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First Visit 14th and got paperwork today.. Confused.



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Hi ! Last week the office called and said they verified with insurance and my first appt is Monday 14th to see the doctor and psychologist. I've been trying to find what my insurance requires for approval and am having no luck. Today I got in the mail a benefits summary but it still doesn't show requirements etc? It also had included a paper for me to approve the office to discuss with them anything with my insurance etc. anyone else ?

I have anthem BCBS

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Look for a clinical bulletin published by BCBS that should tell you all the requirements.

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What state is your bcbs policy through? I have bcbs il and the medical policy is on line. You should be able to call customer service and ask what is the criteria for the procedure to be a covered benefit.

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Ohio

I got a summary sent to me by them but it doesn't show anything but that it's covered and my out of pocket.

I went online and see nothing on my page at all.

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Sounds like they sent you your benefits. It may be that your plan doesn't have any specific requirements. That's good. However, anthem has a medical policy which most likely has specific requirements. I would call back and ask about that ask to speak with a supervisor of you aren't getting you questions answered with detail. Your doctors office may also have experience working with them and might know the medical policy, you could ask the surgery coordinator.

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Thank you! I have my first appt on Monday I made myself a folder with my history, med list, allergies, extra copies of things and my ID insurance etc. trying to be prepared .. I wanted to have a list of requirements etc. so I guess I need patience and wait till Monday lol. The folder I created !

post-287154-1457793384931_thumb.jpg

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Also plan to add a section for daily food log ,,, and even a diary section for good moments frustrated moments etc.

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I love your binder!

I wouldn't worry about it too much. Your practice should have a min insurance coordinator who may be familiar with your requirements or be able to find out for you.

Best of luck!

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Awesome binder. You seem very prepared!

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I found this online... But it's weird to me that my friend has bcbs and her requirements were not like this so maybe different for each company or something?

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post-287154-14578134132137_thumb.jpg

Found this but strange my friend has bcbs and didn't go thru half this... So who knows. I assume I need the 6 months and my pcp didn't send me there so I'm hoping they follow thru with me and the recommendation?

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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.
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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.
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      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.

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