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On track for November Surgery

Anyone else with me?

I'm still in the early stages, as I still have 5 more PCP visits as well as my preop testing, but things will definitely start accelerating next week as those tests begin.

I'm excited about what lies ahead, but a little nervous as well. My BMI is flirting with 40, and I do have comorbidities, but I'm afraid of insurance rejection. Still, though, I'm going to push forward and see what happens. I have big plans for myself post-surgery and can't wait to see where I am a year from now!

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I'll be in November/early December as well! Rny for me I think

Good luck to you also ...we all can keep each other inform on our out come : ) today I'm going for my frist six-month appointment with my surgeons office and go over all my test results. Five more to go !

Good luck to you also ...we all can keep each other inform on our out come : ) today I'm going for my frist six-month appointment with my surgeons office and go over all my test results. Five more to go !

Hey guys : ) good news .... at my appointment today with my surgeons office they informed me that I'm not waiting until my last six-month appointment which was going to be in December to have my surgery. ... BCBS of NC is sending out their new requirements for this year we should have received them in January for our state but they delayed it until July 15 2014 ..They are waving the six-month requirements wait for surgery here Yay Yeah Yahoo..what a great day and news for NC beginners for rny God Bless : )

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Good luck to you also ...we all can keep each other inform on our out come : ) today I'm going for my frist six-month appointment with my surgeons office and go over all my test results. Five more to go !

Hey guys : ) good news .... at my appointment today with my surgeons office they informed me that I'm not waiting until my last six-month appointment which was going to be in December to have my surgery. ... BCBS of NC is sending out their new requirements for this year we should have received them in January for our state but they delayed it until July 15 2014 ..They are waving the six-month requirements wait for surgery here Yay Yeah Yahoo..what a great day and news for NC beginners for rny God Bless : )

I too am in NC and have BCBS, but have not heard this and tomorrow is my 3rd appointment with my PCP? Who is your surgeon, @@lucky2014?? So you're saying effective July 15, the 6 month PCP/diet visits aren't required anymore?

I too am in NC and have BCBS, but have not heard this and tomorrow is my 3rd appointment with my PCP? Who is your surgeon, @@lucky2014?? So you're saying effective July 15, the 6 month PCP/diet visits aren't required anymore?

Yes .... duke told me bcbs new requirements comes out on the 15 of July

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@@lucky2014, wow that's interesting. I emailed my case worker last night because I have not heard this! If true that's wonderful because it moves me up from October/November to August/September!

@@lucky2014, wow that's interesting. I emailed my case worker last night because I have not heard this! If true that's wonderful because it moves me up from October/November to August/September!

Let me know what they tell you ok ...who's your Dr ? Erica told me when i went in for my appointment I do my six-month requirements with my surgeons office

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Dr Enochs in Cary. They told me in a response today that the BCBS of NC requirements are changing, but they don't have the criteria material yet so they'll let me know. I had my 3rd PCP visit today, only 3 more!

What 6 months are you having to do with your surgeon??

Dr Enochs in Cary. They told me in a response today that the BCBS of NC requirements are changing, but they don't have the criteria material yet so they'll let me know. I had my 3rd PCP visit today, only 3 more!

What 6 months are you having to do with your surgeon??

Yes that's the six-month requirements wait before surgery. I have to do a weight check and a bmi check every month ....thats why she told me I didn't have to wait until December on july15 they will start calling patients and letting them know the updates requirement or it will be posted on bcbs websites

Yes that's the six-month requirements wait before surgery. I have to do a weight check and a bmi check every month ....thats why she told me I didn't have to wait until December on july15 they will start calling patients and letting them know the updates requirement or it will be posted on bcbs websites

I have my hope's and prayers for the change for us ... : )

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So instead of PCP visits,you'll just do visits with the surgeon?

So instead of PCP visits,you'll just do visits with the surgeon?

Yes well it turned out my normal pcp didn't want to do them so she advised me to do them with the surgeons office and I called bcbs to ask them if it was ok ...they said that it was perfect cause everything would be in order without any mistakes made

Edited by lucky2014

  • Author

So this is the quote I found under the revisions section of the Policy for Surgery for Morbid Obesity section of BCBS NC dated 7-15-2014: "Requirement that patient be an active participant in non-surgical weight reduction program for at least 6 months prior to surgery removed."

How exciting is that. If that means I don't have to finish out my PCP visits, then I'm on track to finish my pre-op tests and submit to the insurance sometime in August or early September.

So this is the quote I found under the revisions section of the Policy for Surgery for Morbid Obesity section of BCBS NC dated 7-15-2014: "Requirement that patient be an active participant in non-surgical weight reduction program for at least 6 months prior to surgery removed."

How exciting is that. If that means I don't have to finish out my PCP visits, then I'm on track to finish my pre-op tests and submit to the insurance sometime in August or early September.

I haven't talk to duke today...Im hoping things went as they had expected... That would be great for everyone : )

  • Author

I haven't talk to duke today...Im hoping things went as they had expected... That would be great for everyone : )

What do you need done to finish them ?

I have a visit with the gastroenterologist on July 22nd and visits for the psych eval and nutritionist on August 12. So hopefully mid to late August I'll have them wrapped up and will be ready to submit to insurance.

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