Need to rea*****hin (Paula) from Indianapolis

Nina E.
on 12/8/11 6:17 am, edited 12/8/11 6:18 am

Hi everyone! I am trying to help talk a coworker out of giving up on the DS because Federal Blue Cross denied the DS saying her BMI of 42 is too low for the DS. She is going to get the RNY if I don't do something. I know whe will not be happy with that.

Paula posted that she fought the same thing and she has federal BC BS. I desperately need to reach her asap because my friend is giving up fast and Dr Inmans office isn't being helpful.

Thanks!

Nina ~~ BMI was 52, now 26.1 (normal). From size 26/28 to 10 pants and 2xl/24 shirt to xs/sm shirts. SW/CW/surgean Goal/mynew GW 322/161/180/165 I Heart MY DS!!

determineddanni
on 12/8/11 10:43 am

DS on 12/19/11

I am a lightweight too and have no co-mobidities. I was approved by Federal BC BS. You just have to get your requirements in and fight! Thats all, she can do it! If you want her to tell her to PM me on more info with the insurance stuff. Or to post on OH DS forum I know a few other people who have the same insurance.

HW 259 SW 256 CW 141 GW 150

Nina E.
on 12/8/11 9:01 pm

DS on 10/15/08

Thank you I will PM you. She isn't on OH yet. Unfortunately, I heard from Paula and she didn't offer much info and even said that the RNY is better than nothing. I was bummed to hear that from a DS veteran who I respected.

You have given me hope that I want to pass on to her. :) I will PM you my contact info. Would love to hear from you when you can.

Thanks again!

Nina ~~ BMI was 52, now 26.1 (normal). From size 26/28 to 10 pants and 2xl/24 shirt to xs/sm shirts. SW/CW/surgean Goal/mynew GW 322/161/180/165 I Heart MY DS!!

Frankie
on 12/8/11 11:21 pm - NY

DS on 09/26/11

Send a PM to Diana Cox, she is the insurance Guru. She can definitely help. Good luck to your friend and PS, BMI was 41.5 when I was approved for DS.

Frankie

smileyjamie72
on 12/9/11 5:47 am - Palmer, AK

DS on 12/29/11

Here is a link to a study posted on the DS Facts.com website. They took over 800 patients, with a BMI of under 50 and averaged them out, and did this study. Maybe your friend should take a look at this study.

http://www.dsfacts.com/Duodenal-Switch-for-Morbid-Obesity.ht ml

Hope this helps her!!!!
-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

Need to rea*****hin (Paula) from Indianapolis

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Need to rea*****hin (Paula) from Indianapolis