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BCBS AL Insurance setback



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Frustrated doesn't even begin to describe how I'm feeling right now. I got a call from my surgeons office, saying that they didn't have November's weigh in of my 6 month visits. Well I was going for my weigh ins at the end of every month and it fell on thanksgiving and my dr's office was closed, so I didnt get to see them til 12/2 and I continued like normal at the end of December. Surgeon's office says that insurance will deny me and I almost start crying because if thats the case this would be my third time having to start over because something hasnt been done right. I called BCBS AL and they told me that they couldnt give me the answer I needed because there is such strict guide lines to follow but because it was within a week of time of where I usually do my weigh ins that they suggested I still have it submitted and that my primary write a letter stating that it was holidays and they were closed and that was the first available app they had.

I'm so upset because now Idk whether it's going to be approved or not. Has anyone been in a similar situation??

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if you did not have a weigh in during November it will be like you skipped a month. That happened to me as well and yes I had to start over because i had a weigh in at the begining of the montha and at the end of the month. They require on e weight each month. I hope you call the insurance and explain it to them and they work with you. GOOD LUCK

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Find out if the dr can appeal that decision my dr n I were speaking about it because of the referrals of my insurance good luck hope all comes out well for u

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My BCBS only required 3 months of weigh-ins, but mine is through the Fed employee coverage...I did all mine, 2/22/16, 3/21/16, and 4/22/16...no probs with approval. Am hoping you have the same outcome, best of luck!

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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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    • KimBaxleyWilson

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