Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Blue Shield Of California Ppo



Recommended Posts

Hi,

I have a bmi 37 and my doctor just diagnosed me with mild sleep apnea. Does this help my chances of getting approved? I also have one kidney (donor) & had gestational diabetes with my last baby.

Share this post


Link to post
Share on other sites

Hi helleva, I am in the same situation that you are in, my Bmi is 38 and I am now being tested for sleep apena and I now have high blood pressure. It's up and down. I have anthem blue cross and blue shield. Ppo and I have done everything else I am just waiting on my sleep study results. Good luck and keep me posted... It will work out for you????

Share this post


Link to post
Share on other sites

Hi thenewlife76 :)

Thanks for replying. I think we should be approved with sleep apnea alone. I went 2 weeks ago for the sleep study. I didn't think I had it because I'm not a snorer but, low and be hold I tested with a mild case. I really want this procedure just like I'm sure you do. I hope our insurance approves us both so, we can start our new lives <3 hey, did they require you to do a 6 months of supervised nutrition class?

Share this post


Link to post
Share on other sites

I have Blue Shield Ca also. My bmi was 37 and I was diagnosed with mild sleep apnea. The insurance approved me within 3 days. I was also not required to attend the 6 month nutrition classes.

Good luck!

Share this post


Link to post
Share on other sites

Meli1234,

Thank you! Thank you! You just gave me the hope I've been looking for :) I hope BS does the same for me!

Share this post


Link to post
Share on other sites

Hi helleva, it didn't require me to do a 6 month class and I to had diabetes when I had my daughter. He wants to put it threw now. I would like to wait for my sleep study results. How long did it take you to u to get your results ??

Share this post


Link to post
Share on other sites

Hi thenewlife76,

I'm thinking my surgeon sent me to the sleep study to improve my chances. I went on Friday April 27th. The preliminary report was sent to the surgeon May 5th. I found out yesterday May 8th that I have a mild case of sleep Apnea. I go back this Saturday May 12th for the CPAP. So the process was not long at all. I hope this helps :)

My coordinator told me I need 6 months of a consecutive supervised diet?! I have the past year on record but it was not every month. It was every 2-3 months. This is what worries me about getting approved te first time around :/

Share this post


Link to post
Share on other sites

Hi thenewlife76,

I'm thinking my surgeon sent me to the sleep study to improve my chances. I went on Friday April 27th. The preliminary report was sent to the surgeon May 5th. I found out yesterday May 8th that I have a mild case of sleep Apnea. I go back this Saturday May 12th for the CPAP. So the process was not long at all. I hope this helps :)

My coordinator told me I need 6 months of a consecutive supervised diet?! I have the past year on record but it was not every month. It was every 2-3 months. This is what worries me about getting approved te first time around :/

Share this post


Link to post
Share on other sites

There seems to be a lag with insurance coordinators knowing that BCBS no longer requires the 6 month wait on a good number of plans. Mine still thinks it even though I went through my insurance documents line by line and it says I no longer need it. :(

Anyway, good luck to you! :-)

Share this post


Link to post
Share on other sites

Thanks BKmama :)

Do you have bcbs of California? If not upon reading upon different groups was bcbs Of CA on the list of discontinuing the 6 month requirement?

Share this post


Link to post
Share on other sites

I was going to ask if anyone had BCBS of Cali abd how long did a take for the insurance to approve? I didn't have to have 6 months of nutritionist studies. I guess I am just anxious as I'm sure many of us are. My mother is suppose to flight out to be with me two weeks after surgery and we are just ready to get it over with.

Share this post


Link to post
Share on other sites

Hi tracy,

I have Blue Shield of California ppo. My paper work was submitted today. My coordinator told me it should take any where from 7-10 days. I will let you know as soon as I get word :) is your paper work submitted yet?

Please wish me luck! :)

Thanks,

Denise

Share this post


Link to post
Share on other sites

We are in the same boat. I just called and she will be sending my paper work off tomorrow or Wednesday. She said she was already scheduling June and July appointments. I hope I can get in for July, June would be better but I will take July. I wish you the best... :D

Share this post


Link to post
Share on other sites

Trcy,

I just want to get the approval and get this over as quickly as possible. I'm ready!! Good luck to you :) I pray we both get the answers we are looking for in a timely manner <3

Denise

Share this post


Link to post
Share on other sites

Hi...I have bcbs anthem cali...bmi of 35, high blood pressure and gest diabetes. I'm 5'4 and 204, got approved within 24hrs

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 1 reply
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

    • 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!

  • 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

    ×