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BCBS of NC

kristallynn13

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kristallynn13    18

kristallynn13
Posted

I have BCBS of NC. Is there anyone that has gone through the process with BCBSNC? I am curious about the required 6 month nutrition classes I keep reading about. I have spoken to a BCBS rep on the phone numerous times and they have never mentioned this to me. I have searched the website, read their requirements concerning lap band surgery, and it never indicated a 6 month waiting period. I would love to be able to have my surgery before Dec 1st. I have already met my yearly deductible and the surgery will be covered at 100%. Yearly deductible starts over Dec 1st and it is a high one. I will be attending the seminar June 7.

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ReJoyce    1

ReJoyce
Posted

I have a lot of the same questions. I am in NC as well and have Federal BCBS. I read some info in mine a few minutes ago about 3 months, but nothing about 6 mths. I haven't gone to the seminar yet. Actually, I just called the surgical center this past Wednesday.

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kristallynn13    18

kristallynn13
Posted

Where are you wanting to have your surgery? Where do you live?

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ReJoyce    1

ReJoyce
Posted

I am looking at Greenville. I live about 45 mins from there. Southern Surgical I think.

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momof3girlsnc    0

momof3girlsnc
Posted

I have a lot of the same questions. I am in NC as well and have Federal BCBS. I read some info in mine a few minutes ago about 3 months, but nothing about 6 mths. I haven't gone to the seminar yet. Actually, I just called the surgical center this past Wednesday.

I also have Federal BC/BS -- with the 3 mos - you will actually need to schedule 4 visits (one to 'start' the 3 mo clock) and then one in each subsequent month. But it could be May 31, Jun 15, Jul 15 and Aug 1 - they don't look at 30 day intervals just that the appointments occur in different months. I just finished my 4th visit and they are submitting paperwork to FEP Blue,

Federal didn't require nutrition classes - I only had the nutritionist visit as part of the preop process.

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ReJoyce    1

ReJoyce
Posted

Thank you so much for the info. Hopefully I get a call this week. Seems like I saw that they do their seminar the 3rd Tues or Thursday of the month. I would love to go this week.

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Karon    1

Karon
Posted

I am looking at Greenville. I live about 45 mins from there. Southern Surgical I think.

Hello, I too am from NC. I live in winston Salem and will be having my surgery at Baptist Hospital part of Wake Forest. Dr. Fuzz Fernandez. I am scheduled to have it in June, don't have the exact date. I have United Health Care.

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ReJoyce    1

ReJoyce
Posted

Hello, I too am from NC. I live in winston Salem and will be having my surgery at Baptist Hospital part of Wake Forest. Dr. Fuzz Fernandez. I am scheduled to have it in June, don't have the exact date. I have United Health Care.

Wow, that is fantastic. Good luck. This is so exciting. I love and am becoming obsessed with these forums. There is so much great information here. Keep us posted.

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cat lady    10

cat lady
Posted

I have BCBS of NC. Is there anyone that has gone through the process with BCBSNC? I am curious about the required 6 month nutrition classes I keep reading about. I have spoken to a BCBS rep on the phone numerous times and they have never mentioned this to me. I have searched the website, read their requirements concerning lap band surgery, and it never indicated a 6 month waiting period. I would love to be able to have my surgery before Dec 1st. I have already met my yearly deductible and the surgery will be covered at 100%. Yearly deductible starts over Dec 1st and it is a high one. I will be attending the seminar June 7.

Hi Kristalynn: I have BCBSNC also. Did everything they asked for and was denied last summer bcause they said my HBP was not considered a comorbidity since it was under controll. I appealed with the help of NC dept of Justice.....they are great. They helped me thru the appeal and I was approved in March. I am planning to have the surgery in July when I get some time off. They did not specifically ask for a 6 month nutrition class. I did have to see a nutritionist and, psycologist, pulmonologist, cardiologist.....also needed to show diets from the past 2 years showing how I tried to lose the weight (WW, Jenny Craig, etc). My primary dr sent them a log of my weight progress for the past 2 years also. Once they get everything sent to them from your weight loss dr they either approve or deny very quickly. Good Luck & don't hesitate to appeal if necessary.

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smartdiva    0

smartdiva
Posted

I am looking at Greenville. I live about 45 mins from there. Southern Surgical I think.

I live outside of Greenville and have chosen Southern Surgical - they're wonderful! Dr. Nazari is a fantastic MD - likes to do the band of course - one of the first to do them in the US I think. I also have BCBSNC State Health Plan - and they've been wonderful for getting me in before the next fiscal year of July 1st.

I went to the seminar in April and my surgery is May 31st.

I only had to see the nutritionist and the psychologist. They have a class w/ others for the nutrition. I had to give them my last thyroid test results, 5 year history of weights and diets attempted. There was not any particular waiting period or need for more than the one class piror to surgery.

They have a support group meeting the first Wednesday of the month as well. Great group of people!

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ReJoyce    1

ReJoyce
Posted

I live outside of Greenville and have chosen Southern Surgical - they're wonderful! Dr. Nazari is a fantastic MD - likes to do the band of course - one of the first to do them in the US I think. I also have BCBSNC State Health Plan - and they've been wonderful for getting me in before the next fiscal year of July 1st.

I went to the seminar in April and my surgery is May 31st.

I only had to see the nutritionist and the psychologist. They have a class w/ others for the nutrition. I had to give them my last thyroid test results, 5 year history of weights and diets attempted. There was not any particular waiting period or need for more than the one class piror to surgery.

They have a support group meeting the first Wednesday of the month as well. Great group of people!

Do you just write out the different types of diets you have tried? Or did you have to give them something more formal, like something showing you were a member somewhere?

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kristallynn13    18

kristallynn13
Posted

I spoke to BCBS-NC today and the rep assured me there was not a requirement for 3-6 month nutritional classes/counseling. We will see what happens when I get to that point.:P

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ReJoyce    1

ReJoyce
Posted

I spoke to BCBS-NC today and the rep assured me there was not a requirement for 3-6 month nutritional classes/counseling. We will see what happens when I get to that point.:P

Yeah!!!

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Go To Topic Listing Tell Your Weight Loss Surgery Story

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      1. Phil Penn

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        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

    • LeighaTR

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    • Doughgurl

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      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!
      · 2 replies
      1. Selina333

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        Doughgurl

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    • Alisa_S

      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

        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

      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

        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.

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