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Okay i have a blue shield of california with a bmi of 36.4 ?

Mandyb2006

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Mandyb2006    2

Mandyb2006
Posted

Anyone with similar bmi and 5'8 get approved ? I have a ppo .. I go in for my consultation the 18th! I weight around 235-240... Did you have to do the 6 month eating plan??

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soocalchic    1,087

soocalchic
Posted

Anyone with similar bmi and 5'8 get approved ? I have a ppo .. I go in for my consultation the 18th! I weight around 235-240... Did you have to do the 6 month eating plan??

the requirements for BCBS are a BMI of 40 or 35 with two co morbidities ie sleep apnea, high blood pressure, hyperlypedimia good luck

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soocalchic    1,087

soocalchic
Posted

I would drink lots of Water and of course wear heavy shoes to the consultation and get on the scale with those bad boys on lol

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cccv4    85

cccv4
Posted

I think it all depends on what type of health concerns you've had. I also have Blue Shield, but granted, my BMI is way higher than yours. What I do know is that Blue Shield wants to make sure that there is documentation, as any other insurance company. I started complaining about knee problems, asthma problems, sleep apnea, Migraines, irregular cycle, etc. When it came down to submit this all for a lap band approval, I was approved very fast because all of the groundwork had already been taken care of. Start talking to your general doctor about health concerns that you have.

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darneka1    20

darneka1
Posted

I have blue cross blue shield...the at first asked for documentation even with me having a bmi of 40. However, I was able to prove arthritis and pre diabetes. Definitely contact your insurance and see what you need to get approved. Good luck!!

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Melodica    64

Melodica
Posted

I have Blueshield of California and they do require a 6 month supervised diet. They also require documented weight loss attempts, a psych eval and a nutritional eval.

Lots of hoops to jump through. That's why I decided to go self pay. Won't cost that much more and I don't have to deal with all that mess.

countrygrl1978 reacted to this

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tfarr    270

tfarr
Posted

I have bcbs anthem. They will approve for pre-diabetes??

I'm at the start about one month in to the process and my bmi is 39.1 and I'm one of those " healthy" fat people. Right? Lol

I had a sleep study and get the results on the 23rd. If that comes back as ok then I was told by the center my ins will not ok surgery.

But the weight that gets submitted is the final weight at the surgeons so I'm all confused

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Seela    1,187

Seela
Posted

I had anthem and no waiting period. Bmi over 40 or over 35 with 2 comorbidities. Your dr. Can help with those.

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Mandyb2006    2

Mandyb2006
Posted

I never go to the doc unless I'm really in pain! I've been living with foot pain leg pain for over a year! I also get chest pains that I haven't checked out at all ! It feels like something is pinching my boob lol

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Seela    1,187

Seela
Posted

I never go to the doc unless I'm really in pain! I've been living with foot pain leg pain for over a year! I also get chest pains that I haven't checked out at all ! It feels like something is pinching my boob lol

Those all count! Your surgeon will write it up all medical for the insurance. Good luck

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Seela    1,187

Seela
Posted

I did bootcamp maybe 2 years ago or three! Did a couple do I need to bring those?

Can't hurt

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Mandyb2006    2

Mandyb2006
Posted

I did bootcamp maybe 2 years ago or three! Did a couple do I need to bring those?

Can't hurt

That's reassuring ! I hope it works out I'm nervous !

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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

      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

      bellaamey

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

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