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Amurillo04

Gastric Sleeve Patients
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Posts posted by Amurillo04

  1. Posted

    Grrrrrrr! !! I'm really starting to hate the woman I'm supposed to get a hold of at my surgeon office... she is never there... and when she is she never returns my phone calls!!! Called at 830 this am left a vm, called just now at 140 and she is gone for the daum day.

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    My coordinator is like that too. I can only get a word with her through email and sometimes she doesn't even answer me. It's super annoying but I just try to tell myself I'm not the only one she's dealing with /:
    I know it's just frustrating cause she was just out on vacation for two weeks, and then the last two weeks she has been out of the office by noon at least half the time. So I can't imagine how anything gets done if she is never there.

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    I finally got an answer back on whether or not my coordinator got my packet to submit to insurance. It's funny how 5 words can make your day. Now I just have to wait for her to submit it lol. Even more wait ☹️post-280196-14671252022001_thumb.jpg

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  2. Posted · Edited by Amurillo04

    It doesn't sound like she disapproves of the sleeve in general because she makes a good point but it seems like she just doesn't know the effect it will have on someone who has an eating disorder and which makes sense because she's a therapist not a dietician or surgeon. As long as she's not super pushy about you not getting it I don't think you have anything to worry about.

    Sent from my iPhone using the BariatricPal App

  3. Posted

    Grrrrrrr! !! I'm really starting to hate the woman I'm supposed to get a hold of at my surgeon office... she is never there... and when she is she never returns my phone calls!!! Called at 830 this am left a vm, called just now at 140 and she is gone for the daum day.

    Sent from my SAMSUNG-SM-G870A using the BariatricPal App

    My coordinator is like that too. I can only get a word with her through email and sometimes she doesn't even answer me. It's super annoying but I just try to tell myself I'm not the only one she's dealing with /:

  12. Posted

    I'm following this thread. I have Empire BCBS too. At my initial appointment my BMI was 39.2 (I had a previous sleep apnea diagnosis) but after receiving my new sleep study I've learned that I no longer have sleep apnea. I still have two months to go in the process but I'm nervous about approval if I'm not at a BMI of over 40. I've gained a little weight (which my nutritionist says I shouldn't) so now I'm nervous about that too.

    Hoping you get approved!

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    Hoping the best for you too. You still have two months to get that weight a little lower. My surgeons office put a lot of emphasis on me losing weight as I may be denied but my mother who got the same surgery a few years ago from the same Doctor gained a bunch and still got hers so it could just be a personal preference of the Surgereon. My last appointment is in 5 days so I am so nervous!

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  14. Posted

    Right when I was getting to be sleeved, my primary doctor told me I had H.pylori. I told my surgeon, Dr. Yatco (NYC) and he said he already saw from my tests that I had it but it would not be a big deal. He said many people actually have H.pylori it's a bacteria but it shouldn't interfere with the surgery at all.

    I also took pills to treat the H.pylori before surgery. While I didn't finish all the pills prescribed, I still got the surgery. It was never an issue for my doctors.

    Hope everything goes well for you!

    I'm having my surgery with Doctor yatco, I was worried about everything like getting h.pylori. It's nice to know I won't have to wait even longer lol

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  19. Posted

    My coordinator told me that the first weight matters only, so make your your extra heavy your first consultation. That being said your surgeon or coordinator will tell you whether or not your insurance will be affected if you go under 40 BMI so be sure to ask!

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  22. Posted

    Yes, they can be very busy. I know my insurance coordinator set blocks of time to return calls, etc. She was almost never instantly available. If she dropped everything every time someone called or emailed she would have never gotten everything processed.

    This whole process takes perseverance, polite persistence, but most of all patience.

    Expecting someone to be instantly available and waiting over a month for a response is a little different in my opinion lol but I hear what your saying.

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  23. Posted

    My office gave me a list of things I had to complete to get surgery done. They made this list between the time of my seminar and my first appt. it made it easy to know what I needed to do and when to turn in all the paperwork I had collected from everyone. I hope you have given them a day or two to return your email as I know that sometimes they spend a lot of time on the phone fighting insurance companies. I know I wouldn't like that job!!!!

    I totally understand but I'm not a person who gives them a few hours and then starts complains it's been over a month and I've sent two emails and called once. I think a over a month is more then enough time to get back to a person.

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  25. Posted

    Working for an insurance company helps me a little with knowing medical policies and whatnot but we can only follow what the medical policy states. The doctor may be saying that insurance companies like to see 7 visits but have you spoken with your ins to find out? I have and work for Highmark bcbs, ours states 6 consecutive monthly visits with at least 3 weeks between each visit.

    When I went to my surgeon, he wanted to consider that as my first weight check but since my surgeon is 1.5 hours away, he agreed to let me do then checks with my pcp who I went to see the next week.

    I do know that authorizations can take as little as a day to as long as a monthly depending on if something is missing when the original authorization is submitted but it is not something that a customer service agent can control.

    Good luck and I hope our months go by quickly!

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    So did you only have to do 6 weighs in instead of 7 like the other people? I have empire bcbs.

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    I have to do 6, started in March, I've had one March, April, May, then I'll have June July and August and be able I schedule for an August surgery.

    Sent from my iPhone using the BariatricPal App

    Thank you lots! I started in January so I'm hoping for July but my surgeon doesn't schedule till approval.

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