Recent Posts
Topic: RE: Support Group in Royal Oak or Nearby?
Hi Traci,
Did you join Club Bariatrix when you first started your journey? It was a one-time $99 fee thru Beaumont and then all your Nutritionist, Exercise Therapist and Support Groups are FREE.
Just wanted to check....I know that those $25 group sessions are expensive...but since I paid the $99 one time fee....it's been great going to the sessions.
I'm just starting this journey and I have my VSG consultation with Dr. Kraus on August 1st. Hooray!
I also had a LapBand consult with him but I've decided that I'm not going to go that way. And RNY...as much as I love it I can't do the malabsorption because of other issues.
Thanks, Sheryl
Did you join Club Bariatrix when you first started your journey? It was a one-time $99 fee thru Beaumont and then all your Nutritionist, Exercise Therapist and Support Groups are FREE.
Just wanted to check....I know that those $25 group sessions are expensive...but since I paid the $99 one time fee....it's been great going to the sessions.
I'm just starting this journey and I have my VSG consultation with Dr. Kraus on August 1st. Hooray!
I also had a LapBand consult with him but I've decided that I'm not going to go that way. And RNY...as much as I love it I can't do the malabsorption because of other issues.
Thanks, Sheryl
Topic: RE: Pre-Surgery diet?
My surgeon's office wouldn't schedule a consultation until we got the approval for that. They submitted my proof of 6 months weight loss to get that approval, which took about 2 weeks.
I have my surgical consult and behaviorist appointment on Monday, then they will submit for the final surgery approval. I was told it could take up to 3 weeks, I'm hopeing it will be faster. The doctor told me the 1st approval I already got was the hardest one to get.
So once I get the final approval then I can schedule a surgery date. At my surgeon's office, they said with Priority Health, they will not schedule a date until they get that final approval. Should be early august when I get an answer, she said I'd probably get a September date. I think my surgeron is already booked for the whole month of August.
I have my surgical consult and behaviorist appointment on Monday, then they will submit for the final surgery approval. I was told it could take up to 3 weeks, I'm hopeing it will be faster. The doctor told me the 1st approval I already got was the hardest one to get.
So once I get the final approval then I can schedule a surgery date. At my surgeon's office, they said with Priority Health, they will not schedule a date until they get that final approval. Should be early august when I get an answer, she said I'd probably get a September date. I think my surgeron is already booked for the whole month of August.
Topic: RE: Tummy Tuck
wow that is great. I have went to my now family doc only 2 times he took pictures the last time of my problems. I hope I do not have to keep going to him for 6 months. I drive a school bus for dearborn schools so I guess our insurance is the same.
Topic: RE: Pre-Surgery diet?
Are you approved for surgery ? if yes how long it took you and was the process easy with priority health insurance ?
Topic: RE: Pre-Surgery diet?
I have Priority Health insurance ( POS ) and I had to do 6 months supervised diet, because my BMI is 41.6 now I have appointment with the 2nd surgeon on monday for the first time, so they can submit my documents to insurance. But I didnt know that priorityhealth 1st approves the consultation.
Topic: RE: Tummy Tuck
I had an LBL & brachio done by Dr. Livingston who works out of the Grand Health Partners office here in Grand Rapids. That cost me just over $12k however I believe the quote I got for just a TT and brachio was around $6k. I believe they didn't include the panni part which was like $1,200 because they were going to be billing my insurance for that amount. I've found his prices are very reasonable and he does excellent work. Worth a call to find out if they will do a quote over the phone or maybe a day trip to the west side of the state for a consult.
Topic: RE: Tummy Tuck
Hi Val...I have Blue Care Network too..for State of Mi employees. A friend who has the same insurance, and who had the sleeve..got her tummy tuck covered by BCN. She just had to go in to see the doc every month for 6 mths..to document issues w/rash under the tummy..and it was covered.
Topic: RE: Pre-Surgery diet?
My sister had BCBS and was not required to do the weight loss period. She did have to do 2 weeks liquid diet before the surgery (she had the sleeve), but that was a surgeon requirement. They usually do that to try and shrink your liver prior to surgery.
I have Priority Health and I was required to do the 6 month weight loss period. They would only waive the requirement if your BMI was really high. I think it had to be over 50 or 55, I'm not to sure cause I didn't qualify for that.
I didn't like the idea of the 6 month weight loss period, but now that I've finished it, I'm actually glad I had to wait. It gave me more time to research my options. I ended up finding out about the DS about 4 months into my wait, I was originally planning to do the RNY. I had to switch surgeons since the original one I was going to use doesn't do the DS. I have my surgery consult on Monday and then I have to wait on the final approval. Priority Health 1st approves the consultation, then they have to get a second approval for the actual surgery. I should have an approval within 3 weeks of my appointment, they they schedule the date.
I have Priority Health and I was required to do the 6 month weight loss period. They would only waive the requirement if your BMI was really high. I think it had to be over 50 or 55, I'm not to sure cause I didn't qualify for that.
I didn't like the idea of the 6 month weight loss period, but now that I've finished it, I'm actually glad I had to wait. It gave me more time to research my options. I ended up finding out about the DS about 4 months into my wait, I was originally planning to do the RNY. I had to switch surgeons since the original one I was going to use doesn't do the DS. I have my surgery consult on Monday and then I have to wait on the final approval. Priority Health 1st approves the consultation, then they have to get a second approval for the actual surgery. I should have an approval within 3 weeks of my appointment, they they schedule the date.
Topic: RE: Pre-Surgery diet?
Last year Blue Care Network required it for those with a BMI under 50. You had to have 6 months of document attempts at weight loss. Doesn't mean you had to lose any weight, I just had to go to my doctor and have her fill something out with what I said I was doing which had to be weight loss and exercise and I had to get weighed. The documentation format is very specific for BCN.
Jean
Topic: RE: Tummy Tuck
I need a tummy tuck to. I have blue care network they are like blue cross blue shield. I wonder if they will cover mine. I get infections all the time under there so I hope they cover it. I heard if it is for a medical problem that they cover the tummy tuck. They covered my sleeve so fast no problems with my wls being covered.