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Showing results for 'Fed BC/BS'.
Found 17,501 results
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I haven't even made an appointment anywhere yet! Lol My original choice was Dr. Bisland in Thibodaux, LA (that's my town). But after talking to a few ppl on here, he seemed too expensive. I've been getting as many opinions and stories as I can about surgeons in the BR/NOLA area. After reading posts on here I found out about Dr. Borland in New Iberia, La -- now I'm leaning more towards him bc the price seems awesome, and I've heard some really great things about him. He advertises a price of $9800 (I'll be a self pay).... I'm actually calling his office tomorrow! Eeeekk!
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okay, now i'm just angry - psych eval failure1
Daydra replied to vanishingirl's topic in PRE-Operation Weight Loss Surgery Q&A
VSGKirk and Gmanbat are right... but I'm still pissed off for you. I agree that you should give an appeal a shot, but they are totally right. It's just 6 more months to get prepared. (I'm just glad no one told me that when I decided to pay out of pocket instead of jumping through my insurance hoops because I was unwilling to deal with their bs... I might have blown a gasket :-) -
I have Fed BCBS of CA. I was banded 10/20. The aproval process took almost 4 weeks. Should have been less but the paper work was missing an item and went back and forth a couple of times for almost 2 weeks. A bump or 2 in the road seems to be pretty common. I found that placeing a friendly, very humble phone call every coupled of days kept the ball rolling or got things back on track after they stalled. At each stage I simple gave BCBS a call and asked if I could check on the status because I wasn't sure what the Surgeons staff had submitted, they generally responded really well. At the end of the call I would also ask aproximately how long the next step would take. Then I'd wait an extra day and give them a call back. I also did the same thing when the ball was in the DRs court. I would politely inquire on the status cause I told them I wasn't getting the best of information from BCBS or I would call to update them based on the info I received from BCBS. My experience was that there's equal potential from the Drs staff as well as BCBS for causing delays. I tried not to be a pest but definately didn't hesitate to look out for my own best interest. Stay on top of them and try killing them with kindness first, but stay firm.
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I just received word last week that my ins (BC/BS Teamsters NY) denied my claim to have the lapband surgery. They state that they denied me because I did not lose 5% prior to submitting claim and also that my psychiatric evaluation deems me not a good candidate for procedure?? My question is, has anyone else been denied the procedure because of the psych eval? That was the last reason I thought that they would give. My starting BMI is 36.5 and my MD told me to be careful about losing too much weight prior because it would drop my BMI below the 35. I have multiple co-morbidities (sleep apnea, high cholesterol, back issues, etc.). I just can't figure out the psych eval part of it. Has anyone else had this happen and how hard/easy was it to appeal just that issue. Go figure, the one issue I wasn't worried about and they deny me because of it. Thanks. Lisa
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Endoscopy Thursday - What Happens?
Meredit replied to Stacey Nicole's topic in PRE-Operation Weight Loss Surgery Q&A
Oh yes you can use propofol too! (I forgot) In MASS it needs to be administered by an anesthesiologist (which is BS because I administer it every day to animals, it is super safe just not when you abuse it, sorry MJ), and they didn't have one. So propoflo is fine too. Just make sure you aren't given just diazepam (valium) it makes for a seriously awful experience. I guess you could ask.. "am i going to be completely sedated for this procedure" and they will probably tell you something like twilight...blah blah... But then you could ask what drugs they use. -
I got a letter from BC today, not a Approval, not a denial, just a screw you we think we'll take our time and break your balls about this surgery kind of letter. The are requesting additional information because I have Crohn's disease. I called them and they I am told that they want to make sure my Dr and Surgeon know I have Crohns, and still think Lap band would be a good choice. I Explained to the lady on the phone, Of course my primary physician knows I have crohns, and you have a letter he wrote saying He supported my choice to have lap band surgery. Well sir we it needs to be reviewed by our med director now. Ok mam, could I Please speak to your medical director? Um no sir you can not, they do not talk to people. Excuse me, are you saying that your medical directors who's salary the policy holders pay, will not talk to the policy holders? Yes sir, they do not talk to policy holders. Bc has left me no choice but to be a constant pain in there buts every minute of every day until they approve me, every time thought out the day that I get an extra 2 minutes I'm going to call, and ask to speak the medical director. Damn Im figgin Pissed!!
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What are february sleevers eating?
TES replied to lwilliams65's topic in POST-Operation Weight Loss Surgery Q&A
You can get the Morningstar products in any major grocery store in the freezer section. I would just ask a worker where the vegetarian burgers are. The shakes sound good--I thought you meant 440 calories for 1 shake, but that's for two...got it! I use the ready-made ones or make mine with almond milk or soy milk, but I would think skim is fine too if you can tolerate the lactose and aren't trying to cut calories right now (almond milk is good when you are watching calories or want to spend them on other things bc it's 40 calories/cup--but it also doesn't have much protein). -
Headed Down The Wls Path...again.
BlueTattoo replied to BlueTattoo's topic in Tell Your Weight Loss Surgery Story
well i'm 2 weeks out and I feel great! I'm on soft foods now! Yay for real food and not just protein drinks! I go in today to get my staples removed! Can't wait bc these darn things are itchy!!! i went back to work 9 days after surgery. I handled it well untl someone hugged me a little too hard. *they didnt know i had surgery* so that put be in pain for a while but nothing a few pain pills couldn't fix! I'm already down 27 lbs from pre-op to current. So far no major complications! I just wish I did this sooner!! -
I'm 8 months post op, and for the last 3 weeks my boobs hurt soo much.. I went to the doctor today and she told me I have fibrocystic breast, bc of all the weight I lost, and my boobs went down a lot in size.. has anyone else gone through this so far? If so, is there anything you did for the pain?
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I've been trying since saturday (monday now) and I still haven't been able to get in, it just loads really slowly and then it says the internet couldn't connect me to it which is a load of bs
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Great West Insurance thru Cigna PPO
AllisonK1986 replied to AllisonK1986's topic in Insurance & Financing
Thanks daisee! I have arthritis and sjogrens since I was 15 and pcos so I have documentation from many Drs regarding my morbid obesity. I don't have a specific letter, but my pcp sent over the last 3 years of my medical records and I will get Obgyn and rheumatologist to do as well. My first appt with the dr is on July 2. So I'm hoping everything goes smoothly and these 3 months fly by. I'm also praying my copay isn't too high. Bc anything more than 2k I can't do the surgery since I'm already in debt ????. -
I just completed my sleep study at home. I had the belts around my chest and abdomen, a nasal cannula and sat monitor on my finger. I slept terribly bc I was told if the sat monitor came off it would void the test. Awaiting my results and then I will be scheduled. Good luck
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My advice, if this hasn't been resolved. Get copies and Fed-Ex them. You'll have tracking information that it WAS received by the insurance company. Denise
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Girls: Depo Provera and the Lapband
TracyNYC replied to rock_bottom_enthusiast's topic in POST-Operation Weight Loss Surgery Q&A
I know I packed on a lot after being on Depo, but was off it for 2 years and did not lose much. I am back on it and BOTH the surgeon and Gyno said it has very little to do with weight gain/retention. My loss has been good with band, but I wonder if it would be better without it. I want to switch BC methods, but neither doc wants me on the pill because I am 42. The Gyno and I have discussed some permanent things, but I don't know about going that route either. I have no kids, and probably won't have any, but am just unsure about taking a permanent step. Good job to stop the Depo now and let it cycle out. It takes a long time to regulate after wards. Best of luck, -
Hi guys ! My name is Steffi and I am 22 yrs old. I am new here. I have HealthFirst insurance n i required to do the 6 month supervised diet. I have submit the paper work at the end of dec. i am worry about getting denied bc i have just maintain my weight an my last weight in i just lost around 3 pounds so far. I am worried bc I am Not sure what kind of result is my health insurance looking for ?
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Do any of you have youtube video blogs about your journey? I've been looking through and watching some. Some are very informative, inspirational and down right FUNNY!! I guess bc I've been through some of what they are talking about.. it's hilarious! I thought I would post and see if any of you have them so I can view yours too. I'm not a camera type person YET lol so I don't have one but have been enjoying watching others journeys.
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I just HATE BC/BS of IL!!! :smile: I just spoke to my doctor and found out my sleep study results came back as mild apnea. I guess this is good news, even though I am probably going to have to pay for the test. I told him I got a letter from them stating one of the prerequisites is a 6 month diet. He told me even after the diet, they may deny me..jumping through all theri hoops is not a guarantee. I talked to him about my need for hernia surgery (he was planning on fixing my incarcerated hernia at the same time) I asked him if we can put the lapband into insurance as a procedure secondary to the hernia repair (assuming, of course, they:scared2: consider a hernia repair "medically necessary") I also questioned him about my doing a self pay on the lapband portion of the surgery. He told me the actual lapband hardware is $3400.00 He is going to check with the hospital today, and see what (if anything), can be worked out. I'm not going to hold my breath.....
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Finally .... wait dropping but I can eat a little more
mrsb12 posted a topic in POST-Operation Weight Loss Surgery Q&A
Had surgery 1-21-13 started 368 now 9-11-13 245 ..... now comes more arm workouts and Jan comes ab workout ....now only if nausea would go the hell away and I can eat at least ground turkey bc I don't eat pork or beef but chicken won't stay down .... MrsB surgery 1-21-13 -
Upping my water to lose some weight
Susie1226 replied to Susie1226's topic in POST-Operation Weight Loss Surgery Q&A
Yes this will be my only change bc I can't really up my calories unless I eat slider food. Everything else I can only eat a few ounces especially meat. So hopefully this will work. If it doesn't then gonna go the yogurt route. Someone on YouTube posted it and they do a yogurt day for 2-3 days and they break their stall. They use 0% Fage yogurt and mix in sugar free syrups and fruit. -
Hi... I'm right at 40 BMI and actually had to gain weight in order to get to 40. I have BCBS-Fed and they require a 2 year weight history. Well, I have the history however my history only reflects me being at 36-38 BMI and I was wondering if anyone was denied by their insurance due to not being the 40BMI for more than 2 years??? I dont have any co-morbidities but I do have GERD and a Hiatal Hernia but no diabeties or HBP. Any experience??
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2 Weeks Post Op Tomorrow
iam_bLythe replied to Tamster01's topic in POST-Operation Weight Loss Surgery Q&A
I didn't have a bm for close to three weeks post op (bc I became severely dehydrated in my first few weeks post op) and didn't have regular bm's until well over a month out. My dr Rx'd miralax for me to help get things going. You can also try magnesium citrate. Tastes gross but FOR SURE gets things moving in the right direction!! Lol -
well I done it thank goodness it,s over
cavalier2us commented on cavalier2us's blog entry in Blog 29032
I managed to go on the tv yesterday to talk about my gastric band anyone wanting to see it can either go onto http://video.stv.tv/bc/Catch-up/catchup-thehour/ -
I managed to go on the tv yesterday to talk about my gastric band anyone wanting to see it can either go onto http://video.stv.tv/bc/Catch-up/catchup-thehour/
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Having lapband replaced this Friday.... THOUGHTS plz.
Jazzy Rayne replied to Jazzy Rayne's topic in POST-Operation Weight Loss Surgery Q&A
I had my size 10cc band for 3.5 years. It created scar tissue underneath bc of it being too small for my surgery. My main dr kept telling me that I'm eating wrong etc but I wasn't. I am a very by the book type person. So in January of 2013 I went to a new dr. He gave me options... It took me this long to decide. So I went back n we discussed it all again. Andddd now I'm 1 day post op. Dr said everything went amazing. He removed scar tissue and the band was indeed too small for my stomach. He doesn't understand why my main dr would have placed it in the first place. So, im hoping I'll be on the right path after all this liquid n mushie stuff is over lol. -
Best protein shake for lactose intolerance
jess9395 replied to bigbirney's topic in LAP-BAND Surgery Forums
It's probably more than lactose intolerance then bc whey contains no lactose. Try the Jay Robb ones with egg protein!
