Hello,

Does anyone know if BCBS requires 6 months or 180 days of monitoring before surgery?

TIA

~Sandy~

I have bcbs federal and it only requires 3 months... my doc slowed down the process tho but that's another story...

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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

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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?

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I'm in NYC and BCBS requires 6 month

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

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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!

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I will keep you posted.

BCBS of PN required 6 months, but once I met all of the requirements, it was approved within one week!

BCBS of Kansas does require six months

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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.

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November 2, 2016

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

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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!

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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.

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.

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?

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My BCBS requires 6 months of dietitian visits and I just had my endoscopy.

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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?

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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.

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.

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.

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.

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.

Also, search on this board BCBS requirements and see what others have said your insurance required for them, there can be some differences based on how your policy is set up versus someone else who has the same insurance. This can also help inform you. Once you see the bariatric surgeon of your choice they will tell you the requirements of your insurance to be approved. Sometime the insurance companies may tell you, sometimes they won't telling you that you must get that information from the bariatric surgeon.