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I started the process January 13, 2011 and I have a surgery date of March 9, 2011. Empire BCBS approved me in less than 24 hours and I got a phone call frm them 5 minutes after my doctors office called and told me I had been approved. No unreasonable request... psych clearance, letter of medical necessity, bmi 35 with a comorbidity or 40 without, 1 nutritional consult, labs EKG...that's it 5 things! Very impressed, simply because because insurance can be a nightmare. Get a good doctor, make friendly with the office staff, smile a lot and tell them thank you, it goes a long, long way!

sshhh Empire BCBS is the bomb!:Banane33: my happy dance. Good Luck to all.

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I started the process January 13, 2011 and I have a surgery date of March 9, 2011. Empire BCBS approved me in less than 24 hours and I got a phone call frm them 5 minutes after my doctors office called and told me I had been approved. No unreasonable request... psych clearance, letter of medical necessity, bmi 35 with a comorbidity or 40 without, 1 nutritional consult, labs EKG...that's it 5 things! Very impressed, simply because because insurance can be a nightmare. Get a good doctor, make friendly with the office staff, smile a lot and tell them thank you, it goes a long, long way!

sshhh Empire BCBS is the bomb!:Banane33: my happy dance. Good Luck to all.

I am so happy to read your post. I have BCBS Empire and I am hoping to have surgery the second week in May. My weight loss surgery office has everything they need now to send it off to the insurance. I called them today and the insurance nurse said that I was second in line for her to complete my stuff and send it off. I hope this means that it will be sent off this week and maybe I can hear back next week or the week after. I am just so anxious to know that I am approved and that I can schedule surgery. I have hit a little bit of snag. My insurance did not require a sleep study, but my weight loss center did. I was sure that I did not have sleep apnea, but of course the sleep center called me today and they say that I do. I don't want to wear a CPAP, but I will have to, in order to get clearance for surgery. I was really upset about it at first, but Idecide to try and make the best of it and move forward.

Thanks for sharing about Empire, it makes me feel very hopeful.

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I started the process January 13, 2011 and I have a surgery date of March 9, 2011. Empire BCBS approved me in less than 24 hours and I got a phone call frm them 5 minutes after my doctors office called and told me I had been approved. No unreasonable request... psych clearance, letter of medical necessity, bmi 35 with a comorbidity or 40 without, 1 nutritional consult, labs EKG...that's it 5 things! Very impressed, simply because because insurance can be a nightmare. Get a good doctor, make friendly with the office staff, smile a lot and tell them thank you, it goes a long, long way!

sshhh Empire BCBS is the bomb!:Banane33: my happy dance. Good Luck to all.

I am so happy to read your post. I have BCBS Empire and I am hoping to have surgery the second week in May. My weight loss surgery office has everything they need now to send it off to the insurance. I called them today and the insurance nurse said that I was second in line for her to complete my stuff and send it off. I hope this means that it will be sent off this week and maybe I can hear back next week or the week after. I am just so anxious to know that I am approved and that I can schedule surgery. I have hit a little bit of snag. My insurance did not require a sleep study, but my weight loss center did. I was sure that I did not have sleep apnea, but of course the sleep center called me today and they say that I do. I don't want to wear a CPAP, but I will have to, in order to get clearance for surgery. I was really upset about it at first, but Idecide to try and make the best of it and move forward.

Thanks for sharing about Empire, it makes me feel very hopeful.

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you guys must not be from memphis tn.i have bcbs(bull----)thay said theyidn't cover b/c of the complications from the surgery.i even went to my human resources, benefits office and talked with the rep of the company for my job.every med professional has the same issue of insurance not covering

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@sun1970 king, I hope all went well. Check in sonmetime and let me know...

@cassieme1... so sorry to hear... I am in Georgia, policy holder is in New York though.... I hope things are working out for you!

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Hey everyone! Sorry I don't check in very often.

Starzz, I had a very easy time with my insurance. No problem getting approved. I had surgery on May 17, 2011 and have lost 60 pounds so far. I wish you all luck!

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I have Empire BCBS and I was approved in minutes over the phone today!! My drs office told me she called them to let them know she was sending over paperwork and she said they asked her a few questions and approved her over the phone!! She said she was even shocked!!!!.... I just could not believe it and I called BCBS myself today and they said the same thing its approved and covered 100% My surgery date is March 6th. Empire BCBS rocks!!

To add I have a bmi of 41 and no other issues.. I started this process Jan 21

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I have Empire BCBS and I was approved in minutes over the phone today!! My drs office told me she called them to let them know she was sending over paperwork and she said they asked her a few questions and approved her over the phone!! She said she was even shocked!!!!.... I just could not believe it and I called BCBS myself today and they said the same thing its approved and covered 100% My surgery date is March 6th. Empire BCBS rocks!!

To add I have a bmi of 41 and no other issues.. I started this process Jan 21

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my policy holder is New York District council of carpenters as well. My husband is a carptner in New York City Local.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 1 reply
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

    • 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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