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Grrrr. This Part Is So Stressful!

Ok, I have BCBS Federal so it's really a good insurance to have. It requires 3 months diet with NUT BMI with 35-40 with comorbidities or BMI over 40. My BMI is over 40 and I have a month and a half to go on the NUT thing. My problem is they also have to submit a two year history from my regular doctor showing a BMI OVER 40 I'm one of those people who bounce all over the place and lose and gain weight constantly. Last December I was 180 now I'm 250. I don't know if I was over 40 during the last two years when I went to doctor. I am waiting on my records from my PCP. Anyone else experience this? Trouble with the two year history? How strict is the insurance company?

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Good luck Mike! Crossing my fingers for you!

Thanks. Appreciate it. Do you have a date yet?

  • Author
Just got word from my insurance. I am approved! Woo hoo!

CONGRATS!!!!

I have my psych eval Friday. I'm nervous about that. Really the closer it gets the more nervous I get about it all.

Do you have a date yet?

I'm hoping to talk about surgery dates tomorrow. Keeping my fingers crossed to have it before the end of the year.

I have my psych eval Friday. I'm nervous about that. Really the closer it gets the more nervous I get about it all.

The psych eval was the easy part for me. You'll do just fine. Good luck!

The psych eval was the easy part for me. You'll do just fine. Good luck!

I have to agree. It seemed like the easiest part for me also!

Looks like my date is 12/11! I have to say that choosing BCBS Federal was the best decision I made! They have been fantastic!

Looks like my date is 12/11! I have to say that choosing BCBS Federal was the best decision I made! They have been fantastic!

Yay!! Good for you! I still didn't hear anything today :-/ hoping... I have BCBS of IL

Looks like my date is 12/11! I have to say that choosing BCBS Federal was the best decision I made! They have been fantastic!

Hey tutu. I got approved for it! I go meet w the surgeon on Tuesday morning and I'm sure I'll get a date then. :-) :-)

Hey tutu. I got approved for it! I go meet w the surgeon on Tuesday morning and I'm sure I'll get a date then. :-) :-)

Woohoo! Congratulations! Doing a happy dance for you.

  • 2 weeks later...
  • Author

Ok I had my psych eval. That was easy and I passed. My last NUT appointment is this Saturday the 1st and we are submitting to insurance Monday. Wish me luck and pray for me please.

CONGRATS TO BOTH OF YOU!!!

  • Author

Ok another snag. I have gained weight over the past year. At some time in 2012 I went to my PCP and I weighed 226. My surgical doc appt I weighed 265. Two days later I went to My PCP because I was having headaches. I weighed 257. Come to find out my BP was up and he put me on medication and the headaches have subsided. My next NUT appt I weighed 249 and yesterday at my last NUT appointment I weighed 243. My problem is when I seen my PCP for the headaches they didn't record my weight in the chart. It says I weighed 226. When we submit to insurance I'm sure they will wonder how I lost 40 lbs in two days and then gained nearly 30 back in a week. We have to use that record when we submit because it's the only one with my height listed and my high BP. I don't really know what to do. I am going to try to go to my PCP tomorrow and have them correct the record before we submit.

I would definitely go back to your PCP for the correct information. But the surgical doctor's weight should be the one that counts for 2012. Good luck!

  • Author

Ok it took me all day but I finally got my PCP to send over the corrected weight. My surgeon's office will submit my file first thing tomorrow morning.

  • Author

Ok they submitted my file today. Now I wait.

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