Appeal with BCBS Federal Plan - SUCCESSFUL

(deactivated member)
on 7/20/12 5:31 am
I'm approved for the revision from VSG to DS!!

I had to appeal twice, but finally got my approval yesterday, Waiting on a surgery date now. Should be sometime next month.

I am soooo excited!!
ajrober2
on 7/20/12 7:01 am - Houston, TX
DS on 11/01/12
Congratulations!!!!
teachmid
on 7/20/12 7:29 am - OKC, OK
Congratulations!!
     -Gail-
SW  257    CW  169  GW  165
  
determineddanni
on 7/20/12 7:48 am
CONGRATS! DOESN'T IT FEEL LIKE YOUR ON TOP OF THE WORLD!!!

HW 259          SW 256          CW 141       GW 150
             

MajorMom
on 7/20/12 8:02 am - VA
Congratulations!!  Woohoo!

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
                                 ******GOAL*******

Starting BMI between 35 and 40ish? 
Join us on the
Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

Fran-I Am
on 7/20/12 10:02 pm
Congratulations!

    
SW 1012/11 265#  CW 10/10 142#
Gutless_in_Seattle
on 7/21/12 8:26 am - Seattle, WA
Good to hear that, I have Federal BCBS myself.
(deactivated member)
on 7/25/12 10:55 am
Thanks everyone! I am so excited.

My surgery date is August 29, 2012.

I can't believe it is FINALLY happening
.
daydreamer27
on 8/3/12 10:34 am - LA
Donna,
I'm thinking of setting up an appointment with Dr. Stewart and want to know how low your BMI went after the VSG? Was it ever under 40? My BMI dropped under 40 for only a few weeks at 1 year out. Appreciate any information you are comfortable in sharing like BMI history they are requiring or following guidelines after VSG. Thanks for your help and Good Luck - will remember you in my prayers for good outcome - Yea Aug 29!
daydreamer27
on 8/2/12 4:44 am - LA
Congrats! I'd be really interested in what hoops you had to jump through for BC/BS Federal. I've been told that even with 35BMI I had to have uncontrolled comorbidities. Which meant I was on highest dose of medication and my numbers were still off (i.e. hypertension and type II).  But I was also told that a 40 BMI ended the discussion of comorbidities, and I am really close to that, but just found out my doctors office had my height 1 inch more that it really is - so that definitely makes a difference. What was the time range BC/BS wanted you to prove for obesity - 1 yr, 2 yr, etc? I'm trying to get all my ducks lined up and would really appreciate the criteria they required and if you don't mind - why they denied to begin with. I'm so jealous, wish you all the best - understand Texas has some of the best docs around for DS. GOOD LUCK!
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