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Approved Anthem Bc/Bs surgery 7-27-10



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Hello everyone this is my first post. I found out Friday I was approved by my insurance(anthem bc/bs) for surgery:thumbup:. I am scheduled to get my LAP-BAND® on 7-27-10. I start my pre-op diet tomorrow. I have been reading alot of forums on here and it has really helped me understand the pros of listening to your surgeons advice and the cons of going against them. I am really excited,scared,anxious,happy, and worried,all at once. I have been researching LAP-BAND® for around 4 years now and I am finally going to get it!! I look forward to having this site to help me through my journey.

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Hmo or ppo bcbs?

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Congrats, congrats, congrats!!! How long was the approval process? I have BCBS TX and my paperwork was submitted yesterday via fax. I called today to confirm that they received it and they told me that my doctors office needs to obtain pre-certification before they receive my paperwork. Was this true for you as well?

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Anthem approved me in a week. They are good insurance. Congrats to you!! Best wishes - this is the best choice I ever made.

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Anthem approved me in a week. They are good insurance. Congrats to you!! Best wishes - this is the best choice I ever made.

Are you hmo or ppo?

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Are you hmo or ppo?

I have a PPO

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I have a PPO

I have hmo and bs said its covered but i have to pay 20% . I think thats not bad ryt?

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I have hmo and bs said its covered but i have to pay 20% . I think thats not bad ryt?

I think that's pretty good. I only had to pay I think 10-20% but no more than 1000 and they ended up covering the whole thing.

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I have bc/bs ppo

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Yes, that was true as well with my insurance. I was approved a few days after the paperwork was all send in to insurance.

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so how did the band go? share plz!

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Yes, that was true as well with my insurance. I was approved a few days after the paperwork was all send in to insurance.

At what part of the process does the doctor submit the paperwork? I have BCBS also.

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I have BCBS thru the UT System in texas. I had a 6 month pre op, 5 year medical history requirement, and got approved within 2 weeks of the submission. :blushing:

I was rushing for approval and actually was able to send it in a month early (even though I had 6 nutrition visits but doc wanted 7). MY BCBS benefit for bariatric changes on Sep 01, 2010 to a $5000 deductible!!! As it stands now, i'm responsible for 20% maxed out at $1750. only a $250 (already met) deductible. I am VERYYYYYY fortunate i got approved and schedule before then!

sugery is aug 13!

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I have BCBS thru the UT System in texas. I had a 6 month pre op, 5 year medical history requirement, and got approved within 2 weeks of the submission. :unsure:

I was rushing for approval and actually was able to send it in a month early (even though I had 6 nutrition visits but doc wanted 7). MY BCBS benefit for bariatric changes on Sep 01, 2010 to a $5000 deductible!!! As it stands now, i'm responsible for 20% maxed out at $1750. only a $250 (already met) deductible. I am VERYYYYYY fortunate i got approved and schedule before then!

sugery is aug 13!

Hey Angera,I am scheduled to be banded on August 16th. What day is your surgery? Dr. Scott is doing the single incision. Who is Doctor?

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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