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sunnkistme

Gastric Sleeve Patients
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Everything posted by sunnkistme

  1. sunnkistme

    Money out of pocket day of procedure

    I was approved last week and had assumed that because I have more than met my copay and deductible I am covered at 100%. The Hospital called for pre-registration for Monday's surgery. THe woman informed me that I had a 1000.00 copay for hospital. WTF.....Fortunately I have an emergency credit card. I am out of pocket 7500.00 (8500 with this mess) I called BCBS and they said I do not owe the 1000.00 so they called the hospital. The hospital insists that I do. My plan says that the 1000.00 hospital stay deductible counts toward my max out of pocket for the year. Any advice would be appreciated.
  2. sunnkistme

    November 3 is coming fast

    I am going in on November 3rd too. I am very excited. After six months of supervised diet we submitted to insurance last Wednesday, I was approved this Monday then the surgeon's office called and said they had an opening this Monday. What a whirlwind.
  3. I just did my final weigh in last Tuesday. Found out I was approved yesterday (Monday) . The scheduler called today to say they have a cancellation MONDAY! I took it. For once I am just jumping in.
  4. 6 month weigh in 10/22. Submitted to insurance 10/23. Approved 10/27 surgery next Monday 11/3 6 days from now!!!

    1. ready4changein2011

      ready4changein2011

      Congrats and good luck

  5. sunnkistme

    Feels like forever

    Went for my final 6 month supervised diet appt on Tuesday. I called the insurance to be sure they had everything they needed today (monday) I am already approved. The letter went out at 3:15 today.
  6. sunnkistme

    Insurance question....

    My out of pocket maximum for the year is 8500.00 and somehow I have met it. I may never have disposable income again!
  7. sunnkistme

    Purpose of weigh ins

    I just had my 6th and final weigh in. During this time I had to stay at the exact same weight as my BMI is 40.1. My surgeon said he thinks the insurance just wants people to get frustrated and drop out.
  8. sunnkistme

    Read me.

    Benny had confidence in her and she grew to have confidence in herself
  9. it could be cellulitis. probably a good idea to call your surgeon or your PCP.
  10. sunnkistme

    Blue Shield of California

    I have CA BLue Shield through my employer. I am in the last 3 days of my 6 month supervised diet. I have completed all of the tests. I am battling BS about one test that my surgeon required and BS does not want to pay for because they say that I did not have pre approval for tests required for Barbaric Surgery. I believe once I am approved they will pay. We submit Wednesday for approval. I will post when/if I am approved .
  11. sunnkistme

    Read me.

    She started a go fund me account so she could really make it on the strip
  12. No thoughts or suggestions but Nutribullet is on sale at Macy's and they have a coupon for an additional 15% off.
  13. sunnkistme

    Read me.

    She danced and danced until she encountered a huge, huge, HUGE crack in the sidewalk
  14. sunnkistme

    Newbie

    There has been so much going on that it seems like obstacles and stressors keep jumping out at me. That said, no matter what - the time goes by so I might as well be working toward surgery. Just a few more days before the end of my six months. @@sunnkistme lucky u......did the 6 months go fast? I told my fiance but I really didn't tell him the truth...I told him that I must hve this surgery for health reasons....but that is not really true.....I don't hve to have it ...I want to have it...I have not told no friends just yet because I'm in my very early stages.....good luck sunnkistme everything will work out for the good huni keep me posted!!!
  15. sunnkistme

    Read me.

    And she was allergic to the sugar alcohols anyway.
  16. sunnkistme

    Read me.

    She knew the chocolates were but an obstacle
  17. sunnkistme

    WLS & Mental Illness.

    What a great question. I would think there would be much better chance to find a surgeon if your therapist and psychiatrist are on board. Would they give their OK before you start your surgeon search?
  18. sunnkistme

    Newbie

    I have 12 more days to go until the end of my six months of supervised diet. All of my tests are out of the way and we can submit for approval after my next visit. I am just at 40 BMI and, other than arthritis, have no co morbidities so it might be challenging to get approval. I am so worried as my out of pocket this year was 8500.00. I can not afford to do this again next year. My surgeon is on notice that time is a big issue for me since we change plans 12/1/14. Have you told any of your friends or family yet? I am telling very few people and so far the two I was most worried about have been fantastic.
  19. sunnkistme

    ARRRGGGGHHHHH! my mother #$)&(*U#)(*

    I help my parents out a lot -all of the other sibs are out of state or not available - I have not heard anyone describe the way I anticipate my mom reacting better. " She did not want anything to happen that might disturb my caregiving.." That is exactly why I do not want to address the issue with my mom. My daughter and son in law have promised me they will run interference for me so I do not have to tell her. I dread the whole drama. As she has gotten older she has become increasingly more self focused and less willing to listen to the opinion of others. That said, I love her dearly but do get tired.
  20. sunnkistme

    100 Reasons To Exercise Now

    Thanks for this post. Exactly the encouragement I needed.
  21. sunnkistme

    CA BCBS

    Two of my tests came back as not covered. (3000.00) I phoned the insurance and asked them why, if the tests were required for surgery, were they not covered? I was told that I needed approval for pre-surgery tests. I phoned my surgeon's insurance coordinator who contacted BCBS. I am not sure what she did but all of the tests have been paid now - as were the two that were denied as non-covered.
  22. If your company has fewer than 50 employees it does not have to follow FMLA laws. Most companies still allow for time off but be sure. My small company will allow up to 12 weeks off and our handbook allows for unpaid leaves of absence, but they are not required to. We just have benefit time not sick/vacation. I have been saving my time and have enough to take plenty of time. I think I am going to take 2 full weeks and then go back 1/2 time for 2 or three more weeks.
  23. sunnkistme

    Insurance

    I would check again. I have never heard of it being that easy. You can ask that they send or e-mail you a copy of their requirements. Hopefully it will be that easy!
  24. sunnkistme

    Taking the train!

    Ohhh.. I see now. I was just looking at trains with actual stations instead of stops within driving distance of your town. Not knowing the area. The one I looked at was on the CA Zephyr line which does change to busses in Sacramento and Bakersfield. Not having to change to busses makes a huge difference.
  25. sunnkistme

    Taking the train!

    I checked the route.. and it is not all train. You have to move from the train to busses two times. There is no place to take a shower. I leave my bag in the overhead and take my valuables with me when I go to other cars. There is also no checked baggage for one part of the route. You might consider asking for a prescription for a few Valium and hop on a plane . If you search Kayak and other sites it might be affordable. I do not mind the train and have learned to enjoy it but... I would be concerned about clots when sitting for 40 hours on the train.

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