Everything posted by ladyperro2
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The Waiting Game...
Dexter Turnquest.I'm having my surgery done at Methodist Willow Hospital in north west Houston I'm sorry Methodist Willowbrook hospital
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For those of you with a starting BMI of 50 or more, how long was the wait?
My BMI is 51 and my insurance company does not require a supervised diet. I did my doctors visit, NUT and psych evaluation the week of Dec 2nd. approval came Dec 15th and my surgery was initially scheduled for Jan 20th
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The Waiting Game...
Hi Chi2Htown. I'm in the Houston area and scheduled for surgery on February 10th. Who is your surgeon?
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I got a surgery date, yay!
Thanks everyone! Good luck Nikki3. Jengarcia055, BCBSTX were great! When i finished my items it took less than 10 days for the approval to come in the mail.so I probably could have found out sooner if I called them.
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I got a surgery date, yay!
@TinyTink. Thank you!
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I got a surgery date, yay!
BCBS of TX were really fast.I received my insurance approval the week before Christmas but decided to put the surgery off until after my birthday. So my surgery is scheduled for Feb 10th. I'm having my EDG and gallbladder ultrasound on the 28th and my pre op visit on Feb 4th. I'm super excited!!! Are there any other Feb sleevers?
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Approved by BCBSTX
Oh wow! Sounds really simple. I'm glad everything went well for you. That puts me at ease. Thanks for the info!
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Approved by BCBSTX
@nicole91379 Thanks and good luck !
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Any December Sleever's?
@Shine45. Who is your surgeon and what hospital are you going to?
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Pre OP liquid diet
I was given a copy as well of everything that is required during the pre op phase. Who is your surgeon in Texas?
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Approved by BCBSTX
I received my approval letter over the weekend. It didn't clearly state an approval or denial so I called the insurance company and they confirmed that I had indeed been approved. Now, im waiting to be scheduled for an upper endoscopy and gallbladder ultrasound. Has anyone already had these done? Is it as bad as it looks on you tube?
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Phew....What A Relief, Approved!
That's awesome, congrats and good luck!
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Anyone use Methodist hospital at Willowbrook in Houston?
@@slimjen Good luck with everything! I'm having my 1st consultation with him on next Wed. How was your experience with him and his staff?
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BCBSTX.... Co-Pay
@@Brandy Wine. That's awesome, Congratulations and best of luck!!!
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BCBSTX.... Co-Pay
@@iwant2becurvynotlumpy The University of Texas System: PPO Plan My co-worker really didn't want to go in depth about the financial part. Which i totally understand and after speaking with the insurance rep i was still lost. My 1st appt is Wed so im hoping that the doc can give me some clarity.
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Anyone use Methodist hospital at Willowbrook in Houston?
@@slimjen Hi. Did you find out anything? One of the surgeons that I'm considering uses this hospital. Who is your surgeon and how is the process going?
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BCBSTX.... Co-Pay
@iwant2becurvynotlumpy. Yes it is for any bariatric procedure but i also have an annual $350 deductible. See the info below that i pulled from the website. I'm a little confused. What is the overall deductible? In-Network $350 Individual/$1,050 Family Out-of-Network $750 Individual/$2,250 Family Doesn’t apply to services that charge a copay, prescription drugs, and In-Network preventive care and diagnostic tests. Co-pays do not count toward the deductible Are there other deductibles for specific services? Yes. Bariatric surgery deductible $5,000/person. In- and Out-of-Network Prescription deductible $100/person. There are no other specific deductibles.
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BCBSTX.... Co-Pay
Okay, thanks. My insurance company told me that there is a $5000 co pay for All bariatric surgeries that would have to be paid first, then they would cover everything after that 100%. I have a co worker who had the lap band and she only paid around $1300 out of pocket and that included money given to the surgeon, anesthesiologist and hospital stay. So I'm curious to know if the amount paid out of pocket varies depending on what doctor performs the surgery.
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BCBSTX.... Co-Pay
I'm insured by BCBSTX. They are very WLS friendly so I feel confident about getting approved but I was informed that I have a $5,000 co-pay. Does anyone know how this works? Will I have to pay the entire amount upfront if not, what does a payment plan consist of. I'm meeting with 3 docs here in the Houston area (Dr. Dexter Turquest, Dr. Robert Marvin, and Dr. Felix Spiegel) if any one has gone through this process and could give some info that would be great!