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Pre surgery 3 month diet with blue shield of California

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Coming from Cali. Did you have to do a 3 month diet or 6 month with blue shield ppo platinum? My policy in writing says 3 months but I'm being told different. Every time I call to talk to a supervisor they hang up on me. Help?

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I'm not in California however I have a Blue shield ppo platinum plan through my employer(based in California). I had to do a 6 month supervised diet. I think that is becoming more of a standard for insurance approval. did you talk with the insurance coordinator at the surgeons office? they may be able to pinpoint it more precisely.

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Thank you!

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I just got word that I have to go the 6 months with Blue Cross Blue Shield. I was suppose to have the VSG done in June & now it's been pushed out until October 21st. I'm pissed. 

 It took me forever to finally work up the nerve to do it & now I'm being held off. Frustrated to say the least. Been a smoker for 30+ years, chewed tobacco at work for 30+ years & stopped cold turkey. Now I find myself slipping on the smokes after stopping for the past month. 

 Leaving on vacation tomorrow for a week, gotta get my head screwed on straight again & get back on track but am so disappointed with the way things are going...... 

I'll get it together, but damn.... This really sucks! 

Edited by Pushin 300
Typo

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That does really suck! I'm so sorry.

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I have Blue Shield PPO here in California. My Surgeons office said I only have to do a 3 month class. Once per month for three consecutive months.  

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On May 4, 2017 at 1:04 AM, Pushin 300 said:

I just got word that I have to go the 6 months with Blue Cross Blue Shield. I was suppose to have the VSG done in June & now it's been pushed out until October 21st. I'm pissed. 

 It took me forever to finally work up the nerve to do it & now I'm being held off. Frustrated to say the least. Been a smoker for 30+ years, chewed tobacco at work for 30+ years & stopped cold turkey. Now I find myself slipping on the smokes after stopping for the past month. 

 Leaving on vacation tomorrow for a week, gotta get my head screwed on straight again & get back on track but am so disappointed with the way things are going...... 

I'll get it together, but damn.... This really sucks! 

That REALLY sucks!! I'm sorry that happened. I was in a similar position last year at this time. I had done my pre op diet (lost 46 pounds), completed all of my requirements, clearances, etc...then I went for my pre op labs. They found some problems with my results and ended up diagnosing me with thyroid cancer. Gastric bypass cancelled until I had my thyroid surgeries and treatment. By the time I was finished with treatment in August '16, my body was too wiped out to even think about the weight loss surgery. I FINALLY just had my bypass on 5-17-17. It's been a looong road to get here, with lots of frustration along the way. Please try not to let this drive you back to smoking. The longer you have been smoke free when you do have surgery, your lungs will be that much better for it. And your recovery will be that much smoother. My journey started 17 months ago. Hang in there. You can do it!!

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Thanks guys. Yep, 6 months. Period. Starting Chantix tomorrow. See the dr thursday & I'm sure I'll take a butt chewing for still smoking. Oh well, life's full of disappointments for us all. I have to be nicotine free for 6 weeks so I know that won't be a problem. Been a little frustrated about the whole thing but It is what it is. 

I appreciate the encouraging words. 

 

Clay

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Looking forward to hearing how the visit with the doc goes, @Pushin 300. You have plenty of time to quit. Boy, you're giving up a lot of comfort items at once (food, cigarettes). Impressive. The time really will fly. New year, new you!

Edited by Gretta

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I had to switch to Blue Shield to get my surgery done.. Here were the requirements : 

  • 6 months of diet documentation. 
  • Diet documentation from the year prior and exercise for the year prior.
  • 6 months of exercise logging.
  • Primary Physician Letter (Which she refused to sign until I did a battery of drug tests).
  • Psych evaluation.
  • Nutritionist Evaluation
  • 4 hour nutrition, and surgery class.
  • Lab and Blood Work.

I ended up having to do the class twice, in two different locations. However, once I got all of my ducks in a row, I went from having the class on the 27th of July, and Surgery on August 1st. IT went by very quickly. 

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Hey guys,  

 I thought I would post an update. I got my insurance approval last week. I'm on the pre-surgery diet, it really sucks. I quit all tobacco  cold turkey, that was really tough but its done. 

 One week from tomorrow, Monday 10/23 I'm getting it done. I'm excited about getting it done but definitely a little un-easy at the same time.

 I know I'm doing the right thing for ME & my family but it's still a little nerve racking. I've just gotta get it done.

I'm sure I'll be chiming in looking for support and advice as I navigate these unfamiliar waters very shortly.

Thanks in advance for your understanding.

Clay

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5 hours ago, Pushin 300 said:

Hey guys,  

 I thought I would post an update. I got my insurance approval last week. I'm on the pre-surgery diet, it really sucks. I quit all tobacco  cold turkey, that was really tough but its done. 

 One week from tomorrow, Monday 10/23 I'm getting it done. I'm excited about getting it done but definitely a little un-easy at the same time.

 I know I'm doing the right thing for ME & my family but it's still a little nerve racking. I've just gotta get it done.

I'm sure I'll be chiming in looking for support and advice as I navigate these unfamiliar waters very shortly.

Thanks in advance for your understanding.

Clay

[Dang. You need the pep talk. Ok....]

You can do it. If you can cold turkey tobacco you can do anything. Be strong, mate, be strong; or let me say, continue being strong. Calm those nerves.

Say it again: The health benefits are astronomic and life-long. Dying young or after years of ill health from obesity is terrible. The $%@! liquid diet is short. No one likes the liquid diet and with good reason. The reason to do it nonetheless is because it leads to major major lifelong super benefits. You're doing the right thing. Am sure you don't need me to say it, since you know it already. (But this is a support forum, and so that is what you will get!!!!). Say it again: the only proven way to reduce weight is this surgery, not diets or other flim-flam garbage. Dieting fails. This is the one scientifically proven route. So you have chosen the factually only clear route to significant weight loss. Smart move. 

If you could give your wife or one of your kids many years of extra life you'd do anything, right, including losing a limb or two or an eyeball? undergo some major discomfort, maybe worse? So this time it's for you, so you'll actually be around for them. Cutting to the chase, this is ALL about living longer, and living healthier, while you are around. You can do this. There is a lot of blah blah blah on the internet about inconvenience of the diet, or talk-talk-talk about putting up with the barfs, or your tummy hurting for a bit, or how you can't eat Cheetos all day and all night anymore (really). All small potatoes if you look at this dispassionately and cold-bloodedly. Some people can't leave those Cheetos, chips or whatever behind. They die early. Sad but there you have it. Feeling empathy for them, one can still state: You need not suffer that fate. You are choosing a better life, a longer life. You benefit, and assuming you have one iota of humanity in you, your family benefits. So you are helping yourself and others. You're about to put up with some serious monkeying in your life to gain years of healthy life. An excellent life lesson for your kids too, as you walk the walk. You want your kids to know what it means to walk the walk. Your actions speak louder than words. 

Tons of support and advice here. None one is shy when it comes to empathy and sharing. All of us on the far side of the surgery understand the risks, the discomfort, and all that. We're here for you. People respect the hard decisions people make, including what you are doing now. Big words (see above) don't diminish the butterflies in the stomach we all felt, and the struggles all of us face on a daily basis after surgery to maximize the benefits. You're doing the right thin. 

Courage is not the opposite of fear. It is doing the right thing in the presence of fear. 

_____________________________

(Ok, this isn't as good as Shakespeare's Henry V's St. Crispin's day speech rousing the English to fight at Agincourt in 1415, but am trying my best to raise your spirits and praise you for your moving forward. If you need a rousing speech watch the Kenneth Branaugh movie version and pretend the enemy is obesity. It still gives me goosebumps to even think of it. We really need a reincarnation of Shakespeare on the Forum... And, uh, you can opt out of pep talks if you are so inclined.) 

Edited by BurgundyBoy
Sad attempt to be inspirational or rousing. Oh well.

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6 hours ago, Pushin 300 said:

Hey guys,  

 I thought I would post an update. I got my insurance approval last week. I'm on the pre-surgery diet, it really sucks. I quit all tobacco  cold turkey, that was really tough but its done. 

 One week from tomorrow, Monday 10/23 I'm getting it done. I'm excited about getting it done but definitely a little un-easy at the same time.

 I know I'm doing the right thing for ME & my family but it's still a little nerve racking. I've just gotta get it done.

I'm sure I'll be chiming in looking for support and advice as I navigate these unfamiliar waters very shortly.

Thanks in advance for your understanding.

Clay

Clay, it is awesome that you have been able to cold turkey the tobacco, you have proven you got what it takes!!!  Great going!  You're life extending overtime w/ the tobacco and obesity ending!!!!  

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