Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

47 minutes ago, Hopefulin2021 said:

Wow awesome! This is giving me hope that it won’t take forever for an approval

The worst of it is getting through all of the surgeons pre op stuff. Important stuff though. If your BMI is over 40 or 35 with weight related issues, you should have no problem.

Share this post


Link to post
Share on other sites

I have BCBS and am in Jersey and I have to do psych, endoscopy, ultrasound & primary dr referral and insurance requirements were three months nutrition visits (1a month) then it was approved in a few days. I did get postponed due to COVID for two month but as soon as they opened up elective surgery I had it in about three weeks later. Very easy with BCBS.

Share this post


Link to post
Share on other sites

18 minutes ago, IWantTheDream said:

I have BCBS and am in Jersey and I have to do psych, endoscopy, ultrasound & primary dr referral and insurance requirements were three months nutrition visits (1a month) then it was approved in a few days. I did get postponed due to COVID for two month but as soon as they opened up elective surgery I had it in about three weeks later. Very easy with BCBS.

Awesome! This gives me a ton of hope and congrats!

Share this post


Link to post
Share on other sites

BCBS Tennessee required 6 months of PCP visits/supervised wt loss program.

Share this post


Link to post
Share on other sites

Wow that’s great, when is your surgery?

Share this post


Link to post
Share on other sites

I have BCBS and I was required to do 6 months nutritional appointments. After my 5th, my surgeon told me they changed their required classes to zero. I didn’t have to do my 6th one and had surgery 11/17. I’d ask your surgeon to look into this. I’m unsure is it’s a CA thing or across all states. Very easy getting approval. I think I waited less then a week for approval.

Share this post


Link to post
Share on other sites

1 hour ago, Luna805 said:

I have BCBS and I was required to do 6 months nutritional appointments. After my 5th, my surgeon told me they changed their required classes to zero. I didn’t have to do my 6th one and had surgery 11/17. I’d ask your surgeon to look into this. I’m unsure is it’s a CA thing or across all states. Very easy getting approval. I think I waited less then a week for approval.

Same thing that happened to me.... A day before my 6th appointment, they called me and told me they were turning in my paperwork because my insurance changed the 6 month policy lol... I got the call with approval a week later and was given a surgery date that day.

Share this post


Link to post
Share on other sites

BCBS of IL, Letter to insurance describing previous weight loss attempts, nutritional classes (2 I think), psych eval and then submitted to insurance. Total time about 2 months until scheduled surgery with approval.

Share this post


Link to post
Share on other sites

They wouldnt approve me bc my job underwrote it out of the policy ;(

Share this post


Link to post
Share on other sites

9 hours ago, stridesforabetterme2020 said:

They wouldnt approve me bc my job underwrote it out of the policy ;(

What?? What do you mean??

Share this post


Link to post
Share on other sites

Just now, Hopefulin2021 said:

What?? What do you mean??

So you went through all the tests, nutritional classes, psych eval, and all that and they denied you? Didn’t the hospital check to make sure this is something your insurance would cover pending you did everything required?

Share this post


Link to post
Share on other sites

On 12/12/2020 at 5:46 PM, Luna805 said:

I have BCBS and I was required to do 6 months nutritional appointments. After my 5th, my surgeon told me they changed their required classes to zero. I didn’t have to do my 6th one and had surgery 11/17. I’d ask your surgeon to look into this. I’m unsure is it’s a CA thing or across all states. Very easy getting approval. I think I waited less then a week for approval.

Yes I only have to do 5 nutritional classes tomorrow is my last one and they’ll submit everything, hoping I get approved omg

Share this post


Link to post
Share on other sites

On 12/12/2020 at 7:53 AM, Hopefulin2021 said:

Wow it only took a month? I had to have test, bloodwork, a psych eval, and 6 nutritional classes. I finished everything and I have one more class left on Monday. I am hoping it won’t take forever and a day to get approved I am so ready for this. Did you get the surgery?

I have them I started my journey October 1st 2020. I originally need 6 visits, psych evaluation, 1 dietitian visit, bloodwork, and medical clearance, but a week after my first visit it went down to three visits because I am a diabetic. I completed all my requirements before my last visit on 12/10 now it’s just the waiting game.

Share this post


Link to post
Share on other sites

14 hours ago, stridesforabetterme2020 said:

They wouldnt approve me bc my job underwrote it out of the policy ;(

Wow, did they not call and verify if you had bariatric surgery in your policy before speaking with you?

Share this post


Link to post
Share on other sites

On 12/13/2020 at 11:13 PM, Chantrella said:

I have them I started my journey October 1st 2020. I originally need 6 visits, psych evaluation, 1 dietitian visit, bloodwork, and medical clearance, but a week after my first visit it went down to three visits because I am a diabetic. I completed all my requirements before my last visit on 12/10 now it’s just the waiting game.

Yes I just finished my last class and everything is done. Wondering if I should call and see what’s next or just wait and see what happens.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×