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Anthem PPO INS



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Just getting started with the process. Have already had the seminar and have my first visit with my surgeon next week. What's the process like?

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Do you have Anthem Blue Cross/Blue Shield? That's what I have. I had to have the following:

- 6 months supervised weight loss program - my doctor just wrote a letter that I had been doing Weight Watchers under her care

- 2 visits with a psychiatrist

- 2 visits with a nutritionist

- sleep study

- Mammogram

- Pregnancy Test (mind you I'm 52 and can't get pregnant but they still made me do it)

- H pylori test

- Bone density scan

- EKG

- Blood work

- Chest X-Ray

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Yes that's what I have.

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I have Anthem PPO- I had to have 6 months of consecutive visits (So I was able to complete them in just over 4 months- I had one at the end of February, one in March, April, May, June, then one the very beginning of July, it did not have to be a full 183 days) that included medical supervision, nutritionist visits, and exercise counseling, and I had to be cleared by a psychologist. I also had to be medically cleared, but it was a very generic requirement- they did not require any specific tests (although my dr did).

Anthem seems to vary a lot, lot from plan to plan.

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I have Anthem blue cross PPO and jt varies depending on what the employer/group has purchased. I had to do much less than most it seems. No six month supervised diet (history of attempts was plenty).

I was under 45 when I had surgery too so I had to do fewer tests.

sleep study (only because I admitted I snored! No sleep apnea though)

Mammogram

General physical and blood work

Ekg

Psych evaluation

One nutrition appointment

I had it all done within 30 days.

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Do you have Anthem Blue Cross/Blue Shield? That's what I have. I had to have the following:

- 6 months supervised weight loss program - my doctor just wrote a letter that I had been doing Weight Watchers under her care

- 2 visits with a psychiatrist

- 2 visits with a nutritionist

- sleep study

- Mammogram

- Pregnancy Test (mind you I'm 52 and can't get pregnant but they still made me do it)

- H pylori test

- Bone density scan

- EKG

- Blood work

- Chest X-Ray

Lol they let me skip the pregnancy test as I have had my tubes tied and went into early menopause about a year and a half before surgery

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I had an ablation and my husband had a vasectomy and they still made me take a pregnancy test. I had to take one before and one right the morning of surgery. When I had my revision in June I had to have one the morning of surgery again. I thought it was rather funny. And menopause has been around since 2006.

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I had an ablation and my husband had a vasectomy and they still made me take a pregnancy test. I had to take one before and one right the morning of surgery. When I had my revision in June I had to have one the morning of surgery again. I thought it was rather funny. And menopause has been around since 2006.

That's just crazy LOL

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I have Anthem BCBS of OH and everything I read showed 6 months but the insurance person at my doc said it was 3 months and showed me the policy. Careful what you read online as I have heard so many different versions just hoping the insurance pro at my doc is correct - she says she double and triple checked....

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I live in De, I have BCBS Anthem. I had to do 3 months, twice a month with nutritionist, 1 psych eval, blood work, dr & cardiologist clearance, EGD, Pulmonaet test, chest x-ray. My EGD was scheduled for tomorrow but had to cancel since I forgot to stop my blood thinner & aspirin, i have 1 nutrition class left on Sat, & my pulmonary test on 10/15 then Inwill be done with all the requirements.

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Hey - congrats on taking on this new journey. I had to complete the following requirements

- 6 months supervised weight loss program - my doctor just wrote a letter that I had been doing Weight Watchers under her care

- 1 visit with a psychiatrist

- 2 visits with a nutritionist

- Barrium test (to see the shape of my throat and stomach)

- EKG

- Blood work

- Chest X-Ray

- Attend 2 surgery orientation classes (required by my dr office)

Tu 5/26

I had my initial visit with my surgeon to get the ball rolling to start surgery process.

W 5/27

First appt with nutritionist

Completed all labs and tests required. Took a total of 90 minutes for blood work, barrium test and chest x-ray - including wait time.

W 7/15

Second appt with nutritionist

M 7/20

Psych eval

T 9/1

Final visit with nutritionist

F 9/4

All documents were submitted to surgery scheduler to submit to insurance

Th 9/10

Submitted to insurance

F 9/18

Insurance approved surgery and booked surgery for 10/12/15

In preparation for surgery I have the following requirements

- Pre-op clearance from PCP

- Attend orientation with El Camino hospital intake nurse

- Attend nutrition class that goes over food, Vitamin, etc post surgery

- Pre-op with Dr. Khalil (surgeon)

- 2 week all liquid diet before surgery

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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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    • Doughgurl

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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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