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

    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
      · 0 replies
      1. This update has no replies.
    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 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

    ×