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Insurance Approval Jitters

I have Florida BCBS. I have a BMI of 35-36 and hypertension. I have done the 3 months of appointments and it's time to submit to insurance. My Bariatric group seems confident everything is find but I am nervous. I know they do this all the time. Anyone have any encouragement?

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I'm so relieved to see this topic. I'm not sure if I have any advice, but maybe knowing that others are in the same boat can help alleviate some tension. I have completed all of my pre-op directives and am waiting for insurance approval. I have NC-BCBS. Part of me is sure that I will be approved, but there is always that nagging doubt until I actually get the word on a surgery date. The anticipation seems to be the worst, and I feel like I can easily conquer the things that most people feel they struggle with, if I can just know that everything is a go and it WILL happen.

At this point, I have to keep reminding myself that it's out of my hands. I have no control over my insurance approval, except for the prerequisites which I have already completed. I have done my part. So, I know that what I am dealing with is pure anticipation.

Telling someone to "hang in there" is so cliché and sounds so weak. However, when you think about it, right now that's all we can do. The insurance approval is out of our hands and at this point we have no control over the outcome. We have done our part. So maybe the best thing we can do now is focus on those things we do have control over and continue to do our best at being the healthiest we can possibly be right now.

I love that we have a forum to discuss these things! After what I've read, we're going to need each other....especially the first few weeks after surgery.

Is it bad that I'm already planning the clothes I'm going to buy once I loose the weight? I think my husband is dreading that. :rolleyes:

I'm doing the exact same!! I'm so excited

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Do you have your date yet or are you waiting with the rest of us?

I love that we have a forum to discuss these things! After what I've read, we're going to need each other....especially the first few weeks after surgery.

Is it bad that I'm already planning the clothes I'm going to buy once I loose the weight? I think my husband is dreading that. :rolleyes:



I'm doing the exact same!! I'm so excited


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Since you've all submitted your things in I have a question. Did you guys have to do a chest X-ray? I know all insurances are different but it seems like most people have to do one and it wasn't in my check list. I'm hoping my coordinator didn't miss that or something.

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The only thing I had to do was the 6 month diet which has been less than fun. I'm right on the cusp of being "morbidly obese" and so I was told that I had to loose a pound a month but not to go below a certain weight. I hit that weight, went below it, and had to eat to bounce back up. Now I'm 3 pounds more than I should be! I'm worried about that too.

To answer your question, I did not have to have the chest xray. My plan required the diet only.

The only thing I had to do was the 6 month diet which has been less than fun. I'm right on the cusp of being "morbidly obese" and so I was told that I had to loose a pound a month but not to go below a certain weight. I hit that weight, went below it, and had to eat to bounce back up. Now I'm 3 pounds more than I should be! I'm worried about that too.

To answer your question, I did not have to have the chest xray. My plan required the diet only.

Thank you. I thought it was only me lol

When I started I was like 41 bmi but now I'm at 39. I however was told that the first weight is the one that's counted and my surgeon encouraged me to lose and not gain over my starting weight. I ended up on my last weigh in too be 3 pounds heavy then the weigh in before it but still under my starting weight so I feel your worry lol.

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Since you've all submitted your things in I have a question. Did you guys have to do a chest X-ray? I know all insurances are different but it seems like most people have to do one and it wasn't in my check list. I'm hoping my coordinator didn't miss that or something.

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I didn't I was suppose to but my surgeon said I didn't need it because I'm young I'm 27

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Congrats!!

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So I just got off the phone with my surgeons office and I'm seriously not thrilled. So I have to see him and the nutritionist but they are scheduling a month put :( so my appointment is July 21st. Which makes me sad cause I was hoping this would all go faster. So they lady told me that once I see the Dr he will give me a number of pounds to lose while we wait for insurance. And honestly hate this and am so mad cause in my six months I've struggled to lose 20 lbs. My mom went through the same office back in January and they told her to lose 30, and I'm so worried that I won't be able to do it. She told me they won't schedule my surgery until I do hit that goal. Ugh I hate this its making my tummy hurt.

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:D Woo hoo! Congrats! Keep us informed and let us know what date you start your life over!

I just got the call !!! I was approved !!!!!


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@@Kyn13

So sorry to hear about the speed bump in your path to healthier living. Remember, the speed bump is there to get insurance approval so you do not have to pay the $40k+ it will take to have the surgery. (BTW - remind me of this if my surgery approval does not come through!!!)

KYN13 You can do this! You are a strong woman that is taking control of her life. Find pictures of healthy women and post them all over your house/room! Go online and find clothes you want to wear or an outfit that you want to fit into by next Spring. Dream about yourself at that weight!

Dream about going on a cruise or whatever vacation you want....and dream about yourself looking good on it! Use your dreams as a motivating factor and kick bottom. It's a few weeks. Get a calendar up on your wall and each day that you eat right and exercise put giant "X" on it.

I'm a Sales Coach...I know what I'm talking about here. You have to want this more than food. Visualization is a HUGE motivator.

Any other suggestions, folks?

Edited by tlyons72

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