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BCBS TX - Approved



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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!

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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.

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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:

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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.

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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.

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

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Hello,

I'm have a diagnostic appointment in houston texas on monday. I'm so nervous. I hope my insurance approves me.

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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!

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I think that TEXAS insurace appoves pretty fast (should I be offend are they trying to say texas is overweight )lol congrats everyone

cheer2.gif

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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!!!

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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!

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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.

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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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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