Ok OH team I need your help! come in Bosley.. Oh did I reveal my age?
Ok I have been a member here for a while but now it is my turn (we have insurance) Now what do I do? First instinct is to march into my doctors office and tell her I want RNY (lapro... ) Ok maybe too agressive. Really I don't know where to begin. I have been reading pros cons and every type of surgery, but when reality hits that I am up to bat I freeze.
Please help me, all joking aside I have to do this. I have ate one too many last dinners, soda, cakes etc etc. I have HMO BCBC and from my last post my gyno gave me a referal to a barix clinic. It turned out to be not in our BCBS covered zone. The lady at insurance was rude (once she found out) told me I had to be with them for a year before they would even consider it and then it would take another 3 to finally finish all the requirements.
but I know from reading the boards that it is not neccessarily true... Now please help if you have BCBS hmo Il or if you know what to do please respond. thank you thank you thank you. Best Wishes Banu

Hi sweetie! I don't have BCBS so I don't know what to tell you, but most insurances make you have a referral from your PCP so that would be a good start!!! I would repost this during the day tomorrow when more people are on to answer you!
I just wanted to say that you are too adorable and your family is beautiful!!! You and your husband look so much in love and your boy or boys are so cute (I think you have 2, but not sure by the pictures)!!!! I can see the love in your family! I will be praying that you get this surgery so you can lead the happy life you so deserve!!! Keep me posted on your progress!!! I'm sending happy thoughts your way! hugs, Becky
Surgery was RNY 5/21/07...I can be found on Facebook: anewbecboo or Becky Reddick

I don't have an answer for you, but you might ask someone on the Illinois Board.
http://www.obesityhelp.com/forums/IL/a,messageboard/board_id ,4816/
maybe if you called bcbs BACK and spoke to a different person you might actually get somewhere. you need to know what the requirements are because if it truly IS a year before they'll consider paying for it (a likely scenario. it is insurance, after all...) then at least you can be doing whatever things they require of you in the meantime.
my bcbs (which is a ppo so... not the same thing) required a 6 month doctor supervised diet and quite a few tests prior to approval. if you know the requirements in advance then maybe you can shave that wait time down to a year or a year and a half max!
and next i would also have them send you a handbook that lists what doctors/clinics are in your network and start researching which procedures these physician perform and which one is right for you (and also which one is actually COVERED by your insurance.)
also you need to contact your primary care physician to see if he/she will have your back in all of this. if your pcp doesn't support you then you need to take this time to find a new pcp who DOES support wls and will be there to help you out when you cannot get in touch with your surgeon's office later on down the road.
good luck to you sweetie!!