Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.

BCBS TX - Approved

I am so excited!!! I was approved after one week. I have BCBS Texas TRS Activecare. It took about three months to gather my 5 year medical history and complete the 6 month diet. The insurance coordinator at my surgeon's office would not submit anything to BCBS until everything the ins. co. required was collected. She submitted everything on a Monday and by the following Monday I was approved.

I was really worried because my bmi is 37 and i have boarderline comordities and pcos but I guess it was enough for BCBS. Anyway, I just wanted to say that having this disussion site really helped my nerves. Good luck to everyone!

  • Replies 22
  • Views 2.9k
  • Created
  • Last Reply

Top Posters In This Topic

Featured Replies

  • Author

No surgery date yet, have a consult with the surgeon next week. I'm hoping to have surgery around Thanksgiving or Christmas so I don't have to take extra time off of work. Good luck to you on your 6 month diet.

Sandahlia, congrats!!

I'm BCBS TX myself, and I'm wondering what you used for your 6 mos. diet requirement? That's the part I'm nervous about, I'm not sure exactly what documentation I'm going to need.

Thanks, and again-what exciting news for you!:clap2:

  • Author

LauraD, i followed a six month doctor supervised diet, basically a reduced calorie diet. I went to my doctor once a month for six months. The doctor took notes that I was following diet program, recorded my weight and measurements. I lost a few pounds at first and then regained (no big surprise.) BCBS goes by the bmi you are at when you start the diet program. Hope this info. helps.

  • Author

I have my surgery date...November 8th! I'm happy, excited and nervous. I'm just ready to lose the weight and keep it off, finally, I'll have something in place to help me.

  • 4 weeks later...

How are you doing?!! Welcome to the Band.

  • Author

I had my surgery on Nov. 8th. It went really well, just getting adjusted to the band. I haven't had any problems so far, a little heart burn but no vomiting. Have lost 15 lbs. so far, I know it's just water but it sure helps with motivation. Thanks for asking!

Good for you!!:clap2:

Did the doctor take carre of the polyps?

Are you doing a liquid diet?

When is your first fill?

What was your BMI for the past five years. I ask because we have the same insurance. BCBS trs PPO.

Please keep in contact with me to let me know how your doig.

My Diagnostic appointment is Monday.

Happy Thanksgiving!!!

  • Author

The doctor did a biopsy of the polyps and everything turned out normal. I had to do the liquid diet the day before surgery and then about a week after. I called the doctor and he let me do the liquid for only one week instead of two weeks because I was so hungry. I did soft diet for one week and now i'm on to solids.

I will have my first fill in about a week and half. My doctor determined that I needed my first fill two weeks early (they usually wait 6 weeks but i'll mine at 4 weeks) because I'm so hungry. At my two week follow up, he said that if I could go home and eat a turkey sandwich without any feeling any limitations then I would need to have a fill.

My BMI has been between 39 and 37, I was approved at just under 38. How did your diagnostic appointment go?

I wish you the best of luck with everything!

Horrible!!!!!! After I left I spke with some that works in the insurance department and she said that there is no way that Blue Cross Blue Shield trs active care would approve me because 233 is my highest!! I"m going to save my money and go to dr. Ortiz in Mexico. He is awesome!! He wrote the book lapband for life.

sandahlia...

Congrats! I'm a bit confused...how did you complete the 6 month supervised diet in 3 months? Were you already seeing your PCP for the weight loss?

I have TRS BCBS too and am trying to get approval from the insurance comany.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Trending Products

PatchAid Vitamin Patches

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.