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Insurance

Sugarbear

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Sugarbear    2

Sugarbear
Posted

I have been here before but it has been a long time. My insurance didn't want to pay much for the lap band surgery so I just had to forget it. Couldn't afford it. Anyway someone sugested I appeal to my insurance for a review of my situation, (health issues). I have, and two of my doctors have written letters also. I have Arkansas BCBS. Has anyone ever done this and had the insurance change their mind and approve the surgery and pay for it? It's my only chance of getting the surgery.

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flabuless    18

flabuless
Posted

Sugarbear...I don't know personally but I just wanted to drop by and say best of luck...I would love to hear how you went.

:)

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Ms Jen    1

Ms Jen
Posted

Flabuless... I'm very new to this site, just found it last night in fact. I notice that you respond often and are very supportive to eveyone. I'm looking forward to being a bandee soon. Waiting for final psyc report and insurance approval. Hope to have a date soon!!! I know I'll be SCREEMING for help when it happens but I know I'll make it.

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flabuless    18

flabuless
Posted

Hi Ms Jen

Thankyou...I did it alone for 6 months before finding lapbandtalk so i totally know what it is like in the initial stages...very important to have support...so my door is always open if you or anyone else want some encouragement/debrief/or a chat...you can always PM me I always respond... I look forward to hearing from you all.

:o

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hamiltonpaula9    0

hamiltonpaula9
Posted

Hi, today was the day i started my liquid diet before surgery, my surgery is on the dec 11, 2006 , I am waiting on the insurance to approved it , I guess the doctor seems to think they will, I have umc insurance, my doctor is Dr. Salameth in jackson, ms, I wil have it at Unversity Hospital, i kept asking if my insurance is going to pay, they told me they are wait to get the paper stateing they will, but the nurse call and said they paid 70% surgeon, 70% anthesian, 100% hospital, what you think, My bmi is 49, I am 288lbs and 5'31/2" talk, have sleep apean(mild), border line diebetic, heperglyerceam( low surgar), joint pain, backpain, and heelspurs, also high blood pressure, like to hear from you all, ( ps my spelling is off sorry)

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patsygrn    0

patsygrn
Posted

Sugarbear, I'm not 100% sure, but I think BCBS of Arkansas was the same insurance that my daughter use to have. She had the RNY done about 4 years ago and they paid well, even sent her a refund check where she had overpaid what she thought was her part of the bill.

I just got my insurance approval Thurs. and really excited about it. Wish you lots of luck.

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Go To Topic Listing Tell Your Weight Loss Surgery Story

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    • LeighaTR

      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

      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!
      · 0 replies
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    • Alisa_S

      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

        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

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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