Can any of Dr. Miles or Schmitt's patients help me with a few questions I have? I have BCBS of AL PPO.

How much where you required to pay upfront? (with insurance)

What was the PREop requirement? (liquids for so many days etc?

What is the POSTop requirement? (liquids so many days, mushies.. etc)

I think that's all for now. We have a couple of vacations coming up and I would like to have a heads up on the money so I don't spend it on vacation lol and food requirements..... same.. need to be sure vacation goes along with them.

Thanks!!

LOL about the cheese fries. I can't eat any kind of fries. Maybe i'll learn that one day. I got wize today ordered from Arby's and gave my curly fries away and took the meat out of the bread and just ate it.

I didnt realize how limited the fast food menu is to lapbanders. I work for home health and if I have a long day I have to stop for food.....There are no choices....the grilled chicken isnt even good for you! And all they carry are sandwiches!! I just eat the meat...lol I tried the whole boil some eggs and put them in a little cooler or other things but man did my car stink!!!!

I didnt realize how limited the fast food menu is to lapbanders. I work for home health and if I have a long day I have to stop for food.....There are no choices....the grilled chicken isnt even good for you! And all they carry are sandwiches!! I just eat the meat...lol I tried the whole boil some eggs and put them in a little cooler or other things but man did my car stink!!!!

I know what you mean. I'm on the road a lot right now with classes and there is nothing I can eat. Tried pintos and cheese from Taco Bell but there is no way I'm doing that again. I've begun taking a little cooler everywhere, packed with lowfat cheese, ff pudding, cottage cheese, my lunch etc. It's a new habit for me but I'm getting used to it. After being on the liquid diet, I feel better since I got all that fast food out of my system so I'm not missing it that bad.

On a different note, I've noticed I'm getting hungrier and hungrier but have been able to be careful about what I eat. I go for a fill in two weeks. Maybe it'll help. I did get in trouble at a restaurant the other day. It was a small mom and pop joint. I wasn't thinking and ordered a chopped chicken plate with two sides. I ate about half the chicken and was full. When they cleared away the plate, the waitress was upset because she thought I didn't like the food. I ended up explaining to her that i had a lapband and I ordered too much food. She laughed and told me to order the sandwich next time and to keep working on getting used to my stomach.

Deb

I did get in trouble at a restaurant the other day. It was a small mom and pop joint. I wasn't thinking and ordered a chopped chicken plate with two sides. I ate about half the chicken and was full. When they cleared away the plate, the waitress was upset because she thought I didn't like the food. I ended up explaining to her that i had a lapband and I ordered too much food. She laughed and told me to order the sandwich next time and to keep working on getting used to my stomach.

Deb

LOL I love the looks I get when I only eat a little bit of my food. Its that worried that the food sucked and they won't get a tip look.

Well wish us look on our tournament! If we finish in the top 4 we will play in the state tournament in Fyffe next week and if we do good there we will go to the World Series in South Haven Mississippi!

Have a great support group tomorrow! Keep me updated on how it is going! Let Veronica know I am not bailing! LOL

Have a nice weekend everyone!!

=)

Shawna

yea the fast food is not a good place at all for us banders.

well im loving the scales right now. im down another pound from the first of the week.

Hello everyone. I am a newbie to this forum but I have to ask, did anyone's BCBS insurance not cover the band surgery? My particular policy says that any sort of gastric surgery is not covered at all but then I've heard of people that did get covered even though they had the same exact insurance. I'd hate to be wasting my time with the insurance part.

Thanks guys!

Hello everyone. I am a newbie to this forum but I have to ask, did anyone's BCBS insurance not cover the band surgery? My particular policy says that any sort of gastric surgery is not covered at all but then I've heard of people that did get covered even though they had the same exact insurance. I'd hate to be wasting my time with the insurance part.

Thanks guys!

first off welcome to are little family here.

my bcbs didn;t say it wouldn't cover , but it did say it would only pay 50% of the cost. but it payed for more like 90% of everything. the best thing to do is get the people at the doctors office to look at it and get them to run it.

Hello everyone. I am a newbie to this forum but I have to ask, did anyone's BCBS insurance not cover the band surgery? My particular policy says that any sort of gastric surgery is not covered at all but then I've heard of people that did get covered even though they had the same exact insurance. I'd hate to be wasting my time with the insurance part.

Thanks guys!

Hello and welcome!

I totally understand why you would ask. I have BCBS and read hundreds of postings about some people being covered and others not being covered. I suggest you do what I did-email BCBS customer service with your policy number and ask them specifically about your procedure (if you haven't already done so). Then I would ask the insurance goddesses (Angela is my contact person and she is fabulous) in Dr. Schmitt/Dr. Miles office if they can get you more information if needed.

I am a teacher and have BCBS PEEHIP, which does cover the procedure. Your policy may be different based on where you work, which is why I suggest contacting them directly with your policy number.

Good luck with the process. I just found out yesterday that I was approved, after the 6 month waiting period and an initial rejection. DON'T GIVE UP!

Amy

Hello everyone. I am a newbie to this forum but I have to ask, did anyone's BCBS insurance not cover the band surgery? My particular policy says that any sort of gastric surgery is not covered at all but then I've heard of people that did get covered even though they had the same exact insurance. I'd hate to be wasting my time with the insurance part.

Thanks guys!

Also ppl can have the same insurance as you but if their employer pays for the option to have gastric surgery coverage then they may have it whereas you may not...but yeah always have the docs run it cuz like Jason mine said it would only cover 80% but it covered almost all of it. Good luck and welcome!!!!

YAY-I can eat CRABLEGS!!!!!!! LOL, I'm so happy I didnt have any problems at all!

Hi everybody, I got APPROVED!!! Date is July 2nd! Thanks for all the support.. I want to know how Venzwife is doing, I havent heard from her since surgery, and am worried about her. Well, thats all YEah!! gOOD LUCK fORDGAL WITH THE TOURNAMENTS

hi everybody, i got approved!!! Date is july 2nd! Thanks for all the support.. I want to know how venzwife is doing, i havent heard from her since surgery, and am worried about her. Well, thats all yeah!! Good luck fordgal with the tournaments

yay congrats!!!!!!

Hi everybody, I got APPROVED!!! Date is July 2nd! Thanks for all the support.. I want to know how Venzwife is doing, I havent heard from her since surgery, and am worried about her. Well, thats all YEah!! gOOD LUCK fORDGAL WITH THE TOURNAMENTS

congrtaz! im know you are happy.

so before long we better see you at the support groups!

and by the way, i didn't see anyone except kanina at the support group last saturday. i can't tell you how much this support groups are good for you. so we ALL need to try to attend them. i know shawna had baseball games. but what about everyone else?

so lets try to make the next one everyone. and don't say its to much of a drive. theres more then one person that drives over 110 miles one way.

and everyone remember its fathers day, so call go see your fathers and let them know you love them.

jason r

Hello and welcome!

I totally understand why you would ask. I have BCBS and read hundreds of postings about some people being covered and others not being covered. I suggest you do what I did-email BCBS customer service with your policy number and ask them specifically about your procedure (if you haven't already done so). Then I would ask the insurance goddesses (Angela is my contact person and she is fabulous) in Dr. Schmitt/Dr. Miles office if they can get you more information if needed.

I am a teacher and have BCBS PEEHIP, which does cover the procedure. Your policy may be different based on where you work, which is why I suggest contacting them directly with your policy number.

Good luck with the process. I just found out yesterday that I was approved, after the 6 month waiting period and an initial rejection. DON'T GIVE UP!

Amy

Yeah, I've got Angela working on it now. I did receive the rejection letter by BCBS but she is appealing it for me. Is there anything else that I can do other than beg and gravel...lol?

Hi everybody, I got APPROVED!!! Date is July 2nd! Thanks for all the support.. I want to know how Venzwife is doing, I havent heard from her since surgery, and am worried about her. Well, thats all YEah!! gOOD LUCK fORDGAL WITH THE TOURNAMENTS

YIPPEE! Looks like we will just be 2 days apart on our journey (my date is the 30th).

Do you have venzwife's email address? If so, maybe you could email her to check on her. I am also wondering how she is doing since we haven't heard much!

BTW Jason-I would've much rather been at the support group meeting than at my 9-5 statistics class! When is the next meeting? With my luck it is the same day as my next stats class!