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Hey guys, does any one else on here have BCBS Care First, ours is based out of MD/VA, and I am in chicago, I would just like to know what peoples experince with getting approved by care first was like.

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This is my exact plan. I have not formally submitted anything yet, but I spoke to the insurance manager for my surgeon and she said they are very good to deal with regarding lap band surgery.

I work in VA, but I have the DC plan for some reason. This plan requires a 6-month supervised diet. The actual virginia plan does not require the 6-month supervised diet.

Good luck!

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Hey Stunt Monkey,

I live in VA and have carefirst BCBS through DC as well. My carefirst plan requires either a 6 month consecutive supervised diet or two three-month diets. My file is going to be submitted for (hopefully, KMFX) approval tomorrow morning by Bluepoint Surgical Group in Fairfax.

good luck with your stuff!

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Do you work for FCPS?

I was told the same thing about being able to do one 6-month supervised diet or 2 non-consecutive 3-month supervised diets.

I'm using Dr. Robert Pinnar (in Reston) for the surgery.

Good luck to you, too!

Hey Stunt Monkey,

I live in VA and have carefirst BCBS through DC as well. My carefirst plan requires either a 6 month consecutive supervised diet or two three-month diets. My file is going to be submitted for (hopefully, KMFX) approval tomorrow morning by Bluepoint Surgical Group in Fairfax.

good luck with your stuff!

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Hey Stuntmonkey, it's me (gonnabehotagain), I forgot all my account credentials so I can't sign in as me. I work for a gov't agency downtown but I am not bcbs fep. I have bcbs ppo and I am blessed to have fantastic coverage. the ppo does not pre-approve outpatient procedures so no preapproval of lapband. I'm a little nervous that bcbs will end up denying my claim but the ins coordinator at bluepoint seems to think I'm in good shape.

Went to Dr. Robert Pinnar's seminar, seemed really nice but I didn't like the huge program fee. My total out of pocket has been 385 dollars, incl 2 $10 copays. The nutritionist doesn't participate with any insurance so will try for reimbursement.

My surgery is scheduled for July 5. I got fast tracked! On way to gonnabehotagain. Well, I will settle for healthy. Hot would be awesome!

Do you work for FCPS?

I was told the same thing about being able to do one 6-month supervised diet or 2 non-consecutive 3-month supervised diets.

I'm using Dr. Robert Pinnar (in Reston) for the surgery.

Good luck to you, too!

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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.
      · 0 replies
      1. This update has no replies.
    • 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💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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