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I have blue cross and let me tell u its a nightmare. I started this chapter of my life Dec 2011. I just finished up my 6 months of seeing a Dr a month and a dietary Dr. I did everything they needed except that i don't have my weight for 2007. And they denied me. So i just went to my primary Dr and asked him to write a letter to see if they will change there mind. I feel like im on a roller coaster. Im frustrated and upset.. Id anyone having the same problem

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the first time I tried i tried to get approved and it was for a lap band about 3 years ago the same thing happened to me.I was missing 1 year of a weigh in at my pcp,never mind that I have 20+ years with this same pcp and plenty of records,but it wasnt in the 5 years time span that they required,so they denied my approval,i was so disgusted i gave up until later,and early this year and got approved,but this time for the sleeve,Im glad i waited to go thru the process again.

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I'm so sorry to hear this :( Ask your insurance coordinator or however submitted your stuff for approval about appealing. Do you have any weight history from before that year? It would be worth it to try to include that... logically there is no way your weight dropped THAT much in a year you know? FIGHT FIGHT FIGHT for it! Hopefully something will change.

(((hugs))) Good luck!

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Anything from a "credible" source should help...any doctor weigh in, any fitness program weigh in. Anything pertaining to work. Gyno visit, allergist, any specialist...possibly even a photo that you can submit the "timestamp" from the digital image.

Think of everything you did that year. Go through your medical reciepts, etc. See if you can't find somewhere you went that they put you on a scale that would still have the records.

PS - what about 2006 & 05 - it would help establish a pattern for when you appeal.

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Wow I have BCBS Alabama and now I'm wondering do I need 2007? My coordinator went back from 08 until now,but I'm gonna try and track down 07 just in case.

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Wow I have BCBS Alabama and now I'm wondering do I need 2007? My coordinator went back from 08 until now' date='but I'm gonna try and track down 07 just in case.[/quote']

I have bcbs, every plan is different . I only needed 3 years of history.

Good luck in tour journey !!!!

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Thanks! I just went and read their policy and it changed from 5yrs to 3.

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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!
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    • Doughgurl

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    • 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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