lwmatch

That is exactly the point. Hospital claimed at bmi of 34.8 it didn't meet their requirement to file and told the Dr. it wouldonly be done with cash pay.

Wow, great job so far! I am still a newborn on this, [3 weeks] but I got some energy back when I was forced at two weeks to get off of the protein shakes due to diarrhea and losing weight too fast.I too had severe backpain needing to take usually 2 high strength hydrocodones daily. My back pain is minimal now, but like you minimizes my ability to truly exercise. I have lost 27 pounds in 3 weeks and I feel that loss such as yours, has to sap the energy out. My only suggestion would be to ask for blood work to make sure you hadn't lost too much of the good stuff. Keep up the hard work!

Thanks for your support and helpful comments. As others posted, this seemed bizarre and down right shady. I couldn't or wouldn't fabricate a story as aggravating as this is. Just trying to figure which direction to push hardest on, the providers telling them I insist they file, or Insurance asking them to push. Latest info is waiting on Dr. to return off of vacation and the hospital CFO wants to talk to him and let him know I have requested the hospital submit bill and to see what he says.

Thanks for the reply. The response was that at the bmi I was the evening of surgery I didn't meet the Hospital requirements. Seriously. AND I REFUSE TO ROLL OVER ON THIS!

Thanks for sincere reply. I do not have the easy $9000 answer!

The good news, got sleeved on December 16th, including 2 hernia repairs. Doing good after I got off of protein shakes at two weeks. Had diarrhea for 9 days, developed a lactose intolerance. Now the kicker. Got approval thru Aetna for the hernias and sleeve. The sleeve I felt was needed due to constant back pain and knee pain. And yes, lost 25 pounds already and only needing hydrocodone, once in last ten days, yea! My sleeve was postponed from 7:30 a.m. to 5 p.m. Since the day previous and the day of surgery, had nothing to eat but a little water the previous day, I dropped below the bmi of 35. Hospital WOULD NOT allow sleeve to be done charged to insurance. I am in my gown in pre-op in tears because I felt I really needing this done. 1.2 pounds light, really. Dr. said no more openings the rest of year and would of cost me more if I reset after the first of year, due to deductions starting over. I was able to pay the out of pocket additional amount of $9,000 after two weeks earlier paying $3700 which should have covered my insurance deductible. I contacted Aetna after getting home and lady I talked to said that doesn't sound right. I am trying to get hospital to submit claim to insurance, but I know Dr. will be p.i.a. because he has gotten his cash money. ANY SUGGESTIONS or thoughts, please share! I had read before that once insurance approves that they don't care and hope you lose weight, to make the surgery easier. I know this is all the doing of the hospital and really is upsetting me.

I would think you are okay. I had sleeve 15 days ago and after 4th day had diarhea for 9 days. On my 2 week followup, Dr. took me off of protein shakes entirely and had me go to pureed, soft food. Was checked for antibiotic reaction, which was ok Your body is in a major food change shock now, and like me, will have to see where this takes us. Good luck to you!