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all alone :( Arkansas

jaxmommy2012

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GBFree82    75

GBFree82
Posted

I went to college in Russellville before I moved to NWA. I'm getting sleeved by Dr. Roller in Fayetteville. Everything is in house there as far as nut and drs. And labs go. Good luck with wherever you go!

Russellville has grown quiet a bit since I left!

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Living4Me    51

Living4Me
Posted

Hey! I am pre-op in Arkansas. When are you attending the seminar? Dr. Baker is my surgeon and I would highly recommend him. I have worked in medical financial services for several years, and I will be happy to help you work through the red tape.

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jaxmommy2012    21

jaxmommy2012
Posted

Hey! I am pre-op in Arkansas. When are you attending the seminar? Dr. Baker is my surgeon and I would highly recommend him. I have worked in medical financial services for several years' date=' and I will be happy to help you work through the red tape.[/quote']

I went to a seminar in little rock with dr. Paul. Ive been a nervous mess about all the paperwork bc diff peope tell me diff things! i even heard 2 diff requirment lists from insurance ughhh

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411angela    107

411angela
Posted

I live in Arkansas but I'm having my surgery in Mexico. When I started considering the sleeve I called BCBS customer service and asked about the requirements for them to cover the surgery and they reviewed them with me. Federal BCBS raised their BMI requirements this year so I didn't qualify. I did some research and opted for Mexico. I'm scheduled for August 12th! Anyway, I'm on and off here if you want to chat!

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Athinnerme    26

Athinnerme
Posted

I live in Arkansas but I'm having my surgery in Mexico. When I started considering the sleeve I called BCBS customer service and asked about the requirements for them to cover the surgery and they reviewed them with me. Federal BCBS raised their BMI requirements this year so I didn't qualify. I did some research and opted for Mexico. I'm scheduled for August 12th! Anyway' date=' I'm on and off here if you want to chat![/quote']

What Dr. are you going with in Mexico? I know you're excited.

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jaxmommy2012    21

jaxmommy2012
Posted

I wish I could just self pay and go to Mexico. :( I just cant afford it. Im praying that my insurance covers. What was your BMI that you didn't qualify if you don't mind me asking?

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411angela    107

411angela
Posted

I wish I could just self pay and go to Mexico. :( I just cant afford it. Im praying that my insurance covers. What was your BMI that you didn't qualify if you don't mind me asking?

36. I can't remember what their requirement was now. I know they require the 6 month supervised diet and psych consult.

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Living4Me    51

Living4Me
Posted

I went to a seminar in little rock with dr. Paul. Ive been a nervous mess about all the paperwork bc diff peope tell me diff things! i even heard 2 diff requirment lists from insurance ughhh

Have you contacted the human resources rep at your husband's employer? They usually have a good contact at the insurance company that can provide the requirements. The most important thing is to get the requirements in writing, this will help you tremendously if insurance tries to deny for any reason.

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jaxmommy2012    21

jaxmommy2012
Posted

yea mine is hovering between 41 and 39.8. and when I called and asked about requirements, the woman told me they don't NEED the diet. which to me is a bit confusing because I thought it was black and white. I didn't know they could just drop things for certain people. ugh. anyway, im waiting for the surgeons office to get a REAL list so I can start on them.

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jaxmommy2012    21

jaxmommy2012
Posted

Have you contacted the human resources rep at your husband's employer? They usually have a good contact at the insurance company that can provide the requirements. The most important thing is to get the requirements in writing, this will help you tremendously if insurance tries to deny for any reason.

I actually haven't called hr. I didn't know they could help! where I stand now my issue is, if I have to do the 6 month diet, ill lose "too much" weight to get approved anyway. so im a little stressed about the whole thing. im taking one step at a time. the surgeons nurses were very sweet and said they would get the list faxed of what I need so I have it in writing. but anyone have any advice as to how to avoid losing enough to lose my chance of surgery, but not enough to be normal sized? ughhhhh lol what a mess

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411angela    107

411angela
Posted

How frustrating!! I'm sure your doc's office is used to working with the different insurance companies and know which hoops to jump through. I wish you the best!

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jaxmommy2012    21

jaxmommy2012
Posted

thank you! :)

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phenetra    26

phenetra
Posted

you are not alone, we are here to support yo

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jaxmommy2012    21

jaxmommy2012
Posted

Thank you :)

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    • ChunkCat

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      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

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        You look amazing!!! 😻 you have been killing it!

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