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Prior weight loss atempts?



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So my insurance bcbs federal, says I need to show 2 weight loss steps that were medically supervised with in a year of surgery. Help !!! What qualifies, I did phentermine but that was 15 months ago and only lost 4 lbs

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@@nmsugirl06 I have BCBS fed and all I had to do was list the diets I had tried. Do you have to do the 3 month supervised "diet" check in with the nutritionist once a month for 3?

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Weight watchers?

Why do insurance companies ask these questions? It's really so stupid. As if you would gain all this weight and never once try to diet and then say Let me have surgery!!!

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Yes I have done 2 of my nutritional visits out of 3. I'm doing a low carb low sugar ketogenic diet with moderate excercise since last month and have lost 1.7 lbs :(

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@@nmsugirl06 Will they count that as one? Thats so odd that they would want two supervised diets in one year from you. How many people actually do that? Most of us try to diet on our own. I never would have been approved if that were the case.

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I'm so confused I feel like my dr.s office doesn't care, no one wants to explain anything to me!! I'm.just so frustrated

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@@nmsugirl06 Have you called BCBS and asked them what your exact requirements are? If not you should defiantly do that. Most surgeons deal with multiple insurance companies so it's good to know your insurance process. Maybe that will help with your frustrations. Ask them all the questions you have. Make sure they clarify everything you need to know. I hope that helps.

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Hi nmsugirl06. I have bcbs federal basic, too. Here is a link to the brochure that will tell you exactly what your requirements are. http://www.fepblue.org/en/benefit-plans/benefit-plans-brochures-and-forms/#tab-brochures When you get to the web page, use the link to the "2015 Blue Cross and Blue Shield Service Benefit Plan Brochure", and go to page 63 of the pdf file. To be brief, I had to do a 3 month physician supervised diet, a psych evaluation, and only one visit with a licensed dietician. Also, the morbid obesity diagnosis for 2 yrs only required a copy of one of my doctor's notes (PCP) for 2012 and one for 2013 that showed my weight was in the range to classify me as morbidly obese. The rest of the requirements are pretty much self explanatory. Best of luck to you.

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@@EllieMae Same as mine. Only I chose to do my check-ins with a nutritionist instead of a DR.

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I'm seeing a nutritionist but she in the same office as my surgeon, my insurance states it can not be an associate of the surgeon

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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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