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My Approval Story Bcbstx



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No problem, good luck!

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Did u have to go for radiology and cardiac clearance?

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No just endoscopy and gallbladder ultrasound

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Dr. Macik office just called me and stated that they will submit to my insurance on Friday. I need a cardiac, pulmonary, and upper Gi clearance for surgery, once approved.

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Oh sweet day in the mornin'!!! You just literally MADE MY DAY! I'm down in the Corpus Christi area and I also have BCBS of TX...and i'm just waiting on the approval...they have had my case since the 23rd...and I just have not been able to bring myself to call them back again and see if the have a result....I'm too afraid of rejection! I know every case can vary...but reading your story made me feel so much better,gave me some hope....and a little kick in the rear...THANKS! I'm gonna call in the morning!

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BAHAHAHAHA!!! I just found out that they approved me two days after it was submitted!!! I cried like a baby! I'm so excited I think I just might explode!

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Congrats love bug good luck

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Ahhhh!!! I also have BCBS of TX and tomorrow will be 3 weeks of waiting for approval :/ they sent a letter to my Dr. Last week requesting additional info (a copy of post op procedures from the doctors office) Dr office submitted it on Tuesday... Still waiting....

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Did u have to go for radiology and cardiac clearance?

Hey there...

Did you have to go for the pulmonologist and cardiology clearance?

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Jerseygirl68, what plan do you have and do they cover 100%? I have horizon bcbs epo plus

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I am excited while awaiting approval from insurance. I have my pulmonary, cardiac, and upper GI clearance . I have bcbs of nc.

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I got my surgery approved. Love the weird letter you get, yeah approved but not exactly saying they are paying for it guaranteed ( all insurance mumbo jumbo). Now I have my surgery date, Dec 6. I developed shingles and could have had a sooner date in Nov but had to take steroids for a bit. Well it will work out this way. I can get everything in place for the holidays and my surgery. Now I just need my cardiologist to send over that stress test to my surgeon. I signed off on that in July but some how it still hasn't been sent ( less than 5 miles).

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I got my surgery approved. Love the weird letter you get' date=' yeah approved but not exactly saying they are paying for it guaranteed ( all insurance mumbo jumbo). Now I have my surgery date, Dec 6. I developed shingles and could have had a sooner date in Nov but had to take steroids for a bit. Well it will work out this way. I can get everything in place for the holidays and my surgery. Now I just need my cardiologist to send over that stress test to my surgeon. I signed off on that in July but some how it still hasn't been sent ( less than 5 miles).[/quote']

Congrats! I'm happy for you! I was expecting to have mine before the end of the year, but they couldn't get me in until January 14th. It isn't as soon as I would like, but I'm sure it will be here before I know it! Keep us posted on your progress:-)

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I am in nj. I had my consultation with the surgeon last week all my appointments are set up I have a tentative surgery date of April 14. Bcbs epo. Fingers crossed all goes well and quickly.

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I am so confused. My doctor's assistant is insisting on 3 months supervised diet, but when I called BCBsTX they did not have a time frame requirement. The assistant's response was that she could try submitting now, but I could be denied. Then I started this with a BMI of 41 but after a month I am down to a 39 and afraid they won't approve me. So confused!! Any advice?

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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
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    • 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!
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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
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