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Frustrated today. Found out that BCBS of Illinois is requiring me to have a 6 month supervised diet. Was hoping to have the surgery this year but looks like it's got going to happen. My deductible is going to restart and I won't be able to afford the out of pocket until after tax time next year. Just wanna give up at this point and say heck with it. Guess it just isn't meant to be.

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don't give up, even if you have to pay something out of pocket most places will work with you and at least give you a payment plan

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Do you have any doctor you have been working with who might be so kind to put something about your weight in writing? It's worth a shot... I have BCBS in NY but was worth with a doctor on weight loss prior to deciding to go for the surgery... It's very frustrating and there is no research to support the six months diet has any impact on your success with the surgery.

"We can't solve problems by using the same kind of thinking we used when we created them"

Einstein

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My family physician can't get me in until the 22nd. And then when I called the surgeon's office I was told we will have to wait for insurance approval.

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isn't meant to be.

@@rgme1983

you are being delayed for 6 months :angry:

what's 6 months out of a lifetime??

"maybe" somehow things can work out to have surgery before new year

otherwise waiting til tax time - got to do what you gotta do

having WLS IS worth the wait!!!

"God Grant Me Patience Just Hurry Up About It"!!!!!!

stay strong

good luck

kathy

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Here is a quick frustrated update... after many phone calls to the surgeon's office and to my insurance they found out it was as error inn the surgeon's office and I do not have to have a 6 month supervised diet. No diet required!!! Things are back on track and no more stressing. Going for a 5-6 hour visit to get all kinds of tests done August 9th... new me here I come!!!!

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Don't give up!!! I would also question this requirement and ask for it in writing. I was initially told this and then told it wasn't required.

I took your advice and hounded them until everyone was on the same page. Thank you for the words of encouragement!

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Good job on fighting for it. I have BCBS IL and don't have a 6month wait, nothing. So was surprised that you were facing this. Glad you got it all squared away. Good luck!

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Good job on fighting for it. I have BCBS IL and don't have a 6month wait, nothing. So was surprised that you were facing this. Glad you got it all squared away. Good luck!

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Thank you and good luck to you as well.

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I'm glad to hear that it all worked out for you. I have BCBS of TX, and I was told the same thing about having a diet waiting period whereas my doctor's office said that it was NOT a requirement on my policy. The funny thing about it, is that the insurance rep that I spoke to over the phone said that they do require a diet waiting period, and she also gave me the surgical procedure code under which all of the requirements for any WLS is listed, and low and behold, it states NOTHING about having to have a medically supervised diet regimen of any kind or for any time period! It just goes to show you that sometimes even the insurance personnel themselves don't know what's what. I reaffirmed this with my patient advocate, and she said that BCBS is one of the few insurances that does not require any diet waiting period; which I was very surprised to hear, especially since most of the people here have stated that it is a requirement for them. Hang in there!:).I do not have a scheduled surgery date yet, but it will be happening very shortly. All that I have next to do is the endoscopy, and then the pre-op diet. I believe it will happen sometime in early July.

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I'm glad to hear that it all worked out for you. I have BCBS of TX, and I was told the same thing about having a diet waiting period whereas my doctor's office said that it was NOT a requirement on my policy. The funny thing about it, is that the insurance rep that I spoke to over the phone said that they do require a diet waiting period, and she also gave me the surgical procedure code under which all of the requirements for any WLS is listed, and low and behold, it states NOTHING about having to have a medically supervised diet regimen of any kind or for any time period! It just goes to show you that sometimes even the insurance personnel themselves don't know what's what. I reaffirmed this with my patient advocate, and she said that BCBS is one of the few insurances that does not require any diet waiting period; which I was very surprised to hear, especially since most of the people here have stated that it is a requirement for them. Hang in there!:).I do not have a scheduled surgery date yet, but it will be happening very shortly. All that I have next to do is the endoscopy, and then the pre-op diet. I believe it will happen sometime in early July.

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Good luck and well wishes!! A lady I work with is seeing the same doctor and they scheduled her scope within 2 weeks of her initial and said she will be starting her two week after the scope. It is happening all so fast and I am thrilled I decided to take this journey. I have been overweight all my life and I am just tired of being tired and hurting and now there is light at the end of the tunnell and I see a bright future ahead. I am so happy to have people to share my journey with and with people who have the same problems as me. Keep me posted mama!!

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Well, I finally got my surgery date scheduled...it will be August 8th. All that I have left to do before then is my pre-op nutritional counseling, pre-op blood work/EKG, and the two weeks pre-op diet. It's getting down to the wire....nervous but excited! How are things going for you?

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Edited by Hotmama@48

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