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Old 01-19-2011, 01:47 PM   #1 (permalink)
Big Loser
 
Join Date: Nov 2010
Location: St Louis Missouri
Posts: 172
Blog Entries: 2

Weight Statistics

Started pre-op liquid diet on 1/26/11
Start Date:
Feb 7th 2011
Surgery Date:
5' 7"
Height:
298 lb
Start Weight:
145 lb
Current Weight:
150 lb
Goal Weight:
153 lb
Weight Loss:
-5 lb
Lb Left to Lose:
51.3422818792 %
% Lost:
Feb 2012
Goal Date:

Body Mass Index
46.6683002896
BMI Start:
22.7077300067
BMI Current:
23.4907551793
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default About ready to lose it!!!!

Sooooo pi$$ed right now!

Just spoke with the insurance company. I called just to check on the status of things, to see how things were coming along. Well, I spoke with someone who is in the Bariatric Center-apparently BCBS of CA has their own Bariatric Dept who handles all claims, approvals etc... She was like, we havent received anything from your surgeons office. The only thing we have on file for you, is a call for your EOB for Bariatric Surgery.... Now, according to my surgeons office, they faxed over all my paperwrk last Tues, 1/11. Soooo, I call the surgeons office. I asked them, did you fax over my paperwork, and was told yes they did. I asked them to verify the fax # that they sent the pprwrk to.. It was the wrong fax#, wrong dept. So, my paperwork has been sitting somewhere at the BCBS office, with no one looking at it. The surgeons office re-faxed it over this morning, to the right # this time. So now I am back to square 1. I know that it really isnt that big of a deal, but I am really frustrated, mad, hurt, disappointed, etc.. I've always heard that patience is a virture, but I dont know about that anymore. I just know that I am ready to lose it! Thanks for letting me vent. I really appreciate it!
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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 01-19-2011, 01:51 PM   #2 (permalink)
WLS Mentor
 
kiwi-leelee77's Avatar
 
Join Date: Jan 2008
Location: New Zealand
Posts: 1,292
Blog Entries: 11

Weight Statistics

10/27/07
Start Date:
11 March 08
Surgery Date:
5' 3"
Height:
239 lb
Start Weight:
134 lb
Current Weight:
144 lb
Goal Weight:
105 lb
Weight Loss:
-10 lb
Lb Left to Lose:
43.9330543933 %
% Lost:
12/25/08
Goal Date:

Body Mass Index
42.3323255228
BMI Start:
23.7344419249
BMI Current:
25.5056689342
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

that sucks!!!! no wonder you are mad! i have learnt to always ring where the fax is goin and check that it made it. have had similar sits 2 you, diff stuff tho, and wont be making the same mistake.
i suggest calling your ins people and making sure it got there.
good luck!!
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Your Attitude determines Your Altitude




239lbs - lost 22lbs pre-op=
218lbs day of surgery.









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Old 01-19-2011, 01:51 PM   #3 (permalink)
WLS Master Guru
 
Join Date: Dec 2010
Location: ohio
Posts: 773
Blog Entries: 15

Weight Statistics

which time
Start Date:
3-14-11
Surgery Date:
5' 1"
Height:
249 lb
Start Weight:
181 lb
Current Weight:
140 lb
Goal Weight:
68 lb
Weight Loss:
41 lb
Lb Left to Lose:
27.3092369478 %
% Lost:
march 2012
Goal Date:

Body Mass Index
47.0429991938
BMI Start:
34.1959150766
BMI Current:
26.4498790648
BMI Goal:

Weight Loss Method
Other
Default

It is quite a run around--staying on top of them and preparing ourselves!!
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Highest weight 286
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Old 01-19-2011, 02:50 PM   #4 (permalink)
Guru In Training
 
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Join Date: Dec 2009
Location: Central CA
Posts: 318

Weight Statistics

Feb. 13, 2010
Start Date:
Feb. 13, 2010
Surgery Date:
5' 6"
Height:
289 lb
Start Weight:
156 lb
Current Weight:
140 lb
Goal Weight:
133 lb
Weight Loss:
16 lb
Lb Left to Lose:
46.0207612457 %
% Lost:
Aug, 2011
Goal Date:

Body Mass Index
46.6407254362
BMI Start:
25.1763085399
BMI Current:
22.5941230487
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I think we all have stories like this, unfortunately! It's a good thing that you were on the ball and called to follow up...keep following up and it will get taken care of...keep your chin up..it's worth the wait!
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Old 01-19-2011, 03:50 PM   #5 (permalink)
WLS Master Guru
 
katress's Avatar
 
Join Date: Aug 2009
Location: North Dakota
Posts: 557

Weight Statistics

since elementary school !!
Start Date:
August 3rd, 2009
Surgery Date:
5' 8"
Height:
451 lb
Start Weight:
211 lb
Current Weight:
190 lb
Goal Weight:
240 lb
Weight Loss:
21 lb
Lb Left to Lose:
53.2150776053 %
% Lost:
When i get there....
Goal Date:

Body Mass Index
68.5668252595
BMI Start:
32.0789359862
BMI Current:
28.8862456747
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Default

my motto was BOTHER, INQUIRE, BOTHER AGAIN and KEEP CALLING...that is what i did and by golly i was approved and knew before the damn surgeon....i just kept on bugging them...
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Old 01-19-2011, 04:22 PM   #6 (permalink)
Seasoned Veteran
 
MsVickie's Avatar
 
Join Date: Mar 2007
Location: Floyd County Virginia
Posts: 9,445
Blog Entries: 6

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 Index
52.0793877551
BMI Start:
32.4240816327
BMI Current:
24.3897959184
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Im sorry you had to go though that. However im glad you did call. Its always good to follow up behind them. I always suggest that. You did the right thing. You made the call...... and followed up. If you didnt no telling how long it would have been if they ever got it. They would have put it in what they call the file 13. Meaning they have no idea where it goes. Most Places have a file 13.

Its ok.... Now you know it was faxed to the right number give it a few days then call back and get a update on it.
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Tough people do...



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Old 01-19-2011, 04:37 PM   #7 (permalink)
WLS Guru
 
kaytijo's Avatar
 
Join Date: Jul 2010
Location: OKC, OK
Posts: 440
Blog Entries: 16

Weight Statistics

1/1/2009
Start Date:
9/27/2010
Surgery Date:
5' 6"
Height:
245 lb
Start Weight:
143 lb
Current Weight:
130 lb
Goal Weight:
102 lb
Weight Loss:
13 lb
Lb Left to Lose:
41.6326530612 %
% Lost:
7/20/2012
Goal Date:

Body Mass Index
39.5397153352
BMI Start:
23.0782828283
BMI Current:
20.9802571166
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Yes, now you know to check maybe every 48 hours...to keep everything moving and make sure something didn't happen again! Just sux that we have to facilitate that when we pay the Dr's and Insurance so much money!!

Good luck, you will get there and once you get to the other side you won't even remember how upset you were cuz you will be so HAPPY!!!
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Old 01-19-2011, 05:04 PM   #8 (permalink)
Seasoned Veteran
 
SummerBreeze's Avatar
 
Join Date: Jan 2010
Location: Idaho
Posts: 3,952

Weight Statistics

Jan 2009
Start Date:
Dec. 22, 2009
Surgery Date:
5' 6"
Height:
317 lb
Start Weight:
194 lb
Current Weight:
165 lb
Goal Weight:
123 lb
Weight Loss:
29 lb
Lb Left to Lose:
38.8012618297 %
% Lost:
May 2011
Goal Date:

Body Mass Index
51.1595500459
BMI Start:
31.3089990817
BMI Current:
26.6287878788
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

so sorry and DITTO on all of the above
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Old 01-19-2011, 05:38 PM   #9 (permalink)
WLS Master Guru
 
amymarie7905's Avatar
 
Join Date: Nov 2010
Location: Minnesota
Posts: 852

Weight Statistics

5-1-2010
Start Date:
9-24-10
Surgery Date:
5' 9"
Height:
258 lb
Start Weight:
118 lb
Current Weight:
130 lb
Goal Weight:
140 lb
Weight Loss:
-12 lb
Lb Left to Lose:
54.2635658915 %
% Lost:
9/24/11
Goal Date:

Body Mass Index
38.0957781979
BMI Start:
17.4236504936
BMI Current:
19.195547154
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I would have been so upset. I am glad this did not happen to me. You are lucky you called to check it out or your wait could have been way longer. Good luck!
Amy~
__________________
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Highest weight...258
weight the day of surgery 228 (30 lbs lost before)
100 pounds lost.......1/19/11
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Old 01-19-2011, 05:50 PM   #10 (permalink)
Guru In Training
 
MsRain's Avatar
 
Join Date: Oct 2010
Location: Indiana
Posts: 333

Weight Statistics

March 1st
Start Date:
11/23/2010
Surgery Date:
5' 2"
Height:
375 lb
Start Weight:
214 lb
Current Weight:
175 lb
Goal Weight:
161 lb
Weight Loss:
39 lb
Lb Left to Lose:
42.9333333333 %
% Lost:
06/2012
Goal Date:

Body Mass Index
68.580905307
BMI Start:
39.1368366285
BMI Current:
32.0044224766
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Yea that does suck, the same thing happened to me when my surgeons office was supposed to fax all the paperwork to my insurance to get approval, then once approved it was supposed to go back to the surgeons office to get a date. Do you think it happened that smoothly in that order? Nope I cant tell you how many countless calls i made back and forth to the insurance company, the offices, and everyone in between just to get all this paper work handled. Needless to say it was taken care of after almost 2wks of getting the run around. At least now you caught it and now you know to follow up on it
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Highest Weight: 375
Weight Before Surgery 11/23/10: 344
(size 28)
1mth out 12/23: 308 (36lbs GONE!)
(size 26)
2mths out 1/23: 299 (45lbs gne)
(size 24)
3mths out 02/23: 288 (56lbs gne)
(size 22)
4mths out 03/23: 276 (68lbs gne)
(size 22)
5mths out 04/23: 273 (71lbs gne)
(size 20)
6mths out 05/23: 264 (80lbs gne)
(size 18)
7mths out 06/23: 256 (88lbs gne)
(size 18)
8mths out 07/23: 252 (92lbs gne)
(size 16)
9mths out 08/23: 243 (101lbs gne)
(size 16)
10mths out 09/23: 239 (105lbs gne)
(loose 16)
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