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Moving to UHC PPO starting Jan



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I'm currently with Blue Cross of CA and next week our open enrollment for insurance starts and they are no longer offering Blue Cross. So now I gotta choose UHC PPO or Kaiser of CA.

I finished my Psych Eval (yesterday), sleep Test (have sleep apeana), and just couple more steps then ill be finished to send into insurance.

I'm thinking that if I send in the stuff to Blue Cross that they will deny me cause my insurance is ending at end of Dec. So is it best to wait Jan and send it into UHC? or send Blue Cross ASAP?

Only problem I have is with UHC is that I don’t have 5year record of BMI 35+ Medical. I have record from 2001 (BMI 37) then 2006 (BMI 42) and 2007 (BMI 46) Medical Record.

Was hoping my long list of medical issue and family, would over rule the 5year record.

Any help would be very helpful.

Thanks

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Hi there! I just went thru a similar situation! I actually was able to switch prior to OPEN ENROLLEMENT. I left Kaiser after 17yrs! I simply had to request my medical records be sent to my NEW provider which is UHC choice plus.. That may be all you have to do if you choose to wait till your "new" insurance kicks in..

hope that helps

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Well talked to my bariatric surgeon today and he approved me for Lapband surgery. I gotta attend Seminar/Support Group next and after that.....

I'm guessing the next step after seminar is bariatric surgeon for appointment for SURGERY??? And Insurance turn in??

OMG I REALLY HOPE I GET APPROVED>>>>@#$

sleep Test - Done

1st Bariatric Surgeon Appointment - (Approval) Done

1st Dietitian Appointment - Done

PCP Approval Letter - (Approval) Done

Psych Appointment - (Approval) Done

Seminar/Support Group - Waiting (Nov20)

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Well... today was just a ordinary day except

1. Taking a short nap after turning alarm off and waking up and its 9:38am (late)(yes I did change it hour back awhile back)

2. racing to work to find out my its only 8:43am.

3. Leaving cellphone in car.

4. Getting Email from Hospital saying....... We have called you couple times to let you know you have been APPROVED#$@#$ and We like to setup preop appointment and surgery day@#$@#$ OMG@#$@#$

I havent complete the seminar (20th) which was my last task before sending information to insurance company and wait for approval. I was also worried cause company switching to UHC PPO with different requirements.

So.....

Surgery date: Dec 3rd w/ Blue Cross of CA

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I was so worried starting all over on a new insurance and stuff... lol

Gotta start on liquid diet soon... find out tuesday on what I have to do before surgery.

Thanks... though I would be stressing like you when they send out approval... lol but they didnt tell me ;p

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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

      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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