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Old 10-08-2007, 12:54 PM   #1 (permalink)
Cherri
Cub Reporter
 
Join Date: Mar 2007
Location: IL
Posts: 68

Weight Statistics

03/03/2008
Surgery Date:
5' 3"
Height:
276 lb
Start Weight:
225 lb
Current Weight:
140 lb
Goal Weight:
51 lb
Weight Loss:
85 lb
Lb Left to Lose:
18.4782608696 %
% Lost:
10/2009
Goal Date:

Body Mass Index
48.8858654573
BMI Start:
39.8526077098
BMI Current:
24.7971781305
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Angry You won't believe this

You won't believe this. Here I am waiting thinking I will maybe get approval. I call BCBSIL, and a very nice person answers the phone. I think great, one thing on my side, she tells me to hold, and boy did I ever almost 10 minutes. I figure I will be patient, so she comes back and says sorry, you were denied. Why? Yes I asked and I just want to someone lol. The lady that turns in the insurance papers said my 6 months was up in Sept. Of course I believed her. Well by my count it was Oct. but I thought she knows better than I do. Nope, they said its only been "5" months , was I ever mad, dissappointed, and just speechless. I am going to call them once they are back from lunch and let them know that the 6 months was not up yet. Hopefully after the next weigh in, it won't take them long to make their decision. Well, now I get to wait yet another week. I am so stressed right now, this just adds to it, I guess I will have to take out my frustrations on my walk tonight.
Cherri
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Alt Weight Loss Surgery Insurance
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.

   
Old 10-08-2007, 01:30 PM   #2 (permalink)
Jill
WLS Master Guru
 
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Join Date: Jul 2007
Location: Tega Cay, SC
Posts: 817

Weight Statistics

August 2, 2007
Start Date:
August 14, 2007
Surgery Date:
5' 7"
Height:
283 lb
Start Weight:
176 lb
Current Weight:
150 lb
Goal Weight:
107 lb
Weight Loss:
26 lb
Lb Left to Lose:
37.8091872792 %
% Lost:
Christmas, 2008
Goal Date:

Body Mass Index
44.3192247717
BMI Start:
27.5624860771
BMI Current:
23.4907551793
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Just keep after them -- the insurance companies are notorious for bad paperwork and even worse buearcracy. When I was going through it, my doctor's office said they weren't going to submit the paperwork yet, because it hadn't been the four months (long story). I told them to submit and I would handle the rest -- she objected but did it anyway and I was approved within the week. Sometimes you just have to be persistent. In the end analysis, its a better cost for the insurance company.
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Old 10-08-2007, 01:42 PM   #3 (permalink)
A new me
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Join Date: May 2007
Location: Upstate NY
Posts: 2,187

Weight Statistics

April 11th 2007
Surgery Date:
5' 4"
Height:
267 lb
Start Weight:
157 lb
Current Weight:
145 lb
Goal Weight:
110 lb
Weight Loss:
12 lb
Lb Left to Lose:
41.1985018727 %
% Lost:

Body Mass Index
45.8254394531
BMI Start:
26.9460449219
BMI Current:
24.8864746094
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Yes i would call them back and keep on top of them. So sorry to hear the bad news. Give them a call back. hang in there and be persistent.
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Old 10-08-2007, 02:47 PM   #4 (permalink)
kimtindall
Seasoned Veteran
 
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Join Date: Jun 2007
Location: Jacksonville, Florida
Posts: 2,971

Weight Statistics

July 21, 2007
Start Date:
August 6, 2007
Surgery Date:
5' 2"
Height:
287 lb
Start Weight:
182 lb
Current Weight:
135 lb
Goal Weight:
105 lb
Weight Loss:
47 lb
Lb Left to Lose:
36.5853658537 %
% Lost:
January 1, 2009
Goal Date:

Body Mass Index
52.4872528616
BMI Start:
33.2845993757
BMI Current:
24.6891259105
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Sorry you are having troubles with them, just stay on top of them! Good Luck!!
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Old 10-08-2007, 02:56 PM   #5 (permalink)
MsVickie
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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
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Yes honey you have to give them everything they ask for with the I's dotted and the T's crossed. Its just much easier for them to say no when they find somthing like this than to really go over your case. Hang in there and give them what they want. Good Luck
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Old 10-08-2007, 02:58 PM   #6 (permalink)
Kenyar
Seasoned Veteran
 
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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
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im so sorry you are having a tough time with this but everything has to be on point. try to get aeverything together and keep on them.
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Old 10-08-2007, 03:13 PM   #7 (permalink)
Trulykath
Seasoned Veteran
 
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Join Date: Jun 2007
Location: North Texas
Posts: 2,689
Blog Entries: 1

Weight Statistics

I've lost/gained my whole life!!!
Start Date:
Aug 1, 2007
Surgery Date:
5' 8"
Height:
280 lb
Start Weight:
155 lb
Current Weight:
150 lb
Goal Weight:
125 lb
Weight Loss:
5 lb
Lb Left to Lose:
44.6428571429 %
% Lost:
Summer 2008
Goal Date:

Body Mass Index
42.5692041522
BMI Start:
23.5650951557
BMI Current:
22.8049307958
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via AIM to Trulykath
Default

keep after it....why they wouldn't want to pay for this, but would opt for paying the costs of co-morbidities over the long run never ceases to amaze me!
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Old 10-08-2007, 06:41 PM   #8 (permalink)
bren
WLS Mentor
 
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Join Date: Aug 2006
Location: Milford Kansas
Posts: 1,192

Weight Statistics

09/01/2006
Start Date:
Height:
254 lb
Start Weight:
145 lb
Current Weight:
140 lb
Goal Weight:
109 lb
Weight Loss:
5 lb
Lb Left to Lose:
42.9133858268 %
% Lost:
02/01/2008
Goal Date:

Body Mass Index
43
BMI Start:
25
BMI Current:
24
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Don't give up and stay on them!!
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Old 10-08-2007, 07:36 PM   #9 (permalink)
BOOTS
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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
Send a message via AIM to BOOTS
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This Is Your Life So You Fight Girl And No Matter How Hard It Gets Dont You Give Up!!!!!!!!!
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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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Old 10-08-2007, 11:00 PM   #10 (permalink)
DocSanae
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Join Date: Nov 2005
Location: Tokyo, Japan
Posts: 8,032
Blog Entries: 2

5' 5"
Height:
Default

Don't give up, whatever they say, if you need to appeal, appeal.
(((((HUGS)))))
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