Jump to content
×
Are you looking for the BariatricPal Store? Go now!

ldawn

Pre Op
  • Content Count

    140
  • Joined

  • Last visited

  • Days Won

    1

Reputation Activity

  1. Like
    ldawn got a reaction from FluffyChix in 1 year Post Op (BUT ISSUES...)   
    You look amazing! And very happy!

    Please don’t forget electrolytes have the ability to kill you. Potassium has a direct effect on the heart muscle and if there is a severe excess or deficiency it can cause cardiac arrest.

    We need you around a long time. Take your vitamins!
  2. Like
    ldawn got a reaction from FluffyChix in 1 year Post Op (BUT ISSUES...)   
    You look amazing! And very happy!

    Please don’t forget electrolytes have the ability to kill you. Potassium has a direct effect on the heart muscle and if there is a severe excess or deficiency it can cause cardiac arrest.

    We need you around a long time. Take your vitamins!
  3. Thanks
    ldawn got a reaction from FatGuy5000 in Before and After: 1 Year   
    Lookin good!
  4. Like
    ldawn got a reaction from FluffyChix in 1 year Post Op (BUT ISSUES...)   
    You look amazing! And very happy!

    Please don’t forget electrolytes have the ability to kill you. Potassium has a direct effect on the heart muscle and if there is a severe excess or deficiency it can cause cardiac arrest.

    We need you around a long time. Take your vitamins!
  5. Like
    ldawn got a reaction from FluffyChix in 1 year Post Op (BUT ISSUES...)   
    You look amazing! And very happy!

    Please don’t forget electrolytes have the ability to kill you. Potassium has a direct effect on the heart muscle and if there is a severe excess or deficiency it can cause cardiac arrest.

    We need you around a long time. Take your vitamins!
  6. Like
    ldawn got a reaction from Jenwill630 in Insurance not covering bariatric surgeries   
    The last hospital I worked for didn’t cover it. Then would have administrative meetings to discuss insurance costs and complain about how much certain people were spending. It was crazy. It was like 60% of insurance claims were from 9 people. Each was morbidly obese. Well, maybe if you would cover the surgery they may not have all these health issues. The hospital I currently work for does cover it, but only if you have it done at our facility and with our surgeon. And since it’s being done at our facility there is no deductible, just the 15% coinsurance.
  7. Like
    ldawn got a reaction from SleeveinIL in Know your insurance coverage   
    Let me tell you what happened yesterday. A little background...I work for a hospital. I’m also a very new employee here and recently read my summary of benefits and already had an idea of what my expected payment would be. One of the features of my insurance is that if I have surgery (or anything) at my facility with a staff doctor then there is no deductible and my copay is 15% for surgery and $35 for specialist office visit. I made my first surgeon consult appt for Thursday. I get a call yesterday from their insurance specialist about my benefits/expected payment. She said my insurance has a special $2000 deductible for bariatric surgery that applies to the surgery and all office visits related to the surgery. My consult will be $226 and I will have to pay full amount for everything until the deductible is met then my 15% copay of the surgery. I was shocked. I went home and pulled up my summary of benefits and reread it.

    This morning I spent an hour on the phone w Cigna. They initially told me the exact same info the insurance specialist had been told. I explained what I found in my summary of benefits. She was able to see my summary of benefits herself and said my actual policy did not match it. She ended up calling the person at Cigna who is the main rep for my hospital system. Turns out, someone had chosen the wrong selection when putting the package together in their system. My information was correct. No deductible required. They will correct it issue in a few days.

    I work for a very large hospital system. I asked the Cigna rep what about people who already had their surgery this year and paid the deductible? She said she didn’t know what would happen. I then called the insurance specialist at my surgeon’s office and told her the story. She said they see a lot of people from the hospital. She also doubts the hospital will refund any money to them.

    So, know your benefits. Do your own research. Don’t be afraid to ask questions. It may save you a lot of money. It could also be the difference between having the procedure or not.
  8. Like
    ldawn got a reaction from SleeveinIL in Know your insurance coverage   
    Let me tell you what happened yesterday. A little background...I work for a hospital. I’m also a very new employee here and recently read my summary of benefits and already had an idea of what my expected payment would be. One of the features of my insurance is that if I have surgery (or anything) at my facility with a staff doctor then there is no deductible and my copay is 15% for surgery and $35 for specialist office visit. I made my first surgeon consult appt for Thursday. I get a call yesterday from their insurance specialist about my benefits/expected payment. She said my insurance has a special $2000 deductible for bariatric surgery that applies to the surgery and all office visits related to the surgery. My consult will be $226 and I will have to pay full amount for everything until the deductible is met then my 15% copay of the surgery. I was shocked. I went home and pulled up my summary of benefits and reread it.

    This morning I spent an hour on the phone w Cigna. They initially told me the exact same info the insurance specialist had been told. I explained what I found in my summary of benefits. She was able to see my summary of benefits herself and said my actual policy did not match it. She ended up calling the person at Cigna who is the main rep for my hospital system. Turns out, someone had chosen the wrong selection when putting the package together in their system. My information was correct. No deductible required. They will correct it issue in a few days.

    I work for a very large hospital system. I asked the Cigna rep what about people who already had their surgery this year and paid the deductible? She said she didn’t know what would happen. I then called the insurance specialist at my surgeon’s office and told her the story. She said they see a lot of people from the hospital. She also doubts the hospital will refund any money to them.

    So, know your benefits. Do your own research. Don’t be afraid to ask questions. It may save you a lot of money. It could also be the difference between having the procedure or not.
  9. Like
    ldawn got a reaction from SleeveinIL in Know your insurance coverage   
    Let me tell you what happened yesterday. A little background...I work for a hospital. I’m also a very new employee here and recently read my summary of benefits and already had an idea of what my expected payment would be. One of the features of my insurance is that if I have surgery (or anything) at my facility with a staff doctor then there is no deductible and my copay is 15% for surgery and $35 for specialist office visit. I made my first surgeon consult appt for Thursday. I get a call yesterday from their insurance specialist about my benefits/expected payment. She said my insurance has a special $2000 deductible for bariatric surgery that applies to the surgery and all office visits related to the surgery. My consult will be $226 and I will have to pay full amount for everything until the deductible is met then my 15% copay of the surgery. I was shocked. I went home and pulled up my summary of benefits and reread it.

    This morning I spent an hour on the phone w Cigna. They initially told me the exact same info the insurance specialist had been told. I explained what I found in my summary of benefits. She was able to see my summary of benefits herself and said my actual policy did not match it. She ended up calling the person at Cigna who is the main rep for my hospital system. Turns out, someone had chosen the wrong selection when putting the package together in their system. My information was correct. No deductible required. They will correct it issue in a few days.

    I work for a very large hospital system. I asked the Cigna rep what about people who already had their surgery this year and paid the deductible? She said she didn’t know what would happen. I then called the insurance specialist at my surgeon’s office and told her the story. She said they see a lot of people from the hospital. She also doubts the hospital will refund any money to them.

    So, know your benefits. Do your own research. Don’t be afraid to ask questions. It may save you a lot of money. It could also be the difference between having the procedure or not.
  10. Like
    ldawn got a reaction from SleeveinIL in Know your insurance coverage   
    Let me tell you what happened yesterday. A little background...I work for a hospital. I’m also a very new employee here and recently read my summary of benefits and already had an idea of what my expected payment would be. One of the features of my insurance is that if I have surgery (or anything) at my facility with a staff doctor then there is no deductible and my copay is 15% for surgery and $35 for specialist office visit. I made my first surgeon consult appt for Thursday. I get a call yesterday from their insurance specialist about my benefits/expected payment. She said my insurance has a special $2000 deductible for bariatric surgery that applies to the surgery and all office visits related to the surgery. My consult will be $226 and I will have to pay full amount for everything until the deductible is met then my 15% copay of the surgery. I was shocked. I went home and pulled up my summary of benefits and reread it.

    This morning I spent an hour on the phone w Cigna. They initially told me the exact same info the insurance specialist had been told. I explained what I found in my summary of benefits. She was able to see my summary of benefits herself and said my actual policy did not match it. She ended up calling the person at Cigna who is the main rep for my hospital system. Turns out, someone had chosen the wrong selection when putting the package together in their system. My information was correct. No deductible required. They will correct it issue in a few days.

    I work for a very large hospital system. I asked the Cigna rep what about people who already had their surgery this year and paid the deductible? She said she didn’t know what would happen. I then called the insurance specialist at my surgeon’s office and told her the story. She said they see a lot of people from the hospital. She also doubts the hospital will refund any money to them.

    So, know your benefits. Do your own research. Don’t be afraid to ask questions. It may save you a lot of money. It could also be the difference between having the procedure or not.
  11. Like
    ldawn got a reaction from SleeveinIL in Know your insurance coverage   
    Let me tell you what happened yesterday. A little background...I work for a hospital. I’m also a very new employee here and recently read my summary of benefits and already had an idea of what my expected payment would be. One of the features of my insurance is that if I have surgery (or anything) at my facility with a staff doctor then there is no deductible and my copay is 15% for surgery and $35 for specialist office visit. I made my first surgeon consult appt for Thursday. I get a call yesterday from their insurance specialist about my benefits/expected payment. She said my insurance has a special $2000 deductible for bariatric surgery that applies to the surgery and all office visits related to the surgery. My consult will be $226 and I will have to pay full amount for everything until the deductible is met then my 15% copay of the surgery. I was shocked. I went home and pulled up my summary of benefits and reread it.

    This morning I spent an hour on the phone w Cigna. They initially told me the exact same info the insurance specialist had been told. I explained what I found in my summary of benefits. She was able to see my summary of benefits herself and said my actual policy did not match it. She ended up calling the person at Cigna who is the main rep for my hospital system. Turns out, someone had chosen the wrong selection when putting the package together in their system. My information was correct. No deductible required. They will correct it issue in a few days.

    I work for a very large hospital system. I asked the Cigna rep what about people who already had their surgery this year and paid the deductible? She said she didn’t know what would happen. I then called the insurance specialist at my surgeon’s office and told her the story. She said they see a lot of people from the hospital. She also doubts the hospital will refund any money to them.

    So, know your benefits. Do your own research. Don’t be afraid to ask questions. It may save you a lot of money. It could also be the difference between having the procedure or not.

PatchAid Vitamin Patches

×