August 30th 2006

Aug 29, 2006

Went today to do my lab work and my preop. I had to do my breathing part over again and i pray that they dont say well she needs to see a heart specialist. I have come to far to turn back now. I also had to do a pscy -eval over again becasue mine was to old it was a year old and the doctor wants it 6months are less.

 


August 15 2006

Aug 14, 2006

Got surgery date Sept. 11th 2006
I am so ready to begin my new life i pray to my father upabove that he see me and so many other threw this journey safe and sound with no complaction. Amen

August 10,2006

Aug 09, 2006

Approved after a year and a half of fighting with them. I had to talk to someone in appeals. Each time i talked to someone they did not see the same things i was always missing something. Dont get me wrong i prayed to my father and he took it from there. I got one person on my case and she found everything that was missing. When they ask for something they want it and they mean it. Make sure you have everything they ask for and make sure each time you go to the doctor he documents your excercise and diet tell him if you are on a 1200 are what ever diet you are on so he can put it in the chart.

It is all about documention documention.
this web site has helped me out so much thank God for you all.
Melissa Probst has helped me out with dealling with bcbs she gave me the number to the appeals which is well the number i had i can not find it  but this is anothe number and it is to appeals.
312 653-6000 that is straight to appeals.
Make sure you keep copys of everything and everytime you talke to someone and date and time.

Susan Hammontree my good friend, Tamika Tatum, and Mrs. Cookielusicous are good friends that have all cryed and answered question for me. LIke i said obesity help has been wonderful to me.

May God bless us all on this journey.

ALL THE THINGS I HAD TO DO TO GET APPROVED FOR THE SURGERY BY MY INSURANCE BCBS OF ILL.
1.PSCY-EVAL
2.12 MONTHS OF SUPERVISED WEIGHT LOSS ATTEMPTS( WHEN THEY SAY 12 MONTHS YOU HAVE TO SEE A DOCTOR FOR 12 MONTHS ONCE A MONTH.
3. 12 MONTHS OF SUPERVISED EXCERCISE KEEP A RECORD OF DAILY EXCERCEIS EACH MONTH LET YOUR PCP SIGN IT.
4.5YRS OF DOUCMENTED HISTORY OF OBESE
5.BMI OF 40 OR MORE
6.NUTRIANCIN MY DOCTOR DID MINE.

THINGS I CAN NOT WAIT TO DO AFTER SURGERY!!!!!!!!!11
1. Run and play with my boys, and ride bikes with them.
2. Sit indian style
3. Wear tennis shoes that i can tie.( instead of always trying to buy slide in shoes.
4.Shop at a regular store for clothes.
5.SEX MOVES MORE THAN JUST HIM ON TOP AND DOGGY STYLE
SORRY JUST BEING HONEST.  (DONE)
6.Go to the movies and sit comfortable.
7.Cross my legs with my hands help. (DONE)
8.Cross my legs with no help from my hands.
9. Pedacure my own feet without waiting for my husband to do it.( DONE 9/28/2006)
10.Sit in yard chairs without wondering if i am going to break them are half of my fat stick out of the sides.
11.dance at our family reunion without wondering if anyone will laugh at me from everything shaking.
12.wear heels.
13. Not have to lean on the walls to put underwear and shocks on.(DONE)
14.Not get out of breath are lean on the wall in the shower.(DONE)
15 take a bath instead of shower all the time.
16.Take a shower with my husband and be able to turn around in the tub.
17.Go to the bathroom in a regular stall and not use the handicap all the time.
18. Go out more becasue i will have more clothes to wear than just 3 or 4 outfits that eveyone has seen me in serval time.

I love my husband he has been so suppeorted of this whole things. He has had to put up with wayyyyyyyyyy more than he should. Thank you God for life thank you for my husband and kids.


July 24 2006

Jul 23, 2006

Well as usually BCBS OF ILL denied me becasue they said that they only see 2 months of supervised diet. THAT IS A LOAD OF CRAP. I have all 12 months in and i told  the lady that. she put me on hold and checked it out, and came back and said that she see where i started back july 26 2005. and that she was going to send it up for review again and tell them to look at all the files on me piece by piece. I am praying that this time they will see and say it is APPROVED.

July 11the 2006

Jul 10, 2006

Today was the last of my 12 months supervised diets that bcbs of ill required. I should be excited about that but i dont know i guess  reality is just now setting in. I faxed them off today to the insurance and now it is as always sit back and wait. If they denie me it is because it is God's plan. When he is ready for me to have it i will. I will keep you posted as to what happens. When i started this journey  i was weighing 348lbs and now i am 356lbs.

May 30 2006

May 29, 2006

Well it has been awhile since i have wrote. I am still in the process of getting my insurance to approve me. I am now 10 down and 2 more to go YAHOOOOOOOOOOO it seemed so long at first and not it is like someone skiped some months. I am so ready for July 2006

April 21 2006

Apr 20, 2006

Well once again they denied me after the apeal. They sent my doctor a lette asking for more information. I thought yes they are cracking and i am about to be approve. Because they are tired of me calling and bugging them. I talked to them yesterday and she said that they asked my doctor for more information because they do not see where i have been on a diet for 12 months. I said well i might as well just do my other 3 months and be done with it becasuse they are not going to crack until you do the full 12 months.anyway it will all be worth it.

April, 5th 2006

Apr 04, 2006

Well this is my 9th month sent it in to the insurance company with an apeal Praying that they will say ok we are tired of her lets go ahead and aprove her. If not i will continue to do my las 3months. I know that is not that long but it is the waiting that is getting to me. Even if they approve today i am still not have the surgery until August of 2006. I know you say well why rush getting it approved. It is just the fact of hearing the words APPROVED!!!!!!!!!!!!. Will post more when i hear from them.

March 30 2006

Mar 29, 2006

Hello my name is Nickie and like most obese people i have been struggling with my weight since i was about 12 years old. I have tried everything known to man kind. Only to have it come back and more. I have been married for 11 years and married my high school sweartheart. We have 2 boys 10 and 12. I am so ready to start going to the movies with them and riding rides with them at the fair, instead of asking someone to ride with them. I am not doing this just to be a size 6,10, or even 12 i want to enjoy my boys before they are grown and out of the house.

I have been denied 3 times and denied 1 appeal. When i called the insurance company myself to see what the deal was and they told me that they see eveything except where i have had a 12 month supervised diet i said WHAT? and she said yes mam you have to have a 12 month supervised diet where you have been seeing a doctor for 12m once a month and if you skip a month it starts all over. I thought forget this i will never have it done then it was like God spoke to me and said you let me worry about tomorrow and you just take care of today so here i am 8 months later and only four more months to go. I am so ready. I am about 5ft7 348lbs black female. I Have high bp and breathig trouble, swelling but you what i can thank God because it could be worse.


About Me
Paris, TX
Location
31.8
BMI
RNY
Surgery
09/11/2006
Surgery Date
Feb 25, 2006
Member Since

Friends 66

Latest Blog 29
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Things I can not wait to do after surgery!!!!!!!!!!!
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