Everything posted by SleeveandRNYchica
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Approvals with BCBS Federal
So my breakdown with my surgical group goes like this: $730 paid in two payments for all wellness consults, pre bad post op nutrition appointments,patient material and weight loss nutrition class $150 for 3 month nutrition program $300 for Bariatric Advantage liquid diet $153 for Bypass Vitamin kit This is my upfront out of pocket cost totally $1333. Additionally, since I already met with their Behavioral Specialist I went with her for the psychological exam for an added costs of $225. I decided to go with her because when I called another psych he told me my insurance would cover the appointment, but not his time to right the report for additional $175. So with copay I would have been close to $225 anyway! I also had to have Barium Swallow copay $40 (I think) and EDG copay $100. I will have my surgery at a Center of Excellence so I think the copay is $150. The office told me lost surgery I will get a letter of necessity in which I can then submit to my insurance for possible reimbursement. Since these are considered wellness providers procedure codes are nonexistent. So when it's said and done it will be close to $2k. Not to mention this is my second rodeo.
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Stop it!
Is it bad that I am cracking up at this entire conversation.... Where is my popcorn???
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Anyone from Virginia?
My WLS mentor had Halmi and has been incredibly successful. If I wasn't kaiser, thats where I would go. Thank you for the info.
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Approvals with BCBS Federal
I know my surgeons requirements are different. I have done everything through them. I will post my costs and timeline when I get home! Glad you got clarification.
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Anyone from Virginia?
He is my Dr. too. I just had surgery 4 weeks ago at Inova Fair Oaks. Great team and great care there. Good luck!! Pm'd you, what surgery did you have?
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Anyone from Virginia?
I am having surgery in N. VA with Dr. Halmi.
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What's your "weight loss pet peeve?"
. YES! My husband gets offended that I don't want to share. We shared food presurgery, but for me it is like an ownership thing post surgery. Even though I can't eat it doesn't mean I want to share it! Also, I think for me it's a bit psychological. I haven't quite figured this one out for me.
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Approvals with BCBS Federal
Why do you think your requirements are so different? It is pretty much the same. I think the surgeons requirements vary.
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Approvals with BCBS Federal
Did they submit?
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4 month progress report
You look great and what a cute dress!
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VSG revision to Gastric Bypass
Were you at goal weight for your revision?
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BCBS FEP approval
Love FEP BCBS!! Congrats!
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My Pre Op Diet Was All I Needed
Where you at Chuckster????
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Why Getting Sleeved was the Biggest Mistake of My Life
Some people love drama....
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Expected recovery time for dual rny bypass and hiatal hernia repair
Did the doctor advise 6 weeks bass on your profession?
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Expected recovery time for dual rny bypass and hiatal hernia repair
Thank you! It's old. During pregnancy I gained it all back :-(
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Expected recovery time for dual rny bypass and hiatal hernia repair
I have a hernia repair and am converting to RNY. I am planning on 4 weeks from what I have read. I was out 2 weeks with sleeve and it was plenty. My job was more active then. I now sit all day...
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Have you ever swallowed something by mistake?
Thanks for the tip. It finally feels like it is making its way down. It has taken all day. It made for an uncomfortable day. Wishing you the best! I agree with you. This no easy journey. I feel that way with going in for revision after having complications. I have finally gotten to the point of not caring what others think. Yes, I had surgery and I am still obese for many reasons. The insurance coordinator is not very welcoming and treats me like I failed not really understanding why... This whole journey is filled with humbling experiences, realities and some tears...oh and swallowing cherry pits!
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Have you ever swallowed something by mistake?
OMG I swallowed a cherry pit by mistake and it hurts oh so bad!!! I can feel it in my chest! What have you swallowed that hurt so bad?
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Approvals with BCBS Federal
My insurance coordinator makes me want to change doctors she is the most non responsive individual and it is highly annoying!!!
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BariatricPal is no longer affiliated or recommending Dr. Mario Almanza
Wow this is sad!!!
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Pre op- which should I choose ?
I had a barium swallow and EDG which indicated I had GERD and I hiatal hernia. I am almost 3 years post op with sleeve and converting to RNY. I feel bad most of the time and hoping the RNY will get rid of GERD along with the fix of the hernia. I did not have GERD presleeve and no comorbs either. I was the perfect sleeve candidate. There is no way for them to know if it is something u will develop on down the road...
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Gastric Bypass Surgery Progress Pictures
You all look fabulous! Getting excited for revision to bypass!!!
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Hiatal hernia post op there years.
He said he could resleeve me, but may not "cure" heartburn. Honestly, I don't think I would have made goal with the sleeve and he doesn't either. So for me RNY is my only option. Food feels like it sits in my chest and yes those where my only symptoms
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Hiatal hernia post op there years.
I got pregnant 11 months post op. I was working out, following plan but losing slow, which I made peace with. I had a difficult pregnancy, baby is healthy and labs were always good. I has heartburn but didn't think much of it. But post pregnancy heartburn was bad and I was not losing at all. So I found a new surgeon that would take my case. He ordered barium swallow and EDG. Those test confirmed a hiatal hernia, twisted (angulated) sleeve, and GERD. My sleeve is twisted so under the twist there is pouch effect at the bottom. So food is not exiting the way it should... Anyways, I have to have revision surgery. I still have to go through insurance requirements as I am converting to RNY. I have my last NUT appt 8/8.