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Bcbs...is It True?

ilikebunnies

By ilikebunnies, in Insurance & Financing

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Cocoabean    430

Cocoabean
Posted

The BCBS rep is the one that initially told me :)

Never believe what you are told on the phone...they make mistakes, too. Find it in writing. Ask them to email the policy to you. But do get the names of the people you are speaking with, and the dates and times of the calls.

Most companies have their policies online. The information is usually on your card. I found my companies (BCBS CA Access + H M O) website, signed up, got the policy info there, got their brochure info (federal employee), called the company twice and spoke to two different people. THEN I was satisfied I had the information I needed to proceed.

I am glad you found the new information!!!

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kbliss78    123

kbliss78
Posted

Ii have BCBS of Texas for state employees and they are the worst in Texas for else. It can be different for each segment of BCBS.

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ilikebunnies    48

ilikebunnies
Posted

Never believe what you are told on the phone...they make mistakes, too. Find it in writing. Ask them to email the policy to you. But do get the names of the people you are speaking with, and the dates and times of the calls.

Most companies have their policies online. The information is usually on your card. I found my companies (BCBS CA Access + H M O) website, signed up, got the policy info there, got their brochure info (federal employee), called the company twice and spoke to two different people. THEN I was satisfied I had the information I needed to proceed.

I am glad you found the new information!!!

That is a great idea! I worry that I am getting the wrong information. For now, at least until my consultation I am sticking with the pre-op diet. Thanks for the advice :)

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ilikebunnies    48

ilikebunnies
Posted

Ii have BCBS of Texas for state employees and they are the worst in Texas for else. It can be different for each segment of BCBS.

I don't even live in Texas but my husband works off-shore, his plan has been good to us so far so lets hope it continues to be!

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ilikebunnies    48

ilikebunnies
Posted

Does BCBS cover plication? I have Fed BCBS and its not covered (or it wasnt covered 6 months ago)

Not that I am aware of but my surgeon was saying since it is still new I might be able to get it for free. Either way I would self pay for plication add on because it sounds like what I am looking for :)

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ilikebunnies    48

ilikebunnies
Posted

I love Lapband Talk :) Everyone is so supportive and I feel like I have people that understand what I am going through. Thanks for keeping positive thoughts!

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ilikebunnies    48

ilikebunnies
Posted

I started process with BCBS last January and had surgery in May...I had to lose like 10% of my weight, not 6 months wait...

Geez 10% that seems ridiculous.

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DEBPROBST    10

DEBPROBST
Posted

Hi Ilikebunnies..lol I love the name :)

I too Like you was very skeptical about the rumors. I however went to the BCBS IL site and checked there. They do not require the 6 month diet anymore, they do state that you have to be properly educated and understand what you are about to do. I went in and looked it up under the medical policies there and it stated way at the bottom of the what seemed like 100 page document that they had made the changes earlier this year.

The only thing that I would be concerned about is what you company has for exclusions and if they have anything attached to what is needed or not needed.

I am awaiting the approval as we speak. Mine was submitted on the 1st and I have still to hear back on it. I cant wait to know one way or the other cause I really just want to know if there is something else that I must do. I will report back when I hear back!!

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ilikebunnies    48

ilikebunnies
Posted

Hi Ilikebunnies..lol I love the name :)

I too Like you was very skeptical about the rumors. I however went to the BCBS IL site and checked there. They do not require the 6 month diet anymore, they do state that you have to be properly educated and understand what you are about to do. I went in and looked it up under the medical policies there and it stated way at the bottom of the what seemed like 100 page document that they had made the changes earlier this year.

The only thing that I would be concerned about is what you company has for exclusions and if they have anything attached to what is needed or not needed.

I am awaiting the approval as we speak. Mine was submitted on the 1st and I have still to hear back on it. I cant wait to know one way or the other cause I really just want to know if there is something else that I must do. I will report back when I hear back!!

Yes please keep in touch :) I have my consult, psych eval, and one on one with the nutritionist on May 16th. I am so excited and want to get this process moving so I can see if I am approved or not. Maybe we will get banded this summer around the same time :)

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rascodr    2

rascodr
Posted

I am insured by Anthem BCBS I live in OK has anyone had any issues getting a approved through them my BMI is 39 with comorb(Sleep apnea high BP, Diabetes. I'm just getting started

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Go To Topic Listing Insurance & Financing

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

    • CaseyP1011

      CaseyP1011

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

      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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.

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