Recent Posts
Topic: RE: BC/BS of California approval for VBG
Nia-
This is good news! My BCBS plan is the same...it will not cover drugs either, but covers the VBG and RNY if medically necessary. My surgeon's office was very familiar with my insurance and I did absolutely nothing to get approved. I consider myself VERY lucky after reading so many other people's struggles to get approved. Please let us all know how it goes. Good Luck!!
Natalie
281/209/125
Topic: RE: BC/BS of California approval for VBG
Well, I just found out I was denied although not officially. BC/BS said I have a specific exclusion in my plan that does not cover the surgery. I contacted my HR department for copy of my plan. Basically it states that obesity treatment (I'm assuming diet pills, weigh****chers and the like) is not covered. Surgery for the morbidly obese is covered if it is medically necessary. If they had taken the time to review their own documents correctly, they would not have given me the run around. I forwarded all this information my doctor's office and they will re-submit this to my insurance. Hopefully I will get a better outcome next time, wish me luck.
Nia
Topic: RE: Is almost everyone having the RNY surgery instead???
I had the VBG in Aug 1999. In the past two years, I have regained all the weight I lost. The x-rays show that my anatomy has returned to normal. I am now going back in for the RNY. For me, it is important to dump and have those side effects. It is still a tool but once you notice you are able to eat more than normal, resist and resist.
Topic: RE: Does anyone know how to d...
I'm with ya Dianne! I hated seeing my "old" picture everytime I posted a message. A person looks so different after losing a lot of weight. ~~ Good job on your weight loss!! Life is GRAND after WLS~~
Best Regards,
Sharon
Topic: RE: Is almost everyone having the RNY surgery instead???
Hello,
Please take a look at this site: www.gr-ds.com and go to the comparison of WLS. I had the VBG in 1985 and it was revised to the DS in 12/2003.
Lyric
Topic: RE: Does anyone know how to d...
Thanks Sharon,
I will try that. I am so proud of all the weight I lost which has made my face look so different that it is frustrating not to show it. I would really like to show both to tell you the truth.
Topic: RE: Does anyone know how to d...
Send pictures to... [email protected]
Hi Dianne,
I would resend the photo to them -- If I recall correct you need to give them your user name and password as well so that they can put it into your profile.
Best Regards,
Sharon
Topic: New website up for denials
Hey, thanks for the emails. The web site is not dead, it was being propagated to a new host. Stop by when you can, the new site has more information including hints on self appeal, articles and a constantly changing newsletter regarding healthcare and recent healthcare changes and articles. Some helpful appeal information.
Good luck and keep fighting.
Gary Viscio
www.obesitylawyers.com
Topic: RE: Not losing and what I can eat?
Heather-
Don't be so hard on yourself! You are doing fine. First off I noticed you said you eat almost nothing so it could be that you're actually not eating enough. Also, I can eat bread but I usually choose not to because you can't eat much of it (seems to take up a lot of space). The good news though is that something toasted I can eat more of. I think if you ate slowly and chewed your toast real well you could have some. I don't know about you, but I can usually tell from the first bite if something is not going to go down right. As for wehn you can eat your other foods...I was only on liquids for a week and then I was told I could start solid food, but just to chew well and take small bites. I ate peas then. I don't recall when I first had them, but I eat nuts and popcorn. My surgeon told me there was only one thing I could not have which was fat-free cheese because it doesn't break down right or something. I know some surgeons are really strict though. Also, I started walking a day after I got home which was really hard at first but got a lot easier really fast. I walk 1 1/2 to 2 miles an average of 5 days a week now. So, if you can walk in your neighborhood or at a mall (or even Wal-Mart) I think that would help you. Good Luck!
Natalie
281/211/125
p.s. Don't worry about your plateau...I've been on one for a week.
Topic: RE: 2 part DS Surgery Stories Please
Hello Elise
I am also having the VBG with sleeve with Dr. Elariny. in VIrginia. My BMI is 57. I will keep you posted when I have the procedure done.
Sunje