Hi Everyone!!

I just recently completed my 6 month program. I saw my surgeon on Tuesday and apparently, I lost too much weight. In his professional opinion, I can do it on my own. I'm a bit frustrated and confused. Has anyone else had this problem? I am afraid the insurance company will not approve me, even though they are supposed to go by your starting weight and BMI. I have BCBS PPO.

My surgeon's office faxed BCBS (NY) my paperwork... I recieved a "pre approval" in 1 day. Now I wish getting an appointment with my surgeon was that fast (9-8-09)

Anywhooo, Amy you will get approved.. positive thoughts bring positive results!

My surgeon's office faxed BCBS (NY) my paperwork... I recieved a "pre approval" in 1 day. Now I wish getting an appointment with my surgeon was that fast (9-8-09)

Anywhooo, Amy you will get approved.. positive thoughts bring positive results!

:w00t::w00t::w00t:

• A m y is approved
  

:w00t::w00t::w00t:

Now all you have to do is :laugh: your way to the surgery date :smile2::thumbup::thumbup:

I was told that by my surgeon too. Don't lose too much or you will get disqualified. But, if you are doing so good, and you feel great! Keep doing what you are doing. In a year if it doesn't work, then you can go back to your doctor and try again. It is all about getting the weight off- not how it comes off. Great job! You can do it!

Sorry I don't have time today to read all the posts here. I wanted to let you know that I have BCBS PPO, they're different from state to state and even city to city. Here, you need to meet whatever criteria they have at the time of approval submission. I could not go below the 35BMI at any time during the 6 months. Luckily I knew from reading here that this was important and I confirmed it with my surgeon's ins. expert (or I would have gone below the 35 BMI easily- I'm a professional dieter too). So even if you lost a lot of weight and you're still above your minimum BMI (35 with comorbidities or 40) then you should be fine. I was approved within 48 hrs. and my surgeon's office saif BCBS PPO is the easiest to gain approval from here. Good luck to you!

Congrats Amy! I'm also waiting for my surgery date! I feel like a kid waiting to open Christmas presents...

Amy, Do be Positive. Chill out. At this point, Amy. You just have to wait - so do something fum!1 You won't hear for a while.

I have finally decided to look into bariatric surgery....I weighed 296 in 1998; went to a weight loss clinic and lost 120 lbs, but within two years it all came back on....I have tried and tried since then, but currently weight my all-time high of 325. I am scareed about the powerlessness I feel the last six months..have never ever felt this out of control..and completely unable to curb my appetite. I am so heavy (5"8") and BMI of 49. the doctor won't give me diet pills anymore because it could hurt my heart. I am 63 and am pretty resigned to water aerobics and that's about all I can do...the rest of the day on the computer... ago...cannot walk very well, etc. tired easily.

Seriah, You need to ask your doctor about weight loss surgery. You sound like a candidate. You may qualify with a lower BMI due to co-morbidities (i.e. heart problems).sleep apnea, diabetes, etc. Do it for yourself.

Well, BCBS confirmed that they received my documents on Sept 16th and forwarded to another department. It can take up to 6-8 weeks for them to make a decision. I did see my surgeon yesterday and I am maintaining my weight. I have other medical issues going on right now though and am very stressed. And very depressed.... I thought this was going to be a lot easier than this. I am ready to give up. All I want to do is cry. I know the insurance company has not made their decision, but I feel as if they will not approve me. I don't know why, but I don't feel very positive right now. I just wish it didn't take so long to get ins approval.

BTW~ My current weight is 201.2. Last month it was 203. I have PCOS, am hypothyroid, have GERD, reflex sympathetic dystrophy and degenerative joint disease in my right knee, high cholesterol and triglycerides and pericardial effusion. I also suffer from depression and anxiety. If they don't approve me, I don't know if I have the energy to appeal my case. :tongue2:

Umystifyme, It is hard, the time frame is not set in stone. It can be the longest a case takes to an average. Just wait. You have several co-morbidities, which will help your argument. You will know by Halloween. Even staying at a stable weight now does not mean you will lose the request. Hold on, pray, think positive thoughts. If there is a WLS group in your area, I'd urge you to talk with them. We can tell our our experiences across the country, but someone you see face to face may help. Good Luck. BTW, Your surgeon, or others in this site may be able to direct you to attorneys who do this. ( if you need an attorney, some initial appeals only need more information - been there done that)

:thumbup:Insurance companies are crazy. I thought it was going to be a big problem, but I decided to have the surgery done at the hospital I work at. They just push it right thru. Dont even need pre approval. I just have to past the tests and screenings and stuff. I had an appointment with the surgeon on Monday.

Umystifyme, It is hard, the time frame is not set in stone. It can be the longest a case takes to an average. Just wait. You have several co-morbidities, which will help your argument. You will know by Halloween. Even staying at a stable weight now does not mean you will lose the request. Hold on, pray, think positive thoughts. If there is a WLS group in your area, I'd urge you to talk with them. We can tell our our experiences across the country, but someone you see face to face may help. Good Luck. BTW, Your surgeon, or others in this site may be able to direct you to attorneys who do this. ( if you need an attorney, some initial appeals only need more information - been there done that)

Thank you. I will check into support groups. I never thought about an attorney. Thanks for sharing that. I really appreciate it! :thumbdown:

Amy

I so hope you get approved, I know how you feel. I am waiting right now... It is so hard.

I so hope you get approved, I know how you feel. I am waiting right now... It is so hard.

Waiting is the hardest part~ at least for me. I have gained 3 lbs. I am hoping that I get approved. Good luck to you and let me know when you hear something.

Umystifyme,

Hey, you have another week down. The decision will happen. Just go on with your life. (You have to) Good Luck! Life is not a dress size.