Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🎉 "1 per Day!" Bariatric Multivitamins

BCBS requirements

mommabear2311

Recommended Posts

gigiinDC    70

gigiinDC
Posted

I have federal BCBS and they required 4 months of dr. Supervised diet and exercise and 2 years of weight charts, but finally got my approval so my surgery date is October 11

Sent from my SCH-I605 using the BariatricPal App

That's so weird-- I have BCBS federal and only requires 3 months (not 4) supervised diet, psych eval, physical. They did not 2 years of weight charts prior to approval. .. maybe because I had a baby two years ago? Idk, but I did not have that requirement... I was approved in less than 12hours once my paperwork was submitted by my PC.

How did surgery go?

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

Racshelle    17

Racshelle
Posted

Omg I just called and I'M APPROVED!!!!

Sent from my SM-G900T using the BariatricPal App

Congratulations, glad to hear from you again, glad you are approved. I think the approval was last Friday. I called today and was told that I was approved. So glad. I have surgery on Wednesday I am doing GB because I have GERD, HBP, sleep Apnea, and borderline glucose levels, GB cures most people of all these problems. 60% for vanity, 40% about getting rid of all the co-morbidities I have. Do you have your surgery date yet?
No date yet. My surgeon is on vacation until next Monday so I will have a date by next Friday. Honestly I would do GB if I had any comobididies but the sleeve will have to do. Please let me know how you are after surgery when you are feeling up to it!

Sent from my SM-G900T using the BariatricPal App

I will keep you posted.

Share this post

Link to post
Share on other sites

Nana1222    159

Nana1222
Posted

I have bc bs of Iowa most have six months but mine approved me to just have one visit with dr because I have sleep apnea and high cholesterol. I had to have 1 cardio appt , two psych visits and one group session.

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

Racshelle    17

Racshelle
Posted

November 2, 2016

Omg I just called and I'M APPROVED!!!!

Sent from my SM-G900T using the BariatricPal App

Congratulations, glad to hear from you again, glad you are approved. I think the approval was last Friday. I called today and was told that I was approved. So glad. I have surgery on Wednesday I am doing GB because I have GERD, HBP, sleep Apnea, and borderline glucose levels, GB cures most people of all these problems. 60% for vanity, 40% about getting rid of all the co-morbidities I have. Do you have your surgery date yet?
No date yet. My surgeon is on vacation until next Monday so I will have a date by next Friday. Honestly I would do GB if I had any comobididies but the sleeve will have to do. Please let me know how you are after surgery when you are feeling up to it!

Sent from my SM-G900T using the BariatricPal App

I will keep you posted.

I had RNY surgery on October 26th I have not been in any pain at all. The only problems I had was feeling nauseated/queasy really more like motion sickness. I spent two days at the hospital feeling this way. Once I got home Friday October 28th, I was able to go to solve my nausea/sick queasy/motion sickness feeling, I am a nurse. I was able to get some real rest as well. I am very grateful for the opportunity to have the surgery paid for at 100% by my insurance company. I no longer have high blood pressure, GERD is dramatically improved no reflux, still a little coughing now and then, no sneezing as I was several times a day almost every day, due to hiatal hernia correction I no longer choke when drinking. sleep apnea, no longer tired throughout the day when I have decided it is time to get out of bed. Due to sickness and lack of sleep being awakened every two hours to walk even while telling the nurses I was sick, I have spent most of my time resting this week and trying to eat and stay hydrated. I plan next week as I am stabilizing now to begin my exercise to get my weight loss going quicker. Still a little tired, a little woosy when walking and a little spacey sometimes when talkiing but no pain at all and not taking any medicine as of today and still doing good. I do understand why after surgery it takes a little more time to come back and post experiences. My post-op is November 8th, hope I can show some numerical weight loss, thank goodness I voted early.

Share this post

Link to post
Share on other sites

Racshelle    17

Racshelle
Posted

November 2, 2016

Omg I just called and I'M APPROVED!!!!

Sent from my SM-G900T using the BariatricPal App

Congratulations, glad to hear from you again, glad you are approved. I think the approval was last Friday. I called today and was told that I was approved. So glad. I have surgery on Wednesday I am doing GB because I have GERD, HBP, sleep Apnea, and borderline glucose levels, GB cures most people of all these problems. 60% for vanity, 40% about getting rid of all the co-morbidities I have. Do you have your surgery date yet?
No date yet. My surgeon is on vacation until next Monday so I will have a date by next Friday. Honestly I would do GB if I had any comobididies but the sleeve will have to do. Please let me know how you are after surgery when you are feeling up to it!

Sent from my SM-G900T using the BariatricPal App

I will keep you posted.

I had RNY surgery on October 26th I have not been in any pain at all. The only problems I had was feeling nauseated/queasy really more like motion sickness. I spent two days at the hospital feeling this way. Once I got home Friday October 28th, I was able to go to solve my nausea/sick queasy/motion sickness feeling, I am a nurse. I was able to get some real rest as well. I am very grateful for the opportunity to have the surgery paid for at 100% by my insurance company. I no longer have high blood pressure, GERD is dramatically improved no reflux, still a little coughing now and then, no sneezing as I was several times a day almost every day, due to hiatal hernia correction I no longer choke when drinking. sleep apnea, no longer tired throughout the day when I have decided it is time to get out of bed. Due to sickness and lack of sleep being awakened every two hours to walk even while telling the nurses I was sick, I have spent most of my time resting this week and trying to eat and stay hydrated. I plan next week as I am stabilizing now to begin my exercise to get my weight loss going quicker. Still a little tired, a little woosy when walking and a little spacey sometimes when talkiing but no pain at all and not taking any medicine as of today and still doing good. I do understand why after surgery it takes a little more time to come back and post experiences. My post-op is November 8th, hope I can show some numerical weight loss, thank goodness I voted early.

oh, I never took one drop of pain medicine and did not have my prescription for oxycodone filled. I had a great surgeon and I have a high tolerance for necessary pain.

Share this post

Link to post
Share on other sites

PNWsleever    44

PNWsleever
Posted

November 2, 2016

Omg I just called and I'M APPROVED!!!!

Sent from my SM-G900T using the BariatricPal App

Congratulations, glad to hear from you again, glad you are approved. I think the approval was last Friday. I called today and was told that I was approved. So glad. I have surgery on Wednesday I am doing GB because I have GERD, HBP, sleep Apnea, and borderline glucose levels, GB cures most people of all these problems. 60% for vanity, 40% about getting rid of all the co-morbidities I have. Do you have your surgery date yet?
No date yet. My surgeon is on vacation until next Monday so I will have a date by next Friday. Honestly I would do GB if I had any comobididies but the sleeve will have to do. Please let me know how you are after surgery when you are feeling up to it!

Sent from my SM-G900T using the BariatricPal App

I will keep you posted.

I had RNY surgery on October 26th I have not been in any pain at all. The only problems I had was feeling nauseated/queasy really more like motion sickness. I spent two days at the hospital feeling this way. Once I got home Friday October 28th, I was able to go to solve my nausea/sick queasy/motion sickness feeling, I am a nurse. I was able to get some real rest as well. I am very grateful for the opportunity to have the surgery paid for at 100% by my insurance company. I no longer have high blood pressure, GERD is dramatically improved no reflux, still a little coughing now and then, no sneezing as I was several times a day almost every day, due to hiatal hernia correction I no longer choke when drinking. sleep apnea, no longer tired throughout the day when I have decided it is time to get out of bed. Due to sickness and lack of sleep being awakened every two hours to walk even while telling the nurses I was sick, I have spent most of my time resting this week and trying to eat and stay hydrated. I plan next week as I am stabilizing now to begin my exercise to get my weight loss going quicker. Still a little tired, a little woosy when walking and a little spacey sometimes when talkiing but no pain at all and not taking any medicine as of today and still doing good. I do understand why after surgery it takes a little more time to come back and post experiences. My post-op is November 8th, hope I can show some numerical weight loss, thank goodness I voted early.

oh, I never took one drop of pain medicine and did not have my prescription for oxycodone filled. I had a great surgeon and I have a high tolerance for necessary pain.
So great to hear that you are doing well! I was definitely praying for you to have a smooth recovery. Im still waiting to find out my surgery date. I should know one day this week. Are you having any issues getting enough liquids?

Sent from my SM-G900T using the BariatricPal App

Share this post

Link to post
Share on other sites

Racshelle    17

Racshelle
Posted

oh, I never took one drop of pain medicine and did not have my prescription for oxycodone filled. I had a great surgeon and I have a high tolerance for necessary pain.
So great to hear that you are doing well! I was definitely praying for you to have a smooth recovery. Im still waiting to find out my surgery date. I should know one day this week. Are you having any issues getting enough liquids?

Sent from my SM-G900T using the BariatricPal App

Thank you for your prayers they were and still are needed. I will be glad when you have your surgery date soon. No issues with liquids just really do not want to sip, sip, sip or eat really. I average 4 - 6 cups of Fluid per day and that is only because I make myself drink, I don't feel thirsty, nor hungry. the 1/2 cup of Water to 1/2 of apple juice or allowed fruit juice is sad, especially when the juice is already unsweetened.... I am doing well with the wait of 30 minutes after meals to drink though.

Share this post

Link to post
Share on other sites

kell911    62

kell911
Posted

Hello all,

I have a few questions. My insurance is changing to BCBSFED, with my husband working at the hospital on base. Where do I start the process and who should I contact first? I feel a little lost with the information. Help please.

Share this post

Link to post
Share on other sites

Racshelle    17

Racshelle
Posted

Hello all,

I have a few questions. My insurance is changing to BCBSFED, with my husband working at the hospital on base. Where do I start the process and who should I contact first? I feel a little lost with the information. Help please.

first see your primary care physician, most all insurance companies require a letter from your PCP to write a letter of medical necessity and medical clearance referring you to a bariatric surgeon. It will be a good idea to write your own and take it to the PCP as most do not know how to write the letter. Search sample letters of medical necessity for bariatric surgery emory healthcare. It should provide you a search result from emory healthcare that offers sample letters of medical necessity that you can tailor to your needs. I did and was approved on my first submission and had my RNY surgery on October 26, 2016. Hope this helps I will be glad to offer you any other information that I can.

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • vsg.with.sharon

      vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      LeighaTR

      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?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      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. 💜
      · 3 replies
      1. Phil Penn

        Phil Penn

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

      2. Selina333

        Selina333

        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!

      3. Doughgurl

        Doughgurl

        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

      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!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      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

        Doughgurl

        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. 💜

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×