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Approvals with BCBS Federal

rln52

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babbs2299    15

babbs2299
Posted

I'm in Hampton Roads, VA area. More specifically in Norfolk. Glad everything is going fairly smoothly for all. I agree, the insurance coordinator is what keeps the ball rolling. Mine seems to be on point and impressive. Did or is any of your docs requiring you to drop any weight or just suggesting you do?

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

@babb2299 that's right, I lived in Norfolk for undergrad. No my dr did not have me lose weight. Actually I have gained about 7lbs.

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babbs2299    15

babbs2299
Posted

I put on 5lbs this last month and you would have thought I committed a felony! They told me I needed to lose what I had gained cause of insurance, blah blah. They were none to pleased. Personally I think it's because I just ate big Breakfast. Lol!

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RDub    57

RDub
Posted

I gained a little weight during the 3 month supervised diet too...i think it was psychological, i have been on a medically supervised diet for years and this 3 months was just for show for the insurance company. I didnt do anything different during those 3 months. I was approved in less than 2 weeks no questions asked.

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babbs2299    15

babbs2299
Posted

Well I hope it's not an issue like they made it out to be. 5lbs on me is nothing, it's a meal and some Water. I'll told them the 5lb plus some would be gone next month when I weighed in. Then they told me not to lose to much. Craziness! I'm just ready to get approved and get on that table and get this done. Excited for this new "tool".

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RNYDawn    160

RNYDawn
Posted

Im sorry if this is addressed elsewhere but would someone walk me through their steps? Did you just call the surgeon's office for a first appointment and go from there?

I have BCBS fed and I'm so thankful!

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

@ here all the insurance guidelines. You could go ahead and consult with your PCP while starting with your surgeon your weigh history can come from any of your drs

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RNYDawn    160

RNYDawn
Posted

@ here all the insurance guidelines. You could go ahead and consult with your PCP while starting with your surgeon your weigh history can come from any of your drs

Thank you!

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fluffytofit    25

fluffytofit
Posted

Hey ladies...just wanted to post an update on where I'm at in this process.

August 14th- 1st Visit with Surgeons Office

September 20-2nd Visit with Surgeons Office, and 1st with Dietician

October 27th-3rd Visit with Surgeons Office, and 2nd with Dietician.

At my September appt, my surgeon's NP said they will submit to insurance after my next appt, which is tomorrow. I already had my psych eval, labs, EKG, and barium swallow done. My gallbladder was removed years ago, so I didn't need the ultrasound for that. I do have question though, and I've gotten varying answers. Does my first visit with the surgeon count? The bariatric coordinator said it did, but I read on here that some didn't. My best friend had hers submitted today, although she doesn't have FEP BLUE. It's getting real!!!

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

My 90 days was from the 1st Nutrition Appt. I saw her June 3, July 10 and August. Last weigh in was Sept 3. Then I was submitted.

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fluffytofit    25

fluffytofit
Posted

Should I expect to be seen again in November? What do you think about them submitting after tomorrow? She said they submit to insurance before patients are all done with their pre-reqs all the time.

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

My experience was I had to be finished with my requirements. Your doctors office may be different. I don't think you will have any issues!

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babbs2299    15

babbs2299
Posted

I just got insurance approval through BCBS (fed) yesterday. My surgery date is Nov. 9th. It took 2 days to approve it once everything was submitted by my surgeons office.

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SleeveandRNYchica    1,155

SleeveandRNYchica
Posted

I just got insurance approval through BCBS (fed) yesterday. My surgery date is Nov. 9th. It took 2 days to approve it once everything was submitted by my surgeons office.

Yeah!!! I am so happy for you!! Congratulations!!!!!

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

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      Hey everyone!
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    • LeighaTR

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      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
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    • Doughgurl

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      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
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      1. Phil Penn

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        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

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        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

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        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

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    • Doughgurl

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      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

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        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

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