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And we wait...for approval (BlueCross BlueShield PPO)!



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Im nervously awaiting a phone from my Dr's office regarding approval for surgery. This has been a very long 6 months. During this time I switched insurance so that adds a little extra worry. But I know God will give me the desires of my heart. So I'll wait and pray that I hear something soon. I would love to have surgery before the end of the year, but many have told me there's no way that would happen. I heard some dr's require a 2 week pre-op liquid diet and others said just 2 days pre-op liquid diet.

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I have BlueCross BlueShield and was notified I was approved via a letter and a call from my WLS coordinator. Good Luck

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My surgeons office submitted to BC/BS PPO for approval on Thursday (probably early Friday as my final visit of the 6 month supervised diet was at 4:00 PM). I called the following Monday to check and found out I was approved and I was. The surgeons office called Tuesday to see if I could be ready for the procedure the following Monday. OMG!!! My surgeon only had me on Clear liquids the day before since I was just getting sleeved and not bypass. From the moment I was approved everything has gone so fast and fallen right into place. 5 1/2 weeks later and I am down 28 pounds from my highest weight. Good Luck!

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I have BCBS as well and they waited the full 30 days to approve me. So frustrating!

I will be contacting the coordinator in the morning.... hoping for surgery before the months end.

My surgeon requires a two day Clear Liquids only diet.

Good Luck!!

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I had to wait almost 30 days with BCBS as well. But they are pretty good if you meet their criteria. Call them to check too.

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Here is my BCBS story: I really wanted my surgery pre-Christmas as my work has 2 weeks off at holiday time. Mentioned that several times to office coordinator so she said she would submit as soon as possible. My doctor's office submitted on Nov 21. I didn't hear anything for a few weeks so finally called BCBS myself and found out that they had approved it on the 24th, but the computer showed it hadn't been faxed/mailed yet to doctor/myself. So called doctor, said yada, yada, and she said, well, we haven't heard anything and I said well maybe you can call. She said I'll tell my assistant to check on Monday. So Monday came and went, and trying to be patient, but finally last Friday rolled around, and I called BCBS again, and STILL they had not sent it!! So I told THAT lady to send a message to the pre-determination department that day, to tell them I want that thing FAXED that day. She said she would. Then called doctors office to tell them it was coming..............we'll see. Anyway, during all this time waiting, my doc has filled up all his pre-Christmas time slots. So it will be early January. I told office that if a cancellation came up to let me know - I'm following the pre-op diet now anway, just in case.

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I have a date......DECEMBER 29TH!!!! My last dr's apt for my 6 month required diet was Dec 10th, was approved by insurance on Dec. 15th. Thanks BCBS for the quick turn around.

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Hello Ladies and Gentlemen,

Congratulations to everyone losing weight and keeping it off. I'm here to keep you aware of your insurance.

In 2009 a client of mine had the bypass surgery and was charged 120k. BC Anthem in California, paid 1,000 and said the rest was patient responsibility. She has a PPO plan and was approved. But because the best doctor she could find was out of network BC refused to pay the bill. She contacted us at networkpluscollections@gmail.com or at 424-226-6217 and BC paid the fair amount of the claim AND she was lift was no responsibility. If your PPO plan decides not to pay please contact us and get the best representation. Thank you for your time,

Kendra Harris

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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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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