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BCBS Federal of SC

BSugar

By BSugar, in Insurance & Financing

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AKMama    36

AKMama
Posted

Wow congradulations, only 3 days. I am wondering now if it will ever happen for me.

Way to go Ashley!!! I wish you the best of luck.

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PNW_Sleever    2

PNW_Sleever
Posted

@AKMama-

Hi there. I'm in Washington and I started this whole journey at Puget Sound Surgical Center. I have BCBS FEP. After 9 months, a couple of appeals, and then having to complete the 2011 requirements, I was finally approved. Don't give up! I swear they finally gave in because they were sick of hearing from me. I am now considering going through Virginia Mason in Seattle as it might be cheaper for me if it's done on an inpatient basis. I'm still awaiting price quotes from both facilities, but I do know that 2 surgeons are present for surgery at PSSC and you will be billed as so. Feel free to send me a message if you have any questions. :-)

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AKMama    36

AKMama
Posted

Hi, I was so happy to here from someone in Washington. I was talking with I think her name was Karen at Puget Sound. I was quoted around 16 thousand for the sleeve. She called me though and told me that BCBS FED normally wouldn't approve the sleeve because it is still considered exploritory. I think this is bull. So I have just been in limbo now for a while because I can't afford to pay that out of pocket. I haven't ever heard of Virginia Mason, I will have to look them up. Right now I am trying to find a new Dr. up here to do my 6 month monitered diet with. When I told my regular Dr. that I had decided I wanted to look in to a WLS. She was like good luck with that. Not how can I help, I agree - disagree nothing. So I'm really trying not to just give up. It was so nice to hear from someone who understands what I'm going through. Congratulations on getting approved!!! TTYL - Lara

Hi there. I'm in Washington and I started this whole journey at Puget Sound Surgical Center. I have BCBS FEP. After 9 months, a couple of appeals, and then having to complete the 2011 requirements, I was finally approved. Don't give up! I swear they finally gave in because they were sick of hearing from me. I am now considering going through Virginia Mason in Seattle as it might be cheaper for me if it's done on an inpatient basis. I'm still awaiting price quotes from both facilities, but I do know that 2 surgeons are present for surgery at PSSC and you will be billed as so. Feel free to send me a message if you have any questions. :-)

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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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