Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🎉 "1 per Day!" Bariatric Multivitamins

Blue Shield Of California Ppo

helleva

By helleva, in Insurance & Financing

Recommended Posts

Trcyprkr70    69

Trcyprkr70
Posted

Thanks Denise, I sure will, also keep me posted. I was so looking forward to having a sleeve buddy.

Share this post

Link to post
Share on other sites

helleva    22

helleva
Posted

Aww.. hopefully we still can be! If not I hope at least you do :) I'm sure you'll be fine.. keep me posted. & once again good luck :) I got my fingers crossed for you <3

Denise

Share this post

Link to post
Share on other sites

Trcyprkr70    69

Trcyprkr70
Posted

Thanks so much

Share this post

Link to post
Share on other sites

Trcyprkr70    69

Trcyprkr70
Posted

Update.... I spoke with my insurance company yesterday after patiently waiting with anxiety for three weeks, only to find out they had overlooked 31 pages of paperwork. I was so upset I could have cried. Well as it goes on, I was told that I should hear something in two to three days. So disappointed right now.

Share this post

Link to post
Share on other sites

helleva    22

helleva
Posted

Aww.. its so nerve wrecking to sit and wait! I hope they make it up to you by approving you :) thats the very least they can do.. please keep us posted :)

I just called blue shield to check the appeal and the rep. stated there has been no appeal or even a peer to peer?! :/ I am so confused and I'm going to call my coordinator after work to explain this to me.

thanks,

denise :)

Share this post

Link to post
Share on other sites

SV2    57

SV2
Posted

Aww.. its so nerve wrecking to sit and wait! I hope they make it up to you by approving you :) thats the very least they can do.. please keep us posted :)

I just called blue shield to check the appeal and the rep. stated there has been no appeal or even a peer to peer?! :/ I am so confused and I'm going to call my coordinator after work to explain this to me.

thanks' date='

denise :)[/quote']

I'm finding that a lot depends on how good and on top of everything the coordinator is. My dr.'s office seems pretty disorganized, and I never hear from anyone-I always have to make the call and hope someone there can answer my questions.

Let us know what you find out.

Share this post

Link to post
Share on other sites

helleva    22

helleva
Posted

Hi,

I really hope it works for the both of us. Lord knows how much I need it! I called my coordinator and they stated its now an open appeal and they're communicating with my insurance company so, they can get the proper paper work in. They don't want to get another denial.

Thanks denise :)

Trcyprkr70 reacted to this

Share this post

Link to post
Share on other sites

SV2    57

SV2
Posted

Hi' date='

I really hope it works for the both of us. Lord knows how much I need it! I called my coordinator and they stated its now an open appeal and they're communicating with my insurance company so, they can get the proper paper work in. They don't want to get another denial.

Thanks denise :)[/quote']

Ok, that sounds encouraging.

As to mine, BCBS wanted an updated nutrition report and psych eval. Did the nut. last week, and will do the psych eval on Monday. I did receive the letter from BCBS about it. I THINK it's a good sign bc if they wanted to deny my, they wouldn't need to get the reason from the nut. or psych eval. That makes me think they just want their ducks in a row to approve.

We'll see.

Hang in there, Denise.

Share this post

Link to post
Share on other sites

helleva    22

helleva
Posted

hey,

yes, that sounds very reassuring of an approval :) I'm sure you can't wait!!

I'm hanging in there. It's just so hard because I have doubts. I feel like I'm going to be denied again. wishful thinking I guess.. more of expecting the worse and hoping for the best :)

My friend just got approved for surgery. It only took a couple of days. She has a high bmi and sleep apnea.

Trcyprkr70 reacted to this

Share this post

Link to post
Share on other sites

Trcyprkr70    69

Trcyprkr70
Posted

Update....insurance company told me today that she will call me Wednesday. I'm praying she has an approval code for me.

Sent from my Samsung Galaxy S using VST

Share this post

Link to post
Share on other sites

Trcyprkr70    69

Trcyprkr70
Posted

One more thing I also found out if the ball hadn't been dropped and I had an approval code, my surgery would have been today. #sadface

Sent from my Samsung Galaxy S using VST

Share this post

Link to post
Share on other sites

helleva    22

helleva
Posted

aww.. that would have been nice.. but I'm sure you'll get approved :) & before you know it you'll be on your way! keep me posted.. I'm going to my doctor (wednesday) that I was going to for 10 yrs. except the past year. I'm hoping since he was the one who recommended the lapband to me that he'll write me a letter of recommendation for the sleeve. He knows my struggles.. hopefully two doctors pushing my surgery will make sense for my insurance to give me my approval for a healthier longer life :)

Share this post

Link to post
Share on other sites

Trcyprkr70    69

Trcyprkr70
Posted

We will be joining the losers bench soon...good things come to those who wait

Sent from my Samsung Galaxy S using VST

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
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      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

      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!
      · 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. LeighaTR

        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

      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.

  • 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×