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Showing results for 'Fed BC/BS'.
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It's been a couple of weeks since I posted, so here's my update. I finally got all of my weight loss study paperwork sent to my surgeon and they told me to go have my blood work re-done before they would submit to insurance, just to be safe. I went and had that done yesterday (they got it on the first stick!), they said it would just be a couple of days then they will fax to surgeon! I'm so nervous about insurance approval now it's ridiculous. I'm terrified they will deny me again bc I only maintained on the study, the weight just wouldn't come off. I would weigh in the morning and have lost 7 lbs, then by my afternoon appt it would all be back even if I didn't eat ???????? I'm so close now, I just can't give up! Anyone else have crazy nerves about insurance approval? I think this is the worst part for me. Sent from my SM-T530NU using the BariatricPal App
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Band to sleeve....insurance question
lolarose13 replied to melanies's topic in Gastric Sleeve Surgery Forums
Hi! I had my revision from band to sleeve June 6th, and yes, I had to good through the whole process again. I have BS of Califirnia. Good luck! Sent from my iPhone using the BariatricPal App -
Congrats on starting your journey, I also have BS/CA and approval was in less than a week... My surgeons office had me to do a 3 month supervised diet....that was their practices formality...not BS/CA which does not require any pre-diet anymore.
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One Last Try! Trying The Lap Band Surgery Diet, Without The Surgery! Fingers Crossed!
kmt1973 replied to Joschieffer's topic in PRE-Operation Weight Loss Surgery Q&A
I have the band, but not restriction. I am not much of a "dieter" as I don't want to feel deprived. Stay away from carbs except for that one night a week to allow yourself to drink. Lapband diet is easy....protein protein protein. I've lost 30 lbs so far by just doing this. I don't feel deprived bc there are alot of foods you can eat. You actually sound like you have a good head on your shoulders. Most people are not honest with themselves, and tell themselves they are ready for the surgery when they're not ready to follow everything that goes with it. -
Has anyone gotten insurance to pay?
Donna4545 replied to txaggiemom's topic in Plastic & Reconstructive Surgery
BC/BS ND pays for the pannus but if you want the muscles tightened you have to pay for that part of it. -
Here it is Sunday, December the 5th and I still can't believe what's happened in the past week. Chris from Dr. Lalor's office called me on Thursday, December 2nd to let me know that she resubmitted my paperwork to Anthem BC/BS on Wednesday, December 1st. She had gotten an email from Anthem stating that they now cover the sleeve as a "stand alone" surgery! My paperwork was submitted July 29th, and I had gotten a denial letter in September due to the sleeve being considered experimental/investigational. I have been waiting for the surgeon to send an appeal letter for me since that point. I'm just in shock! I called Chris back on Friday the 3rd to ask her when she was scheduling surgeries. She told me that she just started scheduling for February 2011 and that she expects to hear back from Anthem within 2 weeks. That means I should be having my surgery in February if all goes well !!! I expect to have to redo my bloodwork and chest xray, but I hope that's all. What a great Christmas present!!
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Oh my... I feel better that I am not alone in my battles my hubby is sweet man, he cares about the family, but he has big problem with over-using the Facebook and Internet in general. He can read Wikipedia for hours, leaving our 1.5 year old twins watching TV and fight over toys. He is not working, I make money and he is stay home dad... Or maybe stay home lawn mower... I love him dearly, but I am so exhausted leaving to work at 5.30am before kids wake up, coming home at 4.30, cooking for the family, cleaning little bit.. And before I know it it is time for twins to go to bed. After they are in bed, I take shower and go to bed myself, because I wake up at 4.30, etc... And the story repeats every day... And he is homegrown computer programmer so he works on his software hobby all the time... I tried to tell him that it is not normal that sitting at the computer is last thing I see him doing at night and the first thing I see him doing in the morning... Kids are fed and diapers are changed, bit he never plays with them, talks or reads to them... I feel like the computer is his addiction... he says he is tired too and i know that watching kids is tough work, but heeey... i am also just a human being and not sure how long I'll be able to go like that ugh... Feels better to just rant about it
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I'm the weird one (no surprise) as I've always gone out of my way to compliment women. When I was thin women HATED me until they found out I was married and had no interest in their man so I think for me, it became a way to put them at ease right off the bat. I've always noticed shoes or accessories that I liked and would ask about them, sincerely, not in a bs or snide way. I've just always noticed other women and their insecurities and I felt bad for them because I know how it feels. I always go out of my way to make people feel comfortable, I think because I know what it feels like to be ridiculed for no dang reason...it SUCKS. Taking my sons to sport events I would sit in my car and let them have fun because of the catty women there. I left in tears so many times I can't even tell you and it was hurtful. I would never intentionally do it to someone else and I think thats maybe why I over compensate on the compliments to others. Renee`
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A little hopeless and totally lost in the process
hmills653 replied to whuddduppfeff's topic in Gastric Sleeve Surgery Forums
Congratulations to you. You will most likely need pulmonary clearance for surgery with your severe asthma. I had to have a sleep study done which was the most time consuming part. I had an EGD which my surgeon did and then found out that I had a small hiatal hernia so they were able to repair that at the same time as doing my sleeve. I had to have cardiology clearance bc of a blood clot in the past. I also had to have a psychological eval. I had a pre op class a week befor surgery that was very informative. The monthly nutriton meetings that I went to were very helpful. The dietician was vey knowledgeable about the whole process, the different insurance companies requirements, and what to expect. That really helped. But by having the sleep study and EGD I actually had 2 more co morbidities prior to submitting to the insurance. -
Gastric Sleeve Surgery in Tijuana/Experiences
Sleeve_Me_Alone replied to Dennis Moore's topic in Gastric Sleeve Surgery Forums
I am scheduled to have VSG on 9/21 with Dr. Illan. He is one of the best bariatric surgeons in Mx. and comes HIGHLY recommended. He has a provate FB group for patients that he, his nutritionist, and his patients t coordinator are heavily engaged in. I scheduled about 6 weeks ago and have been extremely impressed with the process. Cost for VSG is $4900, which includes valet to and from the airport, pre-op testing, surgery, 2 nights at the hospital, hotel for 1 night, meds, etc. The only thing not covered is my flight and the extra night I'll be staying at the hotel (by choice). If you're considering medical tourism, I definitely recommend Dr. Illan and Hospital BC. Sent from my SM-A205U using BariatricPal mobile app -
Why The Concern All Of A Sudden?
Chris S replied to AnewMe@28's topic in POST-Operation Weight Loss Surgery Q&A
Here's what I enjoy. I recently started a new job and a group of us went out to lunch. We went to the local McDonald's and everyone was ordering their biggie meals. I ordered off the $1 menu and got a McDouble, a small fry and a bottle of Water. As we sat to year, I pulled the top bun off and started eating the burger. After a few minutes, one of the group asked the inevitable question and I answered that I had weight loss surgery and don't eat a lot at each meal and concentrate on the Protein. That started the "My (so and so) had that done and you've got to be careful because they gained all of their weight back" BS. IT amazes me how everyone knows someone that wasn't successful and yet they lump me in with that. People would so rather have a sense of moral superiority than they need to possess. -
Period. Please read and shed some light
TiffanyMarie replied to TiffanyMarie's topic in POST-Operation Weight Loss Surgery Q&A
@freshair Thank you for taking the time to respond to my post! Today, I am still spotting. I made an appointment to see my primary care physician on this Thursday afternoon. She said we need to do a pap smear and take a look into my hormone levels. Just like you said, she thinks with all the weight loss thus far my hormones are going crazy. I plan on taking another pregnancy test tomorrow morning. I remember the surgeon saying I would become more fertile and it's not recommended to become pregnant until at least a year after surgery. One of the reasons I had the surgery is because I do want a family. I have read so many stories about women who have had PCOS and then had the surgery, which led them to become pregnant. I was originally put on Ministrin, which is a bc pill. I do not want to have to take another pill and therefore, haven't taken it since I had the surgery. I know it's not smart AT ALL. I will be talking to the doctor on Thursday and ask about the patch or the depo. When you were on the depo did you gain weight? -
Period. Please read and shed some light
TiffanyMarie replied to TiffanyMarie's topic in POST-Operation Weight Loss Surgery Q&A
Oh my gosh, I wasn't told that regarding bc pills. Well, I guess it's a good thing I haven't taken them. I will ask for a blood test on Thursday just to be on the safe side. I will keep you posted. I don't know how to add you as a friend on here so if you know add me. I'd love to keep in touch with you. -
Do you find it hard?
maramirez3614 replied to monkeyol's topic in POST-Operation Weight Loss Surgery Q&A
Hello, first of all congratulations on your decision. I recently had my surgery Sept 15. It is a challenge but your body won’t let you eat as much, support is key, well at least for me, hang out with positive people, everything you eat after surgery will be a hit or miss, you will figure out what your body will tolerate. However remember that just Bc you tried something and it didn’t settle, it might be too soon so it’s ok to try it later on. Good luck [emoji4] -
I'm working out and killing myself in the gym and the scale is not moving. I know I shouldn't weigh myself every day and I wasn't for a while. I had made peace with the scale and wasn't going on it at all, then I got a new scale for my bridal shower and it's been down-hill since. I went for a fitting and my dress looks great, the fat bulge on my back is almost gone because I've been working out so much, but the scale isn't budging! I tried eating more calories, less calories, more weights, more cardio, still nothing. Going on a month now with a 1 lb gain/loss depending on the day. I had my surgery 5/31 and am down 31 lbs. Why does the scale make us so crazy! (Not all of us, obv, but a lot of us!) Someone share some pearls of wisdom please! Thanks!
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I was told 2 weeks bc you have to be able to turn quickly out you need to react but I probably could've driven sooner if I needed to.
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Supporting a partner after the operation
MowryRocks replied to Hislassie's topic in Gastric Sleeve Surgery Forums
For me it was about being as normal as possible. I never had mood swings. One thing that you can do that was a huge help to me was just understanding that life is different in some ways. Sometimes in the beginning, we overthink, and over-complicate things...just be patient. If we were out and about, I would carry a cooler pack that had food and drink options for me in case we were in a position that we were out and I needed to push protein or felt hungry. (They told me I wouldn't feel hunger. I call BS on this, I have felt hunger since 2 weeks out.) Let your partner guide the recovery. Just being supportive may be all it amounts too. I never had a breakdown over food or anything. Just prepare yourself for the life that is going to be coming. In less than a year, I have changed from bump on a log status to go go go go go. It's a wild, amazing ride. Try to enjoy it together,- 1 reply
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Yesssss love it. It's cool bc we can put it in a mini muffin pans and have bite size. Sent from my iPhone using the BariatricPal App Muffin pans? That's brilliant. Thanks for the suggestion. No problem. That way it's bite size for us and we won't over indulge. Sent from my iPhone using the BariatricPal App
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Insulin Resistant and PCOS - 1st month post surgery and not losing weight
MizzouFan1 replied to N.Ahmed's topic in Tell Your Weight Loss Surgery Story
Hi Ladies, I haven't been sleeved yet but do suffer from Hoshimoto's disease, PCOS and insulin resistance. I just want to throw out my two cents. I have been dealing with it for about 14 years and was Levothyroxine and Synthroid...metformin....you name it. I never felt good. The thyroid symptoms were unbearable even though my labs were within "normal range". I finally was fed up with 'umpteen' Endocrinologist s and even my original PCP. I researched everything and came across Stop the Thyroid Madness http://www.stopthethyroidmadness.com/. They mentioned T3 and T4 and all this stuff I had never been tested for. Then they mentioned Armour Thyroid as a medication. It is made from pig thyroid and had to be perscribed. My PCP refuse to prescribe anything other than the two main name brands so I fired him. I have since be on Armour for almost 3 years and it changed my life. I have the occasional flare but it has been the difference between night and day. Before I was sooooooo fatigued I slept through my 1 year old crying in his crib in the morning...I would wake up at 11am when he had been awake since 8....it was the last straw. I also found a doctor that treats based on SYMPTOMS not blood test alone. NOT EVERYONE feels great at 3.5 even though its within " normal range". Be your best advocate. I went through 4 docs until I landed on my current PCP of 3 years. Another big contributor....processed food of any kind. Whole organic foods have made a HUGE difference. I've lost about 13lbs without changing anything but quality of food. If you would like more info PM me....I don't want it to seem like I am pushing websites or anything...just information. Best of luck gals! -
I have medicaid or its called medi cal here... I also, due to my complex health issues and living with my mom and Obama making sure insurance companies cant deny ppl with pre existing conditions have private primary insurance with blur shield... they also required a six month supervised nutrition, support group attendance and other random things like illustrating you have tried and failed several weight loss plans. I have a ppo, it is expensive and still I had hoops aswell..itsit's no jusMedicaid that demands this.... I think, they believe they are trying o help ppl prepare for the surgery...most insurance companies, including government ones don't care about research studies They don't really want to pay but if they do, tgey try and throw together some resembles of care and follow up...just my cynical opinion here I do feel, that at least with medi cal here in Cygeythey approved adding the sleeve ratgerrather fast to li ofif procedures they will cover cover so to me, that indicates some desire to help patients plus it saves them economically bc being really fat, getting comorbidities, medications, tests, er visits cost a lot more then weight loss surgery...
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Approval Blue Cross Blue Shield of Illinois
Tamihott replied to wannababy's topic in Insurance & Financing
Congratulations! Like I said before I think BC/BS is finally jumping on board with approvals. I was denied once and then approved, but for me it was pretty smoothe too. I am having surgery the 17th. Good luck to us! Tamara (starving on her pre-op liquid diet)!!!! -
Approval Blue Cross Blue Shield of Illinois
KayleighsMommy replied to wannababy's topic in Insurance & Financing
Amy, Congrats on your approval. I just hate, hate, hate BC/BS of IL. I was one of the people who said "screw it" and went ahead and paid. I had a severe hernia that had to be addressed, and was not about to have 2 surgeries. I am always happy to see people that were able to do what was needed to have BC pay for their surgery. Best of luck on your upcoming surgery...I'm sure you will do great with your new little friend for life!!! -
Approval Blue Cross Blue Shield of Illinois
jaimefletcher77 replied to wannababy's topic in Insurance & Financing
Hi All, Just starting the process. Called the surgery center for info today. They told me about the hoops for BC/BS of Illinois. I guess that is good so I don't jump in too fast but I hate waiting for so long;-(. couple of questions: 1. Did any of you lose weight during the 6 months? I am at about 37.8 bmi which is borderline so this sounds weird but I am worried about losing 20lbs like I always do when I diet and not qualify. 2. Does the diet have to be a controlled program like WW or can you just say you are doing South Beach or the billion other ones that we probably all tried? Thanks for your help! Jaime;-) -
I'm proud of you, Carly, but why is that carbage in the house, much less being fed to your kids?! Do you really want to feed them the same crap that made us all fat?
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Thanks for the advice. WEnt to the doc today and he took all my fill out. Said my band does not do well with stress bc of stom. acid. I feel 100% better!! I am so glad to hold down liquids again!! On liquids for another week but at least I am not throwing up! He will refill in 4 weeks!
