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I'm approved! BCBS IL



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My info was submitted to insurance last Wednesday. I called my insurance today to make sure they got it and they told me it was reviewed and approved today!!! ???????????????? they said a letter would go out to my doc office and a copy to me. I went ahead and called my True Results insurance advocate today to let her know. Hopefully I will know something this week.

It's getting real now!!! Woohoo ☺️

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Yay! Great news!

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I just found out I was approved by my insurance today! So exciting! It does suddenly feel real, but after all these months of hoops I'm so ready for it!!

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My BMI is 40 and I have mild sleep apnea.

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Congrats, I'm just beginning to do some research on weight loss surgery. My understanding was that if you have sleep apnea you don't qualify for surgery. Could someone explain that to me, thanks.

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@cecilialee220 My BMI is 43, no comorbidity requirement for insurance.

Do you mind me asking what your bmi was and did you have any comorbities?

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I think you can have sleep apnea, but it has to be diagnosed and being treated with CPAP for then to do surgery. I have a friend who had to bring her machine with her when she had her surgery.

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My insurance was if BMI >40 you qualified with no comorbidities. If >35 but less < 40 you needed to have comorbidities. These included HTN, DM, OSA, heart disease etc

Edited by vanessak8

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My daughter was approved, two days after submitting the forms! Now we are waiting for a hard copy of the approval before they will move things along at the dr office, ugh!!

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This is great news to hear! I have BCBS IL and spoke with CS rep to go over my benefits. She was really helpful and even directed me to BCBS site to read the requirements. And now you confirmed it- BMI>40 qualifies me with no comorbities.

Did you have to get your PCP to sign off or was your Surgeon recommendation suffient? Along with psych eval and netting with Dietician - what else did you have to do?

So happy for you!

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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
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