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Hi everyone

I have Fed BCBS

In 2015 my BMI was 37-38

No comorbidities 2015

2016 BMI 42 sleep apnea

Planning to have sergury in February or March 2017.

I scared I'm not going to be approved because of low BMI 2015. Help

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My BMI was 38 in my history, they actually submitted 1 weight for each of the 5 years and my most recent BMI was 40. Approved 14 days after submission! Good luck.

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I don't have anything to add, but I have FEP Blue Basic and had my surgery in October. The process was fairly smooth, and I got my approval back in a very short time. I didn't have to prove anything with food logs or my gym membership. Best of luck to all of you.

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I found weights in a file but they are slightly under the 35 bmi, I have 3 comorbidities that I am linking into this with my bmi of 36.6. My Dr agrees that the surgery will be beneficial and I should move forward. I nervous that the insurance won't go for it because of the other numbers.

Anything under 35 BMI do not send to insurance their guidelines are exact with no wavering, whatever you do going forward do not let your BMI drop under 35. You get weighed prior to surgery.

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Hi everyone

I have Fed BCBS

In 2015 my BMI was 37-38

No comorbidities 2015

2016 BMI 42 sleep apnea

Planning to have sergury in February or March 2017.

I scared I'm not going to be approved because of low BMI 2015. Help

Sent from my SM-J700T using the BariatricPal App

As long as you don't fall under 35BMI ur ok. Read your policy it's in there. Don't be scared. As long as you follow the guidelines your ok. Good Luck!

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I am going through the process now . 1 yr food log and gym membership ? Are those required ? Everything else looks good. My Dr is requesting endoscopy / upper GI .

I am planning to get the sleeved.

Hopefully around March or April 2017

What about Short term Disability insurance / FMLA ?

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Gym membership I can tell you is not sufficient, ur food logs will ok if it's medically supervised by a dietitian. Someone posted the requirements for 2017, read that to be certain exactly what you need.

Happy Journey!

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I got a from the lady at the hospital yesterday to let me know she will be summit my paperwork to Fed BCBS today for approval. It's usually takes 15 days to here from back them. Wish me luck.

She said if everything go as planned I will have my sergury mid February.

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I think the hardest one for me was to show I failed at weight loss in the year leading up to my meeting with the surgeon as they wanted consecutive weigh in with my pcp who had me on phentermine. I was traveling a lot a skipped a month weigh in over six months. I provided my airline ticket, etc. When all was said and done it took bcbs fep 2 days to approve me.

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When everything was done ans you were approved, how much did you pay out of pocket for the procedure? Anyone?

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I got a from the lady at the hospital yesterday to let me know she will be summit my paperwork to Fed BCBS today for approval. It's usually takes 15 days to here from back them. Wish me luck.

She said if everything go as planned I will have my sergury mid February.

How did things turn out? Are you in NoVA? It sounds like you're about 5 weeks ahead of me in the process.

My surgeon's office hasn't asked for that much information from me yet they keep assuring me they have it under control...I'm struggling to believe this is as important to them as it is to me.

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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.
      · 0 replies
      1. This update has no replies.
    • 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.
      · 1 reply
      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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