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BCBS- got my approval today!



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Oh! Sorry I mean surgery #1 was putting in the band so I only have two surgeries to go lol thanks and I will :)

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I had band removal, hernia repair and the sleeve all in one surgery and am so thankful because I was gaining weight with a slipped band!

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A slipped band? Ugh, I can't even imagine what kinds of trouble that was for you. So glad you were able to have everything repaired at the same time and you're well on the way to mending. I see that you have already lost 85 pounds... congratulations!!!!

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Liggleliggle it looks like you are doing great!

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Thanks!!! I was so happy to get the approval. My out of pocket is a little high (5050)' date=' with with the pre and post care support provided, it is well worth it![/quote']

Do you have a $5000 dr copay? I have BCBS TRS Active Care and am reading it will be a $5000 copay, $50 office visit, $150/day hospital stay, $150/outpatient test (endoscopy, stress test etc) plus 20% of surgery costs. This seems excessive to me, just wondering if you have the same?

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Do you have a 5000 dr copay? I have BCBS TRS Active Care and am reading it will be a 5000 copay' date=' 50 office visit, 150/day hospital stay, 150/outpatient test (endoscopy, stress test etc) plus 20% of surgery costs. This seems excessive to me, just wondering if you have the same?[/quote']

Mine is a 1200 deductible, 80/20 coverage with a $5050 annual out of pocket max. Since I know the procedure with everything will be high, I am counting on paying the $5050 out of pocket

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Do you have a 5000 dr copay? I have BCBS TRS Active Care and am reading it will be a 5000 copay' date=' 50 office visit, 150/day hospital stay, 150/outpatient test (endoscopy, stress test etc) plus 20% of surgery costs. This seems excessive to me, just wondering if you have the same?[/quote']

SarahLFiles,

I have the same insurance you do:BCBS TRS-active care 1-HD. We have a 5k deductible (which I met) and all the numbers sound like what they told us. It does seem like a lot of money, especially when we pay a little over $500 a month on coverage for my husband and I. I'll know more once I speak with the surgeons office. If it ends up being ridiculously expensive (out of pocket) I may end up going to Mexico!

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SarahLFiles' date='

I have the same insurance you do:BCBS TRS-active care 1-HD. We have a 5k deductible (which I met) and all the numbers sound like what they told us. It does seem like a lot of money, especially when we pay a little over 500 a month on coverage for my husband and I. I'll know more once I speak with the surgeons office. If it ends up being ridiculously expensive (out of pocket) I may end up going to Mexico![/quote']

We have TRS-Active Care2 and it's about $1080 a month for myself and hubs. I'm with you on going to Mx! I've been looking into that recently because I know this is going to be very $$.

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WOW! I thought our monthly health ins. is high.

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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
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    • 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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
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