denied me because my doctors letter had all the information on it but they wanted it written different or even seperated. Are you kidding me? I think it has a lot to do with the fact that if they deny people maybe some won't reapply and those people don't really want it anyways. Only the people who truly want it fight for it.

Mine was sent to BCBS-IL on Thursday and I got denied yesterday. It was over wanting another letter from the doctor. I was told almost everyone gets denied first time. But it was only a 6 day period for them to get my denial. So now I'm waiting to see how long it takes to get the approval.

@Quinnmic are you saying your mom lied to your dad about what she is doing?

I'm getting banded in March and I'll telling the world. Then I will know that they are watching me so hopefully the more eyes on me I will work harder.

Sorry but if if your insurance doesn't cover it then it isn't covered. Didn't your doctor office checked your insurance requirements and if it was covered before they started this? There are employers having WLS takin out of the policys.

I just called BCBS-IL and they did receiving everything and told me it can take up to 14 business days.

WOW 48 hour turn around with BCBS-IL. That would be super nice. But I'm not that type of a lucky gal. I'm more like GermaineF and will have to call them and play "I was just wondering" senerio.

I just found out the doctor office submitted the paperwork to the insurance on Friday. I thought they would have told me. I started working out 5 days per week at my works gym. Resistance 2x and treadmill for 30 mins 5x per week. I have also started drinking 60 grams of protein daily in the form of a shake. I'm trying to find food and liquid items that keep me feeling full longer. Just from that I have lost 10 lbs in the month of January.

I had my consult on Dec. 29th, my dietician and psych evaluation on Jan 18th and I'm having a hard time finding the patience waiting on my dr's office to send off to the insurance company. I am trying to sit still and shut up and wait as I know that this can be a time consuming process. However, I don't even leave Christmas presents alone as I can not wait for anything. How long did it take for your doctors office to gather all your paperwork and submit it? How long afterwards did it take for your insurance to get back to you? I have BCBS Illinois.

Just make sure it says meal replacement not meal supplement. I also filled up with gas and experience bloating when I first started pushing up the protein. I have been doing it for almost a month now and my body is getting use to it. Gasx has been my hero through this transition.

They also have Monster Milk which has more protien. Check GNC. I love it.

I'm March 15th. Start pre-op March 1st but actually I've already started getting used to the protein shakes.

I'm sorry I have never heard of anyone getting the surgery at a BMI under 35. Mayber if the FDA new guidlines sway insurance to change their minds you will have better luck. I have been trying over 2 years to get a lap band and I'm at 38.8 and I get denied because I only have 1 co-morbidity. Good luck on your journey. Please keep us posted.

Has anyone's insurance changed because of the new FDA guidelines? Does anyone think there is a chance that theirs will? I am BCBS and considered a healty obese person so I can't have the surgery until I shink a couple inches or gain 15 lbs. I stay a set 38 BMI never going up or down and have been here for around 7 years. My doctor did give me adepex for 3 months just one time so I could know what it felt like to be 20 lbs lighter. I was awsome, but of course it came right back. Thank you in advance for your responses.

I'm still patiently waiting. Has anyone heard of any BCBS changing policies yet over the new FDA guidelines?