Howdy from Chesapeake

KABAR2
on 1/30/13 7:32 am - Chesapeake, VA

Found this forum while doing a web search on dieting and surgery I am one of many between a rock and a hard place,

My Blue cross health keepers won't pay for surgery,

I had an A-Fib in 2009 and am on heart meds for that,

diagnosed diabetic in 2009

morbidly obese

diagnosed sleep apnea 2010

Right knee needs replacing and left not far behind I am having to use a walker to get around at age 52....

Doctor won't replace knees until I lose weight.....

I have tried dieting which usually leads to a 45 to 50 pound loss and then a 4 to 6 month stretch with no lose which means

old eating habits come back into play and I gain it back + ........

I am tired of living a half life & want my life back!  the past few years have been a little hard on me,  My wife had been diagnosed with cancer in 2008  around the time my knees started giving out  I had the A-Fib while trying to be a care giver and hold a full time job..... I lost my Carol in Nov. of 2009 at age 48 ..... So the past three years have been a bit of a struggle....

Brian K.
on 2/1/13 5:56 am - MA
RNY on 04/23/12

Hi KABAR,

 

Sorry for your loss, I can understand your difficulties. It seems unusual that at your age and weight with co-morbidities they won't approve you... Did they say why?

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Sam LifeNerd
on 2/3/13 10:01 pm

Wow, BCBS of NC approved me (and almost everyone in NC) in a heartbeat!?  Not sure if it is a compliance issue or what but I would see if there is anything you can do.

"Self-pay" is an option, about the cost of buying a new car... but might be worth it if all else fails?

         
KABAR2
on 2/7/13 9:41 am - Chesapeake, VA

The two things Blue Cross Health Keepers HMO will NOT pay for is weight loss surgery or weight loss clinics it would cost 30 dollars more per person a month on our plan to have it....... So I get what the company it pays for.....funny thing is my insurance went up 16.00 a pay period or 384 a year my co pays went up also from 20 to 25 and I have a 150 deductible on meds.... I'm going to stop now.... thinking about how much more money it's costing me this year for the same services is going to raise the bp....

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