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Showing results for 'Fed BC/BS'.
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90 day insurance wait for a fill?
Leecelove70 replied to sherilynn's topic in LAP-BAND Surgery Forums
Thats so stange I have Empire Bc/Bs PPO of New York and my first three months were covered for everything even my first fill! My Nurse NP(surgical assistant who does the fills)did not feel I needed a fill with in the three month time frame since I had lost 40 pounds. I had my and one any only fill on Ocotber 25,2006 of 1cc which I did not pay for, just paid for the office visit. My monthly follow ups are with my Nurse Np and dietican and they are not covered by insurance, they each charge $80.00 each which is out of pocket. I am able to get remburished for my out of network fees up to a certain amount. I have to sumbit recipiets each month. I have lost 57 pounds since my surgery on June 13th and Iam 8 1/2 months out! Most fills after the first three months are usually not covered by insurance,I would call your insurance ask for Medical Management department and ask alot of questions on how Lapband bariatric surgery is handled. I had to do this with Empire when getting my approval for surgery they were both informative and very nice. Good Luck -- Hang in there the journey is so worth it! Lisa -
I also have Fed BCBS, my paperwork went in on July 11th..still no word from them after almost 3 weeks . I was under the impression BCBS was fast too. I called last week only to be told "It is still being processed" .. I dislike the waiting game very much!
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I had a surgery date of Aug 2nd submitted with my packet and here it is August 11th (packet sent July 11th) and still NOTHING! I just sent a message to the surgical coordinator asking if this was normal for Fed BCBS .. She's going to follow up and see what she can find out.
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Hi, I have BCBS Fed and the co-ordinator at my surgeon's office says that they are very prompt--certainly within one week if everything is in order. All the best to you, Melinda
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Over Thinking
NicoleL1016 replied to 87deondessiree7's topic in POST-Operation Weight Loss Surgery Q&A
That's crazy u said that bc that's all I have been doing. I haven't been able to sleep for a while now bc I'm up thinking about it. I've waited for this for so long I feel like it consumes my thinking 24/7 lol Sent from my iPhone using RNYTalk -
May surgery and surgeon has me second guessing the sleeve
AntoinetteNY posted a topic in PRE-Operation Weight Loss Surgery Q&A
Hi all, My sleeve surgery is scheduled for May 8th. When I met with the surgeon last week to schedule the surgery, the first thing he asked me when he walked in the room was "so why the sleeve?" I answered him and he proceeded to tel me that he thinks bypass would be better for me because on the sleeve, I will most definitely get heartburn for the remainder of my life, also that bc i have a family history of diabetes, that with the sleeve I am more likely in 10 to 15 years to still develop diabetes, and lastly that with my height and weight and getting the sleeve, I will only ly lose about 5 lbs but with the bypass, i will lose around 60 to 80. I have foe a lot of research and found that the sleeve is the best option for me and I stuck to my guns, even as he stared me down waiting for me to change my mind. But now I second guessing my sleeve decision and thinking the bypass would be better for me. Anyone have any experience with this dilemma? Thanks in advance -
Great post!!! It is definitely a new life, and a chance at lift at that!! We're so lucky bc so many will never get this opportunity and we do! I know I feel very blessed!! Traceylynn we have the same date! I'm so ready!!
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I just don't know anymore ( Vent, sook )
Constance replied to Phatty's topic in LAP-BAND Surgery Forums
Oh I'm so sorry. It is NOT your fault! If anything, I was issued a big warning that with weight loss comes the increased chance of conception and to be extra dilligent with BC or I'd be pregnant in 6 months! Don't beat yourself up and don't take your partner's comments to heart. He is confused and sad and looking for a reason...you are NOT the reason. Just try to heal yourself right now. I know it is sad to grieve this w/o his support but just focus on getting back your confidence. Your biology and lapband are fine! Don't give up! -
Well I guess I could always try birth control, I mean I'll have to get put on it after surgery anyway because it's a must for my surgeons office. We have to promise to be on birth control prove it and not get preg within a year after surgery. I might have to ask next week to see if i can see someone about getting some BC. I so need something.
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I don't. Something tells me Dr. Scruggs don't do it anymore?? I'm not sure about that but there was one doctor in Decatur that stopped. One that I wish I had checked into is Dr's Britt & Grove. They are out of Guntersville / Albertville but also come to Madison to do the surgery. I can't remember which one of them.. but one of them has the lap band himself. I work with his BIL and although I am happy with the surgeon I chose, I wish I had looked into their practice bc it would have been closer to drive to Madison than Bham.
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Glou, I'm a bit weird too, and don't like all the work bs that happens hence I prefer to work at home when I can but at the moment not working. I don't think I could deal with a guy who was that controlling either, too weird, belongs on Dr. Phil! I'd go for the better school district too! Nancy
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I'm so excited, nervous, happy scared all at the same time. I called BC/BS and was told I was approved. I can't wait until I'm scheduled. I'm looking forward to my new birthday. :mad2:
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Oh that sucks! I wish there was some way of determining how you will react on a BC before you have to take it for three or four months and freak out the whole time.
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I've done ok on the depro shot. I did gain some weight after I started the shots but it was more from being on Weight Watchers and then I got off the program and started back to bad eating habits than the actual shot. My Gyn told me I could gain 10 pounds on it though when I first started it. I have looked online and the only non hormal bc is the paragard IUD besides just over the counter prevention that isn't as reliable. I hope my gyn office gets back to me quick, my next shot is 4/19/12. I hope I can stay on the depro shot but I guess if to have this surgery I have to go off it I will. Thanks for all the suggestions/comments. I've done ok on the depro shot. I did gain some weight after I started the shots but it was more from being on Weight Watchers and then I got off the program and started back to bad eating habits than the actual shot. My Gyn told me I could gain 10 pounds on it though when I first started it. I have looked online and the only non hormal bc is the paragard IUD besides just over the counter prevention that isn't as reliable. I hope my gyn office gets back to me quick, my next shot is 4/19/12. I hope I can stay on the depro shot but I guess if to have this surgery I have to go off it I will. Thanks for all the suggestions/comments.
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why can't i do it myself...
BluAlert replied to devonmae's topic in PRE-Operation Weight Loss Surgery Q&A
I heard the same thing from two of my friends (both over weight). One of them said her moms friend had it about a month ago and had to go back in the hospital due to complications (but shes 20 years older than me and smoked for like 30 years). And my coworker says her aunt is a bariatric nurse and told her about all the complications. I just changed the subject bc I don't need to hear that crap 2 weeks pre-op...I'm scared enough. Plus ive done my research. But I'll be interested to hear what they have to say 6 months from now. I won't be surprised if they are asking for my Dr's name and number! -
Fed up with diarrhea (11 days post op)
EsoKev posted a topic in POST-Operation Weight Loss Surgery Q&A
I was sleaved 11 days ago, and I've been having diarrhea (about 4 wattery BMs a day). My surigical team keeps everyone on clear liquids for two weeks after surgery. I called them over this weekend because I was so frustrated, and I was told to take a little benefiber with my liquids. That's doing nothing. Anyone else experience this after surgery? Sorry about the rant, but I'm just tired, annoyed, and feeling lots of other emotions. -
February Surgery Buddies!
Angel2018 replied to Lyds85's topic in PRE-Operation Weight Loss Surgery Q&A
I tried so many protein drinks before surgery and haven’t even attempted then after surgery. They make me heave. Drinking organic grass fed beef bone broth instead. Having no issues getting all my water in, and more. Plus thick soups too. I count myself very lucky to have had no issues at all. Good luck to those about to join the February surgery gang, update us on your progress if you have already been done. Have a wonderful day -
No Coffee + Preop Diet = Headache
SmilinGal replied to CiscoTeacher's topic in Post-op Diets and Questions
I decided to go ahead and stop the caffiene cold turkey this week, even though my surgery isn't until the end of the month. I did not want to suffer through the pre-op diet battling withdrawal symptoms. I am- (was)- a major caffiene addict! The first three days were torture- massive headache, nausea and fatigue. The fourth day, I woke up with no headache and was suprisingly alert. I have felt better the last two days than I have felt in years. Who knew? I think I can do without the coffee and Coke, but I am worried about no BC powders- but hey- I may not need them anymore. I am truly shocked at how good I feel and my energy level. Y'all can do this!!!!!!! -
So I live in a remote community in the Yukon Territory and I am one week away from starting my travel down south to get my surgery! Next Saturday we will drive 400km to Whitehorse to hop on the plane and head to Edmonton. Thankfully my wonderful parents have offered to take our young boys (aged 2 and 4) for a couple of weeks and will drive from Northern BC to Edmonton to pick them up. Then my husband and I hop back on the plane to head down to Seattle for my surgery. I am a bundle of nerves!! Surgery on the 19th of this month.... the time seems to have gone by so quickly since I started the process this summer. No second thoughts, but a lot of curiosity about my life after the sleeve. I am also looking forward to nearly two weeks in a hotel without my boys! This mama needs a break. Nothing to do but watch movies and read books... ahhhh sounds good to me! Does anyone out there have a goal weight? I was 319 when I started my presurgery diet and am now at 311. In my head I am thinking that 170 would be so lovely! The last time I was 170lbs I was around 14. I cannot even imagine what I will look like! Kara
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Hello, not to scare anyone but just my experience. Sleeved July 31... No pain or meds since released from hospital. Woke up yesterday with pain on left side and around big incision site. Called Dr and was adv to come to er( only bc never felt this type of pain)... Got to er and was admitted bc of high blood cell count. My body had a reaction to the gtube. Had xrays to verify no leaks and gtube was removed immediately.. was told some people bodies cant handle objects inside( glad i didnt choose the band!) But I feel soooo much better today! Good luck to all
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still craving food even though grehlin should be all gone by now
rxkid2384 posted a topic in Post-op Diets and Questions
about 6 weeks post op. down almost 60lbs. got sleeved on 01-29-13. i do great all day. drink Water and my Protein shake, have my yogurt and soft cheeses, sometimes tuna. but when it comes to dinner time and the night time i always seem to struggle especially when i'm home. i def graze when i am home. and i hate it. a little Peanut Butter, a little more cheese, S.F. pops etc. sometimes if i eat chicken and f.f. gravy ill eat till im full and then go back later. it's so hard to learn this new way of life but i know i have to. i scraped the cheese of the pizza i made from scratch for my family the other night. is this normal ?? should i feel hungry and still crave food? i know my brain can play tricks on me but when will it stop. i don't want to want pizza or chinese or fast food bc i know it's poison. it's what go me here in the first place. i think i should eat and once im full just leave and walk away or go work out. do you still want food this far out ??? -
This spring my mom and I split a home raised organic steer, so I love anything I make from it. Even the traditional tough portions are tender. I'm telling you, I dream of being a down home farm girl and raising my own meat and vegetables. I even do home canning every year. I raised pigs in FFA in high school many years ago. The best meats are at the countryside butchers. The ones here buy their meat from local farmers that raise grain/grass fed cows only. That liver (Ramake?) recipe sounds delicious. T
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That was excellent thank you lol. I guess I'm afraid that I will be one of those dumbasses too haha. That is my personality. I push myself and think I'm super woman, and I am not lol. That was helpful because this type of information is so hard to find on the net because the sites are written by doctors and they say how long the recovery is but it is too general. The way they word it, I picture myself having to lie down for 2 weeks straight, and I can't do that with a bunch of little cats depending on me to be fed. Thank you.
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Dr MICHEL GAGNER, Montreal, anyone? need reassurance before i take the plunge!
Darcia replied to shimmer's topic in Weight Loss Surgeons & Hospitals
There is aftercare but minimal is included. I will b speaking to him on the phone at one month post op. Blood work is done at 3,6 and 12 months. I went to my family doctor and she requisitioned blood work for me now bc of the transfusions. U have 2 nutritionist consults included in your fee w dr Gagner. I had the first one a week before surgery by telephone. It was an hour conversation. I did not feel rushed. The second one will b 2-3weeks post op. That one may b more helpful as iam now trying to put into practice what they sent to me on paper. I won't lie, drinking and eating at this early stage is so hard. U feel full a few sips in. It's unimaginable but totally true. So one small Protein Meal Replacement drink I bought takes an hour or more to get in. Iam constantly sipping. No straws! Sent from my iPhone using the BariatricPal App -
Have I tried HARD ENOUGH?
RebecaSparkles replied to EarthyGoalie's topic in PRE-Operation Weight Loss Surgery Q&A
Hey there, I'm 28- I started this journey at 25 but got every road block. Finally got through them & am scheduled for an Oct surgery. Don't wait, the odds are so stacked against you doing it on your own. I'm 5'2 bmi 39 also was 41 when I started. I actually had to gain to get approved- total bs- my pcos wasn't enough to get approved. That I was bigger around than I was tall terrified me & I ended up getting high bp with the last 10#. My friends all fired me bc they dont agree w/ my decision to do this but we all did WW together & I never really lost anything. I am sick of being fat. Its not "fun" anymore. My losing cal per day is 1200- I am miserable on that little w/a normal sized stomach. I can eat 1200 so easily in one meal. I looked around my house & there were diet pepsi's everywhere. My soda addiction was so out of control. I'm now off it in anticipation of surgery. I am not off caffine but I did swap to the great value sf energy mix powder. I lost what I did by eating1 meal & doing shakes for the rest. Also miserable, but nice to lose some. The hardest part of all this has been admitting to myself that I am unhappy with being fat. I am super confident in my daily life but having to be real with myself has left me feeling vulnerable. Hope this helps. allons-y
