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01-02-2010, 12:36 AM
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#1 (permalink)
| | WLS Master Guru
Join Date: Sep 2009 Location: Southern California
Posts: 810
Weight Statistics 2000 Start Date:
February 17, 2010 Surgery Date:
5' 8"
Height:
280 lb Start Weight:
175 lb Current Weight:
164 lb Goal Weight:
105 lb Weight Loss:
11 lb Lb Left to Lose:
37.5 % % Lost:
Body Mass Index42.5692041522 BMI Start:
26.6057525952 BMI Current:
24.9333910035 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
 |  just waiting
Logging in for the first time in months and the site kindly reminded me how long its been and that I should post!
I guess I havn't been around because asking questions and reading everyone else's answers was fun, interesting, and got me really excited about the surgery. Well, that's all good but it doesn't do me much good when I just sit here and wait.
My insurance company was a lesser known company, the financial people at my surgeon's office had never worked with them, so they didn't know what to expect. I found out shortly after we made the 1st claim that my company was changing insurance for 2010. I figured that we should just put it off until the new year, thinking that if it was approved, there wouldn't be time to have the surgery before the end of the year, but my HR department told me that anything approved in '09 would be covered in '10 just be filling out a continuity of care form. So, we forged ahead. I got my chest x-ray, ultrasound, upper endoscopy, psych eval and blood work. But we got nothing. They were dragging their feet and taking as much time as possible. So here I am, New Year's Day, brand new insurance policy and we start over from scratch. I know I don't have to get new tests or anything, but I guess I am thinking that since I did not get an answer in more than 3 months of trying, that I now have at least 3 more months until I get an answer. Tired of waiting. Tired of carrying around the weight.
The little bit of hope I am thinking about is that my new insurance is Blue Shield, and the people in my surgeon's office tell me that they work with Blue Shield often and know what they want. So, maybe that will speed it up a little
Happy New Year, all! 2009 was a rough one, and its time for the universe to give us all a break with this next trip 'round the sun.
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01-02-2010, 12:58 AM
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#2 (permalink)
| | WLS Master Guru
Join Date: Jan 2009
Posts: 970
Weight Statistics All of my life! Start Date:
12/01/08 Surgery Date:
5' 6"
Height:
309 lb Start Weight:
138 lb Current Weight:
170 lb Goal Weight:
171 lb Weight Loss:
-32 lb Lb Left to Lose:
55.3398058252 % % Lost:
Original 12/09 Actual 09/09 Goal Date:
Body Mass Index49.8684573003 BMI Start:
22.2713498623 BMI Current:
27.4357208448 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Hang in there it took me eight months.
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01-02-2010, 02:05 AM
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#3 (permalink)
| | Seasoned Veteran
Join Date: Jul 2009 Location: North
Posts: 2,180
Weight Statistics August 20, 2009 Surgery Date:
5' "
Height:
210 lb Start Weight:
102 lb Current Weight:
110 lb Goal Weight:
108 lb Weight Loss:
-8 lb Lb Left to Lose:
51.4285714286 % % Lost:
August 2010 Goal Date:
Body Mass Index41.0083333333 BMI Start:
19.9183333333 BMI Current:
21.4805555556 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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You're lucky you don't have to have new tests done. My surgeon required all tests except the psych to be current within 30 days of surgery. The psych had a 12 month window. Hang in there...your time will be here soon.
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01-02-2010, 07:10 AM
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#4 (permalink)
| | Super Moderator
Join Date: Nov 2005 Location: Tokyo, Japan
Posts: 24,781
5' 5"
Height:
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(((HUGS)))
Hang in there.
Here's wishing that this new year will be a very good year for you.
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01-02-2010, 09:34 AM
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#5 (permalink)
| | Seasoned Veteran
Join Date: May 2008 Location: Just north of Iowa, not far from I-35. 2nd star on the right and straight on 'til morning!
Posts: 8,636
Weight Statistics December 13, 2007 (pre-op liquid diet started) Start Date:
December 27, 2007 Surgery Date:
5' 9"
Height:
280 lb Start Weight:
172 lb Current Weight:
184 lb Goal Weight:
108 lb Weight Loss:
-12 lb Lb Left to Lose:
38.5714285714 % % Lost:
Originally - 12/08. Actually - 8/08. Goal Date:
Body Mass Index41.3442554085 BMI Start:
25.3971854652 BMI Current:
27.1690821256 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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We have the Blues for insurance, but their handling of the claims for both of our surgeries didn't leave us singing the blues!  They were excellent to work with and paid everyone very promptly.
CT
__________________ da perfesser
*******************
Dare to live your dream!!
If you want to be healthy for life, do for life the things that get you healthy!! Living healthy takes work. Dying fat is easy!! "That which we persist in doing becomes easier, not that the nature of the task has changed, but that our capacity to do has increased." - HJ Grant
"Do, or do not. There is no try!" - Yoda
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01-02-2010, 11:19 AM
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#6 (permalink)
| | Seasoned Veteran
Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 9,445
Weight Statistics September 19th 2007 Start Date:
September 19th 2007 June 18,2012 Surgery Date:
5' 10"
Height:
363 lb Start Weight:
226 lb Current Weight:
170 lb Goal Weight:
137 lb Weight Loss:
56 lb Lb Left to Lose:
37.741046832 % % Lost:
When I get there again Goal Date:
Body Mass Index52.0793877551 BMI Start:
32.4240816327 BMI Current:
24.3897959184 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Honey actually them changing was to your benefit. Blue Sheild will pay for it as long as they dont have a disclamier in the policy that states they will not pay for it. Some do have that. Since I started looking into the surgery and since I have had the surgery there are not many out there that dont. Now the orginal testing you had shouldnt have to be done again. It counts. They may ask for other testing meaning additonal more than what you have had and then again you may have had all they required. It just depends on what it states they require. They all differ.
Im glad you have not given up. I really am. It shows how much you are detirmended to have this done and never give up the fight. I think you will be just fine and like I said I think you changing insurance will be a good thing for you. Evidently the old insurance didnt even attempt this.
Keep posting we love to get updates!
__________________ Remember Tough times never last Tough people do... This Ribbon is for our Lady Lisa and all the women that fight this ugly disease. RIP Jerry my friend
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01-02-2010, 11:30 AM
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#7 (permalink)
| | WLS Master Guru
Join Date: Oct 2009 Location: Richmond, VA
Posts: 649
Weight Statistics Nov 3, 2009 (18 lbs. lost pre-op) Start Date:
Jan 29, 2010 Surgery Date:
5' 4"
Height:
245 lb Start Weight:
167 lb Current Weight:
150 lb Goal Weight:
78 lb Weight Loss:
17 lb Lb Left to Lose:
31.8367346939 % % Lost:
Body Mass Index42.0495605469 BMI Start:
28.6623535156 BMI Current:
25.7446289062 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Yes, keep posting!!! We are or have gone through it!!! I have my approvel and date so have just done it !!! Good luck!!!
Hugs,
Lexie
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01-02-2010, 12:05 PM
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#8 (permalink)
| | WLS Master Guru
Join Date: May 2009 Location: Salida, CA
Posts: 678
Weight Statistics First Consult 10/21/08 Start Date:
11/20/08 Surgery Date:
5' 7"
Height:
276 lb Start Weight:
121 lb Current Weight:
150 lb Goal Weight:
155 lb Weight Loss:
-29 lb Lb Left to Lose:
56.1594202899 % % Lost:
goal 8/09 Goal Date:
Body Mass Index43.22298953 BMI Start:
18.949209178 BMI Current:
23.4907551793 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Hi, I have Blue Shield and it took 2 days for me to be approved altogether less than a month from when I first started. Good luck.
Judy 
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01-03-2010, 07:14 PM
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#9 (permalink)
| | WLS Master Guru
Join Date: Sep 2009 Location: Southern California
Posts: 810
Weight Statistics 2000 Start Date:
February 17, 2010 Surgery Date:
5' 8"
Height:
280 lb Start Weight:
175 lb Current Weight:
164 lb Goal Weight:
105 lb Weight Loss:
11 lb Lb Left to Lose:
37.5 % % Lost:
Body Mass Index42.5692041522 BMI Start:
26.6057525952 BMI Current:
24.9333910035 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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wow - 2 days! I hope I have a similar experiance! That would be wonderful!
I'll keep you all posted.
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01-04-2010, 10:43 AM
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#10 (permalink)
| | Seasoned Veteran
Join Date: Apr 2007 Location: Central Virginia
Posts: 2,952
Weight Statistics 4/30/2007 Start Date:
9/5/07 Surgery Date:
5' 4"
Height:
233 lb Start Weight:
127 lb Current Weight:
125 lb Goal Weight:
106 lb Weight Loss:
2 lb Lb Left to Lose:
45.4935622318 % % Lost:
Body Mass Index39.9899902344 BMI Start:
21.7971191406 BMI Current:
21.4538574219 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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You might want to check with the surgeon's office just to make sure they resubmit the paperwork to BC/BS. Don't count on the old insurance company to transfer it! Good luck, I hope you hear something postive soon.
__________________
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