Recent Posts

livelaughloveme
on 1/27/11 11:45 pm
Topic: No Idea Where to Start????
I have battled my weight for as long as I can remember.  I have been on all kinds of diets only to lose weight and soon to gain it back plus some!  I have high blood pressure and anxiety/depression.  I take a blood pressure pill, zoloft, mult-vitamin, 2 fish oils, low dose aspirin, vitamin D, and a potassium pill every morning.  I have a family history full of diabetes, high blood pressure, heart attacks, and strokes.  I am so ready to get my weight under control and live a more healthier life for me and my family!  I am starting to look into weight loss surgery but I have no idea where to start.  I have BCBS of AL PPO plan.  I do have some questions that I hope someone can answer:
1.  Where do I start? (How do I go about getting this process started?)
2.  BMI has fallen (in the past) under 35 but not for long, is this a problem?
3.  I would like to have another child, not in the immediate future (maybe another 2 to 3 years).  Would this be a problem?
Thanks!
basktsbears
on 1/27/11 9:05 am - Indianapolis, IN
Topic: Fed BCBS do they use your first weight??? What about supervised wt loss?
Hi,

My BMI is about 40-41 today, which was my first supervised weight loss app't.  I had met with surgeon last year (then thought I could do it on my own), my BMI was 41 then.  He told me then I needed to lose 15# before surgery.  My understanding is my doctor's office turns in first weight, then we are to be on the liver reduction diet until surgery (whole 3 months).  I asked the coordinator about losing weight and if that would effect my coverage if I go under 40 BMI, and she just said to talk with doctor at my next visit (2/28).  I don't want to mess up, I am not supposed to gain either.  

I would not worry about it, but I just barely made the required bmi (I have no comobidities).  I am going to talk with doctor's office tomorrow to make sure I am doing what I am supposed to do. They do not put in for approval  until I have completed the 3 months and like I said before I am supposed to be on liver reduction diet right up until surgery.

Thanks for your help!
Kim M.
on 1/27/11 4:43 am - NC
Topic: BCBS??? I'm confused Please Help
Hi, I am in the pre-op stages of my journey to have Gastric Bypass. I have bcbs ppo. My question is when I was told I had to the 6month supervised diet, doe that mean I need my pcp to supervise this. I go to weightloss center where they weigh me every month. The Bariactric NP says that I have completed 2 of the 6mo. I really confused now. I know my pcp is in touch with with the center, does that count???
Kim    
mlssadwn
on 1/26/11 1:54 pm - Red Bluff, CA
Topic: RE: Medi-Cal???
I didn't even know there was more than one type until I started this process. I have the basic BIC card (white w blue writing) if that helps at all. You know I wanted the band, got scheduled mistakenly for the bypass, and ended up prefering the sleeve lol I live in Red Bluff (north of Chico) and just went to my county office and applied so whatever Medi-cal that gets me.
 Height 5'8" Highest Weight - 245 Surgery Weight - 220 Goal Weight - 150-160 Current Weight - 155 

 
    
ksing6691
on 1/26/11 1:15 pm - Sacramento, CA
Topic: RE: Medi-Cal???
I live in Northern CA as well and I have Medi-Cal now that I got laid off from work. I have not got surgery yet, but I am in the process. Just got done with my Psych eval.

Its a great thing that Medi-Cal covers WLS. I hope with the combined insurance I have with Medi-Cal it covers VSG. I originally wanted RNY but as of a couple of weeks ago I think I want the sleeve.

I have a question for you. What insurance do you have with Medi-cal. Like Blue Cross, Healthnet, etc.?


Best
            
mlssadwn
on 1/26/11 12:33 pm - Red Bluff, CA
Topic: RE: Medi-Cal???
Hey I live in Northern CA and my Dr is in San Jose CA (well worth the trip) and here is his info :D I know he accepts Medi-Cal as I went there yesterday lol

Dr Richard Nguyen
Advanced Surgical Associates
200 Jose Figueres Ave Suite 225
San Jose, CA 95116

Phone: 408.929.5610
Fax: 408.929.5215

I hope this helps...also I was approved for RNY and Band and VSG at BMI of 40 within 4 days :D

 Height 5'8" Highest Weight - 245 Surgery Weight - 220 Goal Weight - 150-160 Current Weight - 155 

 
    
LadyPao09
on 1/26/11 9:36 am - Miami, FL
Topic: RE: JMH medicaid Health plan
ok, after posting this question on the forum I notice that nobody respond to it, since I was lost and with a lot of questions here is the answer to my own question.. Yeeesss!!!!! JMH Medicaid approved my RNY surgery the first time that the office sent my paperwork. now I am happy to let you know that I will have my surgery on 02/15/2011.
LadyPao09
on 1/26/11 9:31 am - Miami, FL
Topic: RE: Florida Medicaid
where you able to change your insurance?....I have medicaid JMH and I was approved for the RNY with no problems.
David Ober
on 1/26/11 3:15 am - Riverside, CA
Topic: Medi-Cal???
Hello,

My sister is considering weight loss surgery, but she only has Medi-Cal insurance. (California's version of MediCare, I think....)

Anyone know if Medi-Cal covers any kind of WLS?

Thanks,
 
WASaBubbleButt
on 1/26/11 2:19 am - Mexico
Topic: RE: Tricare ins
On January 23, 2011 at 4:46 PM Pacific Time, SugarGrl wrote:
I'm tricare prime and am wanting VSG. I've been working on this for about a month and have not heard that I can't get VSG by my surgeon's staff. Oh don't tell me I can't get the VSG!! I'm even sleeping with the bleeping sleep apenea mask to get through the process!
 
Sleeves have to be done at the MTF and appealing in this case does no good. :o(


Previously Midwesterngirl

The band got me to goal, the sleeve will keep me there.

See  my blog for newbies: 
http://wasabubblebutt.blogspot.com/
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