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BMI 35 and insurance approved? ?



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I would like to know if anyone here has the same situation. I have 35.2 bmi, diabetes, hbp and gallstones. ...so I need to remove my gallblader too...Can anyone share experiences or advise please??!

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I have a bmi of 37 with hbp and high cholesterol and got approved. I'm with anthem blue cross.

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I have a bmi of 37 with hbp and high cholesterol and got approved. I'm with anthem blue cross.

Oh I have high chol too...I have Neighborhoodheath/Masshealth....

How are you???? And thanks for answer me :)

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Hi, I'm waiting for a surgery date because I was approved for RNY and it was supposed to be the sleeve so it had to be resubmitted to change the code. My dr's office doesn't set dates until everything is back approved. I'm hoping for an August date and my coordinator seems to think that wont be a problem. It was a first submission approval so hopefully you will get approved too. Where are you from?

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Hi' date=' I'm waiting for a surgery date because I was approved for RNY and it was supposed to be the sleeve so it had to be resubmitted to change the code. My dr's office doesn't set dates until everything is back approved. I'm hoping for an August date and my coordinator seems to think that wont be a problem. It was a first submission approval so hopefully you will get approved too. Where are you from?[/quote']

Any good news? ?

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Me! Bmi 35.6 hypertension and asthma. Bcbs *** blue option (NYS medicaid)

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Me! Bmi 35.6 hypertension and asthma. Bcbs *** blue option (NYS medicaid)

Yayyyyy!!

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Ready, I thought I'd give you an update! I'm sleeved!!!! Yay!! 5 days post op today and doing pretty well. Looking forward to full liquids next week. Heard anything from your insurance yet? Don't give up...

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I was a 35 BMI when I was approved for my lap band in '07 due to comorbidities. I am a 35 BMI this time and will be approved by my ins. due to comorbidities. I met my company's insurance criteria when I stepped on the scale at the surgeon's office between my weight and blood pressure. They require at BMI of 35 to 39.9 at least one comorbidity. They also require a 6 month medically supervised diet. The coordinator at Optum, who manages bariatric services for UHC, told me when your claim is reviewed for approval they use your starting weight. She also assured me if I lost weight and dropped below a BMI of 35 during the six month diet, I would not be disqualified from having surgery. I also have a prolapsed band, and am undergoing more tests currently to see if my claim can be submitted to ins. for approval early. I know I will be approved by my ins. co. it is just a matter of when it will occur.

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My insurance wouldn't even discus it. Not covered for any reason. I put it on a credit card. Don't know if ill live long enough to pay it off but now with the sleeve there's a better chance that I will!

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Btw I have many illnesses because of obesity. I'm 4'11" and weighed 200. I'm 62. Wanted the last 20 or so years to be healthier and happier.

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Ready' date=' I thought I'd give you an update! I'm sleeved!!!! Yay!! 5 days post op today and doing pretty well. Looking forward to full liquids next week. Heard anything from your insurance yet? Don't give up...[/quote']

So happy for you!!!! I had a gallblader surgery 3 days ago...now in 2 weeks I will have my last appointment with the surgeon, and maybe for sure I will get my date! !!

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Me! Bmi 35.6 hypertension and asthma. Bcbs *** blue option (NYS medicaid)

Good news???

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My BMI was 36.3 with high blood pressure and sleep apnea. I was approved by BCBS of TX. :-)

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My BMI was 36.3 with high blood pressure and sleep apnea. I was approved by BCBS of TX. :-)

Ohhh yes! Another approval! I'm very happy for you, I want to finish my journey! !!

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      1. Selina333

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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.
      · 1 reply
      1. 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

      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.
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