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I *think* I'm Covered! Bcbs



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My insurance only required a Psych Eval and attendance to a nutrition class.... Anyone else have to do just this as well? I am having my band removed and trying to get the sleeve covered.

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Congrats! I was initially going to go to Dr. Roslin' date=' he has a good reputation. But then my insurance changed a bit so I decided to stick a little closer to home as it may be a bit cheaper for me to do so. I am going to Dr. Weber at White Plains Hospital. It's a small program but I like him a lot. Also my surgery should happen quickly too, I'm hoping by the end of next month. I have nothing to plan around except work so I can do it anytime really. I can't wait![/quote']

I am also in Yonkers I am going to doctor besler at Columbia he was recommended by my PCP. I decided to work with Lawrence hospital since they were really close by and in network with my insurance

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This is embarrassing but I actually used to WORK for Weight Watchers. What a success story huh? LOL! I can get a letter from one of the leaders there stating I attended at different times.

But this brings up a great question. How does anyone prove weight loss efforts? I'm sure there are some people that did stuff on their own or used online programs. How does one get documentation? Maybe if one has a questionable (by insurance standards) weight loss attempt history then an insurance company might request some supervised diet attempts?

Yay an ex-weight watcher worker. I have a question that is only mildly off topic. I have to show a two year BMI of 40+. My problem is that I did not have insurance but I did go to weight watchers. Will they send me a copy of my weigh ins with the date included to prove my BMI? I called 3 weeks ago and the person on the phone 800# said she would mail my weigh in reports but so far nothing. I am thinking she didnt know what she was talking about because I have not received any documentation. Any advise you can give would be appreciated. Thanks!

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Yay an ex-weight watcher worker. I have a question that is only mildly off topic. I have to show a two year BMI of 40+. My problem is that I did not have insurance but I did go to weight watchers. Will they send me a copy of my weigh ins with the date included to prove my BMI? I called 3 weeks ago and the person on the phone 800# said she would mail my weigh in reports but so far nothing. I am thinking she didnt know what she was talking about because I have not received any documentation. Any advise you can give would be appreciated. Thanks!

Go to where you went to meetings they maybe able to request your file.

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I worked up the nerve to call my insurance company and just ASK. YES' date=' the VSG is covered as long as it is a "medical necessity" and not for cosmetic reasons. That's it. They said the doctor just has to document the necessity. I didn't want to jinx myself and ask about the 6 month supervised diet so I asked if there were any other restrictions or documentation they needed and they said no. Oh how I hope this is true!

I have Empire BCBS in NY.[/quote']

I have HBCBS Nj and when I first inquired, last June, they did require a 6 month medically supervised diet. weight watchers was approved, so I joined up to get rolling. By the time I met w my surgeon in August, they dropped that requirement. Hopefully, the same is true for you! Good luck!!

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    • 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. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      1. This update has no replies.
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