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Showing results for 'Fed BC/BS'.
Found 17,501 results
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Hello OHIO !!! I am having Dr. David Shumacher from Kettering Bariatrics, Kettering's Sycamore Hospital. I have gone to the seminar, first physician's visit, exercise physiologist, dietitian, and am scheduled for the psychologist the end of next week. Then paperwork submitted to Anthem BC/BS Blue Preferred for approval. I was told by a RN at Sycamore Hospital that Dr. Shumacher is the best in his field. Wish I could have had this done yesterday !! LOL I am soooo excited about the lifestyle change. I am thrilled to see the OH section here. Sincerely, RainTree Acres
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no but I do agree that WLS will help eliminate or reduce the sleep apnea. I have Fed BCBS and got pretty quick response for surgical approval. I have other commordities so I think it sped it thru. good luck!
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Anyone know a $200 or less fill doctor in DFW area
flowers replied to flowers's topic in LAP-BAND Surgery Forums
Same ole BS. Well, actually new BS. I was told it would be unethical for this doctor to do my fills if my doctor was still practicing. They all sure have excuses dont they?? She said on rare occassions Dr. Stewart would see a patient referred to him, but not on a ongoing basis, I needed to find a fill center. Well, duh, thats what I wanted someone who would do fills on a cash basis. -
Having the flu and tightening of the band. Need help.
bluegudren replied to bluegudren's topic in POST-Operation Weight Loss Surgery Q&A
It's really strange bc shrimp and crab go down but when I drink water it feels like its right up on my throat and I am about to choke. It even comes up. I know I am dehydrated. I have been able to only drink 16oz of water a day for the last 3 days. I have to fall asleep propped up so liquid doesn't come up in my throat and choke me. -
Anthem Blue Cross approved in 2 days!!!
taylorgirl1 replied to kaytiebugs's topic in Insurance & Financing
I have Anthem BC CA had surgery recently luckily my out of pocket is only $1000, + $250 deductable AND 10% CO PAY I owe the hosp $600, put had to pay 10% before admission which was about $300 so should only owe about $300. My group ha a program fee for after surgery which was $3500 and had to pay that up front not covered by BC so toatl cost of lapband to me about $4800 -
Do I really need to go to the ER...?
iggychic replied to Keepgoing247's topic in POST-Operation Weight Loss Surgery Q&A
You have symptoms of a leak, dehydration and you are likely not feeding your son a safe meal given you have some sort of infection in your body, if nothing else, I hope he's not 100% breast fed! Go to the ER now. -
"my doctor told me this is why she charges $500 because if people started all this and she guided them and they quit half way in, her time is just wasted." I'm going to call BS on this one. No doctors does work for free. If someone starts the process they are paying for each appointment. The cost of each visit is priced to pay their overhead. I think of it like a college education. I did'nt give them a tip in addition to all that tuition.
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Sarah ~ I can't thank you enough - what brilliant information! I'm going to look up that website asap - better brush up on french! And yeah, i guess, weetabix is a carb - better rethink that - ryvita sounds good. I am so fed up with being exhausted and sluggish all the time - i don't just want to be thin - i really want to be strong and healthy too and live til i'm 100! Larry ~ gosh i didn't think it could be up to seven fills! I'm shocked! I'm sorry you're still hungry and feeling frustrated - I guess it takes a while to settle down but from reading most of the other posts here, i have no doubt that you will find your correct magical fill level and begin to see results. Oh and you and Marcia are definitely invited to visit me too! Did i mention I live only a few miles from the beautiful Tara? And the famous megalithic tomb Newgrange? http://www.knowth.com/newgrange.htm (check it out here!) Not to mention the amazing city of Dublin a few miles the other way! (the advantage of living in a country only 300 miles long!) Anyway enough of my bit for the tourist office! Babs ~ I almost cried when i read your post! It's been so long since anyone complemented me! My mother died this year at a young age (57), and she used to constantly tut tut at me and give me the "you could be so lovely" line - I really regret not getting my weight down while she was alive so this is what motivated me to go for the lap band.... thank you so much - you're a pet xx (god sorry for the length of this everyone! No more pages of waffle i promise!) :D
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Welcome! Your story is very much like mine--except the BC--I spent my 20's and 30's in a bikini on the shores of So Cal and age, bad habits, and a removed thyroid have landed me into sleeve land. My surgery is 6/30/15, so you're ahead of me, but within a few months we will be about the same place. Keep reading these posts! They'll help a lot with the pre-surgery questions.
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Mine eval almost didn't get passed bc he said I was unreasonable to have 130 lbs as a goal (I'm 5'6") and that I hoped to lose 100 lbs in one year. It sounds like alot of us had issues. I wish you all the best and if it takes longer than maybe it was meant to be for some reason.
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You will probably need a sleep study, EGD, and psych appt for sure as well as medically supervised weight loss classes. But I know my doctor said that some preoperative appts had to be within 6 mos or 3 mos of surgery date. So wait on psych evaluation. But get a sleep study scheduled asap bc this takes the longest.
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That's exactly what I have, Anthem BC/BS PPO Blue Access
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Still Investigating
rollomosher replied to rollomosher's topic in Tell Your Weight Loss Surgery Story
Thats quite a lot you cannot eat. I guess I need that too!!!!! :mad: But if I could control myself I would not be in this situation, would I? Somewhere in the past few years I realized my problem with food is a least partially due to the fact that as a child....I had NO FOOD! I was living with my father and we NEVER EVER had food. A friend saw a picture of me from then and said I should have my own commerical for "Save This Child". Sad but true. My eyes were buldging out of my face, my hands look like man hands on a skeleton. So when I was out of that situation and I was being fed like normal people, I started hiding food in my room, eating after the lights were out, keeping it from the people around me. And still to this day I hide that I eat......even from my own daughter. She's 9. What am I thinking???? And I eat fast like lightning fast most times....like someone might try to take it from me. I wish I could have dealt with this as a child when it was happening but........eh what can I do now? It is what it is. -
I am 5 weeks PO and having “hunger” feelings in my mouth which I believe are bc of stomach acid. Does anyone else have these- and what did you take? I’m confused if I should be taking Pepcid or Prilosec? I know they have different main ingredients!
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First step...call Don Mills at Inamed and ask if he has had any success with fighting the BC "experimental" thing. Sometimes, they have had the surgeons explain whay the patient is NOT a good candidate for the bypass and they get through that way. Anybody got Don's number close by? Other first step...find out if your employer is a self-pay for insurance. If so, they are actually the ones making the decisions and BC is just administering the plan. If not, they are covered by the CA state insurance commissioner (they have a web site.) They have a three times and then to outside review thing. One thing I found handy when I was on the phone pretending I was my daughter (her job at the time did not allow for personal business calls) fighting for her breast reduction with Aetna...dumb-sounding-questions-with-a-plan seem to get their attention. As in, "Okay, so does this count as the first time you've turned me down? So then, does this go to outside appeal after the second time and the third time is the outside appeal or do you have to actually turn me down three times before we go there...I'm sorry, but this is new to me and I want to make sure I understand it all." And ask everyone how to spell their name, and explain that's it's nothing personal but you know it's probably going to end up going for outside review and you at least want to spell the names correctly. Be loving and kind and their new best friend. Also, I did end up using Aetna's journal citations for our kid's appeal. If I could find a contrary opinion in the abstract, I quoted it, just like they did. if I could find a later publication by the same researcher which contradicted the first citation, I quoted it. They never DID turn her down the second time, because they knew that she was ready to go the whole way and that they would lose. Go for it. Sue
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I have BC/BS of massachusetts though and have recently found this on their website regarding WLS: http://www.bcbsma.com/common/en_US/medical_policies/379.htm#billing It gives billing codes.. I hope this helps. ~Christina:Bunny
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I did something similar with a piece of Beef Smoked Sausage hubby had grilled. I picked one up and sucked the juice out of the cut end of it...oh YEAH! it was so yummy. And you know it was nothing but grease! But so tasty. It satisfied the urge. So then I cut off the end I sucked on and fed the rest to one of my kids. ??? I guess THAT'S the crazy part...ewww.
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Is anyone getting surgery without having insurance?
cinchgirl50 replied to cuchas's topic in PRE-Operation Weight Loss Surgery Q&A
I am a self pay in Texas because my insurance does not cover any WLS. My surgeon is Dr. John Mason in Bryan, Texas. Even with selfpay there were tests that I had to clear in order for Dr. Mason to agree to my surgery. They were EKG, chest xray, blood work and psych evaluation. Dr. Mason works out of St. Joseph's Hospital and they do offer a "selfpay" discount. When all said and done with tests, surgery and hospital costs I will be out of pocket approximately $12,000.00. I started this journey back in January and will be having surgery on May 22, which is my choice. Surgery could have been a lot sooner if it would have been more convenient for me to done so. If anyone in this area is looking for a great surgeon, I highly reccomend Dr. Mason. On me personally he has performed 2 breast biopsies, Double mastectomy (I am a 4 year BC survivor, woohoo!) and gallbladder removal. All of which were without incident and I breezed through with flying colors and believe that it was because of his excellent surgical skills and passion for his patients. -
Pre-op weight loss & insurance approval
GoneFishin replied to Walk_By_Faith's topic in PRE-Operation Weight Loss Surgery Q&A
I have BC/BS of IL. Their requirements don't stipulate and weight loss during the 6 month program. In fact, here are their words: · It is expected that appropriate non-surgical treatment should have been attempted prior to surgical treatment of obesity Non-surgical treatment of morbid obesity appropriateness criteria: · Medical record documentation of active participation in a clinically-supervised, non-surgical program of weight reduction for at least 6 months, occurring within the twenty-four (24) months prior to the proposed surgery and preferably unaffiliated with the bariatric surgery program. [NOTE: The initial BMI at the beginning of a weight reduction program will be the “qualifying” BMI used to meet the BMI criteria for the definition of morbid obesity used in this policy.] · A program will be considered appropriate if it includes the following components: 1. Nutritional therapy, which may include medical nutrition therapy such as a very low calorie diet such as MediFast or OptiFast OR a recognized commercial diet-based weight loss program such as WeighWatchers, Jenny Craig, etc. 2. Behavior modification or behavioral health interventions. 3. Counseling and instruction on exercise and increased physical activity. 4. Pharmacologic therapy (as appropriate). 5. Ongoing support for lifestyle changes to make and maintain appropriate choices that will reduce health risk factors and improve overall health. Good luck...Dan. -
Out Of Network W/ True Results Houston
Nacol replied to cmoody821's topic in PRE-Operation Weight Loss Surgery Q&A
I am going to True Results Houston as well. The Patient Advocate said I was looking at like $3,000 out of pocket based on my ins Fed BCBS. -
Margie What board is giving you this BS info?
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Hi there...I am likely going to be given a May date. I have done everything for the process for my insurance except my final drs appt and nutritionist appt which are both early next week. Then they submit to my insurance and hopefully, fingers crossed, approval and then scheduling. I am in NYC and would love to have a great support system in place throughout this process. I am just doing a calorie restricted diet right now because my insurance prohibits me from gaining even an ounce during a 3 month pre-surgery period and this has even been hard for me bc I need to retrain my brain (ex. stop using food to both reward myself, punish myself, as distraction, when bored, etc). We have quite a journey ahead of us. Great success and good health to all of us.
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Anyone get sleeved in May?
the sleeved plastic surgeon replied to skinnyme13's topic in Gastric Sleeve Surgery Forums
Bcs I want to start shewing any kind of food I'm not hungry but I want to start feeling normal -
Banded in sept 2011. Did wonderfully sept the dec. In dec weightloss started to slow. I knew it would slow bc i wasnt as big but the "cheating" didnt help. Lil of this. Lil if that. I stopped exercising in late winter. While my portions remained small my food choices were not the Best. My weightloss slowed even more. In june i went on vacation and said to heck with it all. I ate what i wanted. I gained 9 poundd in 7 days. Then when i returned home my eating vacation continued. When i went to the dr i had gained 15 pounds in 6 wks. I had never had a gain overall for the month and i go see him every 4-6 wks since surgery. The nutrionist gave me a one hr refresher course. My problem is all mental. I cant refocus. I have lost my motivation. I dont get it. I am in this same dieting type funk that i was prior to banding...you know, i will start my diet on monday...i will start in jan. That sort of stuff. I have been in a downward slope since early spring and have hit the bottom. I break band rules all the time...i did confess this to the dr. Which is why he had me meet with the nut. But i know the rules...sometimes i choose to break them. Then i am faced with the fact that ppl see me, know i have a band and know im not loosing anymore. Thats embarassig. I cant get out of this mental funk.
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November 19Th- Officially
selbradey replied to selbradey's topic in PRE-Operation Weight Loss Surgery Q&A
Home and still in pain. No emotional support either bc parents found out. Im 28.....so....idgaf?
