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Bering an Insurance Stalker finally paid off!



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Well its been a long stressful road but finally after three years and countless hours on the phone I have been APPROVED!! BCBS IL has denied me 3 times this week just because the werent looking at the info. They denied me for not having the 6 month diet documentation and for it being investigational. I called them and told then the documentation was there and that they had changed their policy as of July 1st. So it was noted and sent back over. Then they denied it for not having any new additional info but they hadnt l,ooked at the info. Yet another call and sent back. The last time they even had a medical reviewer look at it before sending it for review and she said it looked like everything was there. This time they took my phone number and said they would call me back by the end of the day with an answer. Of coarse it took 3 days of me calling morning and evening but finally this morning I got my Aprroval!! Hopefully I will update this soon with my surgery date!:thumbup:

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I'm truly happy for you. My daughter has BCBS and they denied her last week. She has been considering self pay, but she already struggles with money. She has excellent credit and could probably get a loan...but I feel that she doesn't need the added expense. I'm hoping that when she tries again, she will be approved.

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Lookin, tell her to just keep fighting! I know how stressful it can be! And how depressing, as I was denied a total of 5 times and each time I cried and screamed at the phone! If she can get to her policy online and read it so she can know exactly what they are looking for that helps! By the end I knew their policy better than they did! and had to tell them that they had updated it to include VSG. It depends on her specific p[olicy and her employers specific requirements! Good Luck to her! And to you it looks like you are doin amazing!

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congratulations, that's great, i went thru the same thing, in feb BC denied my d/t investigagtional. CA has a state office you can appeal to and i won my Independent Medical Review. Surgery was scheduled for two weeks from day of approval, 5/28/10 Two months out, almost, and i love my sleeve, you'll love yours, good luck, hope they schedule right away

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Got my date!! August 30th!!! so excited!!!!will be on a liquid diet for my County Fair (we show animals and stay there all week) and for my birthday but it will be well worth it....This is going to be the best birthday present!!

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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💪
      · 0 replies
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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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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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