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Got my denial letter from BCBS today :(



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Thank you! and I just read your post and I am praying it all works out for you too!!!

Thanks as always for the support. I am looking forward to seeing your journey. Next up for you: a surgery date!!

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I have bcbs of Mississippi. I also have a herniated disc in my neck and have sacroiliac joint disfunction - besides all of these I also have a pseudo tumor cerebri- which steals my vision. I lost it for a week two years ago then regained it after an emergency brain surgery. I permanently lost my peripheral vision. The tumor thrives on weight.. After all of this and being referred by all of my specialist drs and having them send bcbs letters, bcbs has THE NERVE to say that in my position the sleeve is merely a cosmetic surgery and they weren't paying for it. Long story short, we paid out of pocket, and we are still fighting the insurance company

Hope you get approved!

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Oh my. I am sorry to hear that. I am glad you were still able to get the surgery. Maybe soon they will come to their senses and reimburse you if not for some of it

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Don't they even look at and read what is submitted??? Good luck!

Apparently not

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I received a denial for them too... I was really depressed, gave up my diet... Then I made the better desicion... Having my surgery in. mexico with dr Aceves... I feel great without 150 lbs in 8 mo.

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Kami63, do you have an update? Will the Dr do both or you at the same time?

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I am a band to revision patient. I'm in Chicago , I had band in 2008. I lost fifty pound but had complications. Bcbs said as long as the dr felt I needed it to be removed they will approve it. I had the surgery at one time. No denial and no records needed form the other hospital . I hope it works out well for you.

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Kami63, do you have an update? Will the Dr do both or you at the same time?

Yes! That is the plan anyway... I saw him and he actually said it was no problem to plan on it. So i am hoping to wake up from surgery Tuesday sleeved ;)

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Oh and I was approved for both by BCBS!!!!

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That's great! I'm so happy for you. Do you just love Dr Nick? I'm coming in behind you on the 16th.

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That's great! Did your surgery date move up to the 26th?!

Yes I love Dr Nick. He has been wonderful :D

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Thanks bscott92863 :) all went well today with psych! There are two parts the interview with te Dr. And the test that was 370 questions (whew!) Dr. Told me that I passed the interview portion and he will have the results of the test on Monday. Hope I passed he test ;)

just wondering a question I'm indecisive of the sleeve and the r an y... if so many people are getting the ban removed ... in the sleeve is new why not just do the r and y... what happens if the sleeve doesn't work like the ban... since the r and y has been out longer??? I'm thinking the sleeve is the way to go for me but just nervous..

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That's great! Did your surgery date move up to the 26th?!

Yes I love Dr Nick. He has been wonderful :D

No, it's the 16th. I didn't realize I typed the 26th. I edited it, don't want to jinx myself lol.

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just wondering a question I'm indecisive of the sleeve and the r an y... if so many people are getting the ban removed ... in the sleeve is new why not just do the r and y... what happens if the sleeve doesn't work like the ban... since the r and y has been out longer??? I'm thinking the sleeve is the way to go for me but just nervous..

It is simple for me. I don't want severe mal nutrition. I already have issues absorbing Vitamins.... Also it kinda freaks me out to have intestines rerouted. Lol

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It is simple for me. I don't want severe mal nutrition. I already have issues absorbing Vitamins.... Also it kinda freaks me out to have intestines rerouted. Lol

You have had it done already?

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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.
      · 0 replies
      1. This update has no replies.
    • 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.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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