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Well... here we go!!

gfawcetti

By gfawcetti, in Insurance & Financing

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gfawcetti    13

gfawcetti
Posted

So I was one of those ppl who was about to submit to the insurance when BCBS of IL changed the requirements from 3 months to 6 months so I decided to just do a 6 month with my Dr. Well, yesterday was the final visit so it is gonna be resubmitted next week! I am so nervous that it won't go through... my BMI was just over 40 when I started so I should be fine, but I just want to know for sure!! Even though I can't have surgery till November because of work...

Wish me luck!!!

Glenna

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kellyw74    258

kellyw74
Posted

I was so worried about mine too! I have Kaiser and I read and re-read their requirements I know, 500 times. I met them and knew I was fine, but I was so sure I wasn't going to get to have my surgery. LOL

I am sure you will be fine. Our minds like to talk us out of things. You will be sleeved before you know it.

Hugs,

Kelly :)

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Monica_Lynn    0

Monica_Lynn
Posted

I have BCBSIL too and my BMI was 35 with 3 of the c-morbidities. You should be fine with a 40 BMI although they use the BMI that was at the beginning of the 6 months of medically supervised weightoss. Start calling right away so you are informed. My first fie required additional information that was actually already in there but it was refaxed anyway by me and the surgeon's office and 5 business days later I had my approval. I have no doubts that you will have your approval soon!

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DisappearingDivis    36

DisappearingDivis
Posted

So I was one of those ppl who was about to submit to the insurance when BCBS of IL changed the requirements from 3 months to 6 months so I decided to just do a 6 month with my Dr. Well, yesterday was the final visit so it is gonna be resubmitted next week! I am so nervous that it won't go through... my BMI was just over 40 when I started so I should be fine, but I just want to know for sure!! Even though I can't have surgery till November because of work...

Wish me luck!!!

Glenna

I'm in the same boat as you regarding BCBSIL. I was ready to submit my paperwork when they changed from 3 to 6 months. I have just recently finished my 6 months and as of today am re-submitting my paperwork. Now it's time for the waiting game. :confused_smile: I wish you lots of luck! Please let us know when you get approve. (Think positive) We will be cheering for you. :cheer2:

Divis

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gfawcetti    13

gfawcetti
Posted

Quick update... the surgeon called & the Dr's office missed the August visit so they are resending it :( On a great side the notes look great with what she documented & she wrote a great letter stating that I was a great canidate for the surgery!! WooHoo!! Sending the ppk this week for sure...

Glenna

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gfawcetti    13

gfawcetti
Posted

Soooo.... I am trying not to be discouraged, however i am bummed. I got denied too by BCBSIL because the first month of my 6 month program with my PCP did not list my BMI. The first month I did the program was in April with a BMI of 40.8, then in May I was at a BMI of 39.8 so they considered the 39.8 the 'starting BMI' so I have to have the 2 co-morbidities. I am hopeful that when I have my PCP resend the note from April with the real starting BMI it will be approved since with a BMI of 40 I don't have to have any co-morbidities, but this is my worst fear... getting this far, getting this excited for nothing!

I have heard from some ppl on this forum that they were able to talk to the person at the insurance who is making the decision... how do I do that?? I was told today that I couldn't talk to the nurse!! Bummer... Does anyone have any advice??? I really want this done in November...

Thanks for listening, I was just hoping for better news :(

Glenna

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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.

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      CaseyP1011

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    • 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!!
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    • bellaamey

      bellaamey

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