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Sorry, one more BCBS of IL ? regarding weight watchers

shawna_s

By shawna_s, in Insurance & Financing

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shawna_s    8

shawna_s
Posted

Does anyone know if being apart of WW for 6 months counts as part of your 6 month dietary plan and exercise?

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Cindy C    150

Cindy C
Posted

It should. It did for BCBS of MI.

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KayleighsMommy    16

KayleighsMommy
Posted

Does anyone know if being apart of WW for 6 months counts as part of your 6 month dietary plan and exercise?

I was told that it did not. Of course, I was also told a sleep study was a cosmetic procedure :blink: . And they wonder why people HATE insurance companies.........

Best of luck with your BC/BS IL fight.

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shawna_s    8

shawna_s
Posted

I was told that it did not. Of course, I was also told a sleep study was a cosmetic procedure :blink: . And they wonder why people HATE insurance companies.........

Best of luck with your BC/BS IL fight.

seriously!? so they won't cover a procedure you need done to prove you have sleep apnea, which is of course "shoe in" for the lap-band. What jerks!

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KayleighsMommy    16

KayleighsMommy
Posted

seriously!? so they won't cover a procedure you need done to prove you have sleep apnea, which is of course "shoe in" for the lap-band. What jerks!

Actually, they said they would pay for it. IF I was positive for apnea. How screwed up is that??????

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loretta\ Baconton Georgia    10

loretta\ Baconton Georgia
Posted

I have BSBSI and they paid for my sleep study. How are you suppose to know until you go to have it done. DUhh.

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kewlshort1    4

kewlshort1
Posted

I have Humana, not BCBS, but my policy specifically excluded Weight Watchers (and some other similar programs) because they were not "physician-directed". I would guess you would have to verify it with your specific plan to make sure they don't have a similar wording.

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Beachbunny    5

Beachbunny
Posted

BCBS was awesome for me!! i gave them a 3 page typed history of all my weight loss atempts over the course of my life . and made copies of my weight loss attempts at Drs offices as well. I was approved within 2 days of sending them my info.

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KayleighsMommy    16

KayleighsMommy
Posted

BCBS was awesome for me!! i gave them a 3 page typed history of all my weight loss atempts over the course of my life . and made copies of my weight loss attempts at Drs offices as well. I was approved within 2 days of sending them my info.

Good for you, and congrats!!! I am always so happy to see someone who gets approved without half killing themself jumping through hoops. What state is your BC through?

I had issues with 2 different states. MI years ago... I wrote letters, got doctor documentation, sent pictures of me from the age I was 6, even went downtown for a personal meeting, and still they said no. Then IL... and they might have paid, if I did everything they wanted. Even though I desperatly needed surgery right away for an incarcerated hernia, they wouldn"t pay to have both surgeries done at the sam e time. Stupid, huh? Why allow the patient to have the surgeries done at ine time? Why not pay for 2 sesperate procedures and force the patient to go under the knife (and through general anesthesia) twice?

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

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      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.
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        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.

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        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.

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