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Insurance approval


Diane
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I am new to this site and am anxious to get on with my sleeve surgery, But my insurance says I medically qualify but denied approval for the sleeve. I have an appeal pending but they tell me they have 60 days to answer my appeal. I Have Blue Cross Blue Shield insurance. Has anyone else had this problem

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Yup. I have bcbs CA. I too had to appeal. It was a long frustrating time. I began my first doc visit in June and had surgery nov 22. The doc suggested I go on a 2 Protein Drink, one meal, one snack diet, high Protein low carbs b/c my liver was mushy, enlarged and likely fatty. I didn't stay on it the whole time as my emotion got the better of me at times, but when it finally came time for surgery, my doc was pleased with the weight loss and "feel" of my liver. So I just continued that and only had to do a 3 day liquid prep. Yeah. I had a beautiful liver. Doc gave us pics of the surgery. Total, since June I have lost 46 pound, 23 in the 6 weeks since surgery. It's not fast, but I am happy, lower than I have been in ten years. I still eat too many carbs. I can eat way more than many on here at six weeks. I am tempted and often succumb to temptation. I ate 3/4 of a jr burger from whataburger w cheese and felt so guilty. Then I realized I was struggling to keep down to 1500 cal before surgery, and now on my worst day, I had 1200. This surgery will happen for you. Don't give up. If the appeal fails, there is a second appeal process. If that fails there is self-pay and loans. Good luck and keep us informed.

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