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  576 People Lost in total 50175 lbs = 28.85 % Give us permission to add your before & after Weight Loss Photos |   |
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06-11-2007, 07:06 PM
| #1 (permalink) |
| Guru In Training  Join Date: Jun 2007 Location: Eastern, Long Island, NY
Posts: 211
Weight Statistics Sept 13, 2007 Start Date:
Oct 15, 2007 Surgery Date:
4' 10" Height: 236 lb Start Weight:
135 lb Current Weight:
106 lb Goal Weight:
101 lb Weight Loss:
29 lb Lb Left to Lose:
42.7966101695 % % Lost:
Body Mass Index 49.3186682521 BMI Start:
28.2119500595 BMI Current:
22.1516052319 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass   |  Does anyone have Empire Blue Cross/Blue Shield? I started my paperwork for bypass surgery  My DR said it should be "EASY" for me to get approved--- based on the fact that I am 40+ BMI and have documented history of past weightloss efforts. But I am worried I won't get approved...  Many ppl on this forum are having approval issues, and it seems by what they say, that they have conditions due to obesity (that I don't have) that in my mind, makes approving the surgery a no brainer! This documented "history" is MY documenting my efforts, it is not a DR's documentation. I have no (at the moment) medical conditions due to my obesity-- (but that will change I'm sure if I don't get the surgery.) I truly just eat way to o much  So this makes me worry that simply having a high BMI won't be enough and I'm getting my hopes up for nothing.  Also, I did/do not have a documented 6 month-1 year DR supervised diet plan either. Though my PCP will supply a letter that he recommeds the surgery. So I'm wondering, how "easy" is it using this insurance company? Actually it is the Gov't/Federal plan, which also provides out of network coverage. 
__________________ ~Francesca Philippians 4:13 "I can do everything through Him that gives me strength"     |
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Yes, you can often get insurance cover for your Weight Loss Surgery. Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.  |
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06-11-2007, 07:09 PM
| #2 (permalink) |
| Seasoned Veteran  Join Date: Apr 2007 Location: Mount Vernon, NY
Posts: 6,860
Weight Statistics 4/1/07 Start Date:
4/19/07 Surgery Date:
5' 9" Height: 258 lb Start Weight:
136 lb Current Weight:
140 lb Goal Weight:
122 lb Weight Loss:
-4 lb Lb Left to Lose:
47.2868217054 % % Lost:
04/19/2008 Goal Date:
Body Mass Index 38.0957781979 BMI Start:
20.0814954841 BMI Current:
20.6721277043 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass   |  dont worry. i have bc/bs. they approved me in under a week. It all depends though. The plan is what matters not the brand of insurance. You could give them a call directly and find out if your plan covers WLS. if they say yes then your dr will take care of the rest.
__________________ Anything worth having is worth working for Kenya R. Lap RNY 4/19/07    |
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06-12-2007, 10:43 AM
| #3 (permalink) |
| Whipper Snapper Join Date: May 2007 Location: North Carolina
Posts: 34
Weight Statistics April 20, 2007 Start Date:
April 26,2007 Surgery Date:
Height: 291 lb Start Weight:
189 lb Current Weight:
185 lb Goal Weight:
102 lb Weight Loss:
4 lb Lb Left to Lose:
35.0515463918 % % Lost:
April 2008 Goal Date:
Body Mass Index 38.6 BMI Start:
25.63 BMI Current:
23 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | bc/bc I echo what kenyar said I have two different bc/bs plans one of them approved the surgery the other one required further documentation of diet history and ultimately denied surgery request. so it depends on the plan not the type of insurance.
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06-12-2007, 11:14 AM
| #4 (permalink) |
| Seasoned Veteran  Join Date: Jan 2006 Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,755
Weight Statistics June 1, 2005 Start Date:
Height: 310 lb Start Weight:
167 lb Current Weight:
159 lb Goal Weight:
143 lb Weight Loss:
8 lb Lb Left to Lose:
46.1290322581 % % Lost:
Body Mass Index 51 BMI Start:
27 BMI Current:
Weight Loss Method Roux en Y Gastric Bypass | I have BSBC ppo and my approval was a piece of cake. AHMADS staff handled it all!!! WAS a wonderful experience. THEY know which insruances are the easiest to get approved. RELAX and you will be approved but usually after you go see all the required pre op speicailists.... pulmonmary, pscy evaluations, gall bladder sonogram and all that stuff just to name a few....... once that is in their hands and submitted it i was approved within 2 weeks. I never called the insurance company once left it all in the capable staff at Dr. AHMAds office.
__________________ LISA  http://w5.photobucket.com/widgets/dy...164/fr1endly2/ LAP RNY Gastric Bypass  |
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06-13-2007, 08:59 PM
| #5 (permalink) |
| Seasoned Veteran  Join Date: Aug 2006 Location: WADING RIVER (Long Island), NY
Posts: 4,754
Weight Statistics 7/16/07 Start Date:
7/16/07 Surgery Date:
4' 11" Height: 230 lb Start Weight:
137 lb Current Weight:
115 lb Goal Weight:
93 lb Weight Loss:
22 lb Lb Left to Lose:
40.4347826087 % % Lost:
12/31/08 Goal Date:
Body Mass Index 46.4492961793 BMI Start:
27.6676242459 BMI Current:
23.2246480896 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | I Also Have Bc/bs And Like Kenyar Said It Depends On The Contract Your Company Has With Them. Leave It In The Hands Of The Staff At The Doctors Office They Know What They Are Doing, I Know The Staff At My Doctors Office Are Great With Dealing With Ins Companies. But Like You Im Also Parinoid I Wont Get Approved Even Though I Was Already Told My Plan Is Very Easy With Approvals. I Still Worry. Also What Every Your Contract Requires For You To Get Approved Have Your Doctors Office Try And WRiTE You A Letter That Fits That Criteria If They Will. I Know My Doctor Will Pretty Much Right What Ever I Tell Him. Lol I HAVE MY INSURANCE THRU MY HUSBAND'S JOB. HE IS A SUFFOLK COUNTY COP. I WAS TOLD THAT SUFFOLK COUNTY HAS ONE OF THE BEST CONTRACTS WITH EMPIRE. I FOUND OUT TO BE APPROVED MY DR HAS TO WRITE A LETTER THAT I HAVE FAILED AT DIETS FOR THE LAST 6 MONTHS, BE CHECKED OUT BY A PHYSCOLOGIST, NUTRITIONST, ETC. AND THATS IT. THEY USUALLY ARE FAST WITH THE APPROVALS I ALSO HEARD Keep Us Posted !!!
__________________ 3/2008 PREG. START WT 144LBS. GOAL WILL HAVE TO WAIT TILL AFTER BABY  230 lbs 7/2007 & 142 lbs 4/2008     |
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06-13-2007, 09:05 PM
| #6 (permalink) |
| Seasoned Veteran  Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 3,026
Blog Entries: 1 Weight Statistics September 19th 2007 Start Date:
September 19th 2007 Surgery Date:
5' 10" Height: 363 lb Start Weight:
221 lb Current Weight:
165 lb Goal Weight:
142 lb Weight Loss:
56 lb Lb Left to Lose:
39.1184573003 % % Lost:
12/31/09 Goal Date:
Body Mass Index 52.0793877551 BMI Start:
31.7067346939 BMI Current:
23.6724489796 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | Honey if you really wanna know....... call that 800 number on your card. You having a federal plan may be a great benefit. First thing you ask is... do they pay to have Weight Loss Surgery. Use those exact words. Then if so.....ask what critera you have to meet. That will tell you eveything you will need to know. The Drs offices are pros at this yes. If you wanna know first hand......call and ask. |
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