Jump to content
×
Are you looking for the BariatricPal Store? Go now!

BCBS TRS Activecare 2



Recommended Posts

I am so happy, I got my approval! My doc's office submitted it on Wednesday and they approved it on Thursday! Just so stunned it was done so quickly, I don't even know what to think! After all that I'd heard about Blue Cross, I was expecting a denial.

Share this post


Link to post
Share on other sites

I am so happy, I got my approval! My doc's office submitted it on Wednesday and they approved it on Thursday! Just so stunned it was done so quickly, I don't even know what to think! After all that I'd heard about Blue Cross, I was expecting a denial.

I have a few questions for you mine was submitted wednesday, and I have BCBS TX PPO.. What doctor are you seeing? Congratulations on your approval!!!!!!!! :)

Share this post


Link to post
Share on other sites

I have a few questions for you mine was submitted wednesday, and I have BCBS TX PPO.. What doctor are you seeing? Congratulations on your approval!!!!!!!! :)

I'll be glad to answer any questions I can! I'm using Dr. Wade Barker in Dallas.

Share this post


Link to post
Share on other sites

I'll be glad to answer any questions I can! I'm using Dr. Wade Barker in Dallas.

I am using dr barker too!!! I'm praying for my approval to come in soon they said I should know by Wednesday. Do you mind me asking your bmi and height. I'm so nervous waiting for my approval and I'm stressing!! Do you have any co-morbidies? I have the diet and 12 months of working out and I was still gaining!!

Share this post


Link to post
Share on other sites

I am using dr barker too!!! I'm praying for my approval to come in soon they said I should know by Wednesday. Do you mind me asking your bmi and height. I'm so nervous waiting for my approval and I'm stressing!! Do you have any co-morbidies? I have the diet and 12 months of working out and I was still gaining!!

Not at all! 5'7, with a 36 BMI and comorbidity of sleep apnea.

Share this post


Link to post
Share on other sites

When are you trying to have your surgery done? They told me yesterday that he was already booked a month out, but I'm just HOPING that I can get it done over Christmas!

Share this post


Link to post
Share on other sites

When are you trying to have your surgery done? They told me yesterday that he was already booked a month out, but I'm just HOPING that I can get it done over Christmas!

I'm hoping to have it done before January so I domt have to pay 3000 because if I can get it before the end of the year almost all of my out of pocket has been met!! I'm 5'4 280. Soo I'm praying they approve the only thing I have is high cholesterol! So I'm hoping to find out soon! Did they call you to tell you about your approval or did you have to call? Thanks so much for talking with me!!

Share this post


Link to post
Share on other sites

I had to call Blue Cross. Still having some scheduling issues with his office, but I'm hoping it will all be resolved on Monday. If I were you, I would definitely call your BCBS people on Monday and find out where it is in the process. Good luck on getting in before the end of the year, his office told me they were waiting on him to open up additional days, so I think there is still a good chance!

Share this post


Link to post
Share on other sites

I had to call Blue Cross. Still having some scheduling issues with his office, but I'm hoping it will all be resolved on Monday. If I were you, I would definitely call your BCBS people on Monday and find out where it is in the process. Good luck on getting in before the end of the year, his office told me they were waiting on him to open up additional days, so I think there is still a good chance!

Well thank you so much for everything it took me a week to get to talk to someone in the insurance part of his office they are super busy!!

Share this post


Link to post
Share on other sites

I'm not terribly impressed with the lack of communication with the insurance area of the office. Dale has been great when I've dealt with him, but that hasn't been all that often. Although, they clearly got me approved and that is wonderful! Now just hoping they can get me scheduled!

Share this post


Link to post
Share on other sites

I'm not terribly impressed with the lack of communication with the insurance area of the office. Dale has been great when I've dealt with him, but that hasn't been all that often. Although, they clearly got me approved and that is wonderful! Now just hoping they can get me scheduled!

Yes he's been very kind!! I hope they can get both of us sceduled.

Share this post


Link to post
Share on other sites

Well, I had to call BCBS and they faxed it in again. Called back the office and I'm scheduled for the final office visit next Tuesday, the 30th. Have emailed Dawn for the surgery schedule, so hoping to hear from her today---if not tomorrow. They did tell me that they were scheduling in the 3rd week of December, so I'm keeping my fingers crossed!

If you haven't---please call your insurance and see what they say, so you can get scheduled! Do you know which hospital you are using? I have to use Doctor's because it is a bariatric center of excellence with BCBS. She did tell me that they only do surgeries on Wednesday there.

Let me know!

Share this post


Link to post
Share on other sites

Congrats!! So you were approved for VSG?? That is what I want and am wondering if I will get approved.

I am so happy, I got my approval! My doc's office submitted it on Wednesday and they approved it on Thursday! Just so stunned it was done so quickly, I don't even know what to think! After all that I'd heard about Blue Cross, I was expecting a denial.

Share this post


Link to post
Share on other sites

Yes, I was approved for the VSG. NO problems at all with the insurance and I was a borderline case! From what I've read on this board, though, it all comes down to your insurance carrier and what your company has chosen. The very nice lady at BCBS told me that while Blue Cross normally denies, TRS opted to include bariatric surgery. Good luck!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

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

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      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

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×