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mattie7632

LAP-BAND Patients
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Everything posted by mattie7632

  1. If filing a claim with insurance, technically the codes are the same whether fluid is inserted or removed, and lawfully the fees should not be different. HOWEVER This doesn't mean the individual doctor isn't offering some special pricing or billing as an office visit so the fee is lower. Basically you should ask the office for their policy and price for an unfill
  2. Did I seriously just get lifestyle advice about a freaking cabbage meal post!!!!! Hey newsflash people!!! Your unsolicited advice is not welcome to most of us!!! The poster will ASK for it if that's what is wanted! We're tired of reading this kind of crap. Also, another newsflash!!! If you are working so hard to lose weight, stop giving credit to the band!! Your freaking diet is why you're losing weight, not your "tool" you love to brag about!
  3. I didn't say either way. Read above and you'll see this post was about the constant condescending remarks of some posters....The I-love-me or I-am-perfect toned replies to struggling bandsters. The remarks weren't made to me but they're all over this forum as of late. ....
  4. Not exactly..... Though there are a few that seize every opportunity to scold the poster with I-am-perfect replies while throwing in the "it's a tool" BS.....It might be a tool but I sure ain't gonna buy a non-functional hammer either, right? ( I'm not saying anything positive or negative about the band in this post....)
  5. I am perfect because I run 10 miles every morning, do not exceed 3 calories a day, and drink 6 gallons of water daily. Oh yeah, and the lapband is just a ........................tool. baa haaa haaa haaa haa!!!. If you believe this you are delirious from hunger.
  6. OH CM, didn't anyone ever tell you that the band is just a stooge? LMBO
  7. THANKS! Now THAT's my kind of cooking!
  8. Yes it is very good! (spaghetti squash) I'm not the best cook so I botched the last one I baked by forgetting it was there for an extra hour or so Will definitely try again though.
  9. Yum! Me too! But I have to be careful with the cheese
  10. I experiment with sauces. I like the alfredo best. Basically I just cook up a little turkey sausage and lean beef, pour over the alfredo, simmer, and that's the sauce. It's really good. But as the resident dieticians noted above, the sauce has actual calories and your $20k restriction won't guarantee weight loss, so you might not want to eat this. Better stick to no-cal foods
  11. ROFL!! Perhaps one day, I too, shall be at one with my "patsy"
  12. Okay, no restriction = no weight loss. Haven't really lost any weight and I've also not been eating cabbage with meat sauces for most meals lately! So guess what, tomorrow I'm cooking up another batch of cabbage, (with alfredo & spicy lean meat & turkey sausage sauce--YUM) and seeing if I can't lose some more weight on my own then!
  13. Well most of the bills I see like this would leave you with no out of pocket! The lab and anesthesiologist, radiology and hospital are all subject to getting bills. They are probably all in network, but if not you could get a surprise bill. But my bet is you are okay. Nationally almost all facilities are contracted with standard BCBS PPO. Empire is not the typical BCBS.
  14. I completely agree with you. You have no idea. I completely get it that eating healthy, exercising, portion control, drinking Water, is all going to make a difference. DUH!!! But it shouldn't determine whether the band works or not works because if so, then guess what? The band isn't the reason you're losing weight!! When the band makes you have no desire to eat more than one slice of pizza instead of 3, then 'Id say it's working. If you have to force yourself to stop after 1 piece, then sorry, the band isn't working--you are. By you I mean bandsters, not you personally
  15. The hospital has to file both insurance policies for you, you don't have a choice which policy to file with, it doesn't work that way unfortunately. The primary will pay it's 70% or whatever is covered leaving a patient balance. Then the claim will be submitted to your secondary insurance carrier who will come back and cover up to whatever percent they cover, normally. If the secondary covers both the hospital and doctor at 100% in network then you shouldn't have a patient balance. If the secondary covers at 90%, you could still have to pay that 10%. This is not a guarantee and it's in your best interest to call your 2nd insurance and ask if anything is excluded and what, if any, will be your share after both insurances have paid.
  16. I'm sure we all do it at times. It seems I'm only careful after I've learned the hard way with each specific food! Hang in there though, it's got to get better!!!
  17. Oh but Caley, don't you know the band is just a TOOL??? (Sarcastic)!
  18. My doctor gave me the choice. He preferred the Realize Band and it has a smaller thinner port, so I went with that.
  19. I think mine will be my "patsy" LOL
  20. Holy crap! You've lost 194 pounds!!!!!!!
  21. Love it!!! Let the dismounting commence.......
  22. Tool Synonyms: apparatus, appliance, contraption, contrivance,device, engine, gadget, gizmo, implement, job,machine, means, mechanism, utensil, weapon,whatchamacallit,accessory, accomplice, agent, auxiliary, chump,creature, dupe, easy mark, figurehead, flunky,go-between, greenhorn, hireling, idiot,intermediary, jackal, lackey, mark*,medium,messenger, minion, patsy, pawn, peon, puppet,stooge, stool pigeon, sucker Just sayin'
  23. CM your posts really do come across quite harsh at times. I'm sure you don't mean it, but that's how they read Now, I must also add how much I TOTALLY AGREE WITH YOU !!! Within just about every single post on this forum are a couple throwing around how much their T O O L is helping them -- so long as they are eating 800 calories/day, running a mile a day and and drinking 50 glasses of Water daily. LOL Tool Synonyms: apparatus, appliance, contraption, contrivance,device, engine, gadget, gizmo, implement, job,machine, means, mechanism, utensil, weapon,whatchamacallit, accessory, accomplice, agent, auxiliary, chump,creature, dupe, easy mark, figurehead, flunky,go-between, greenhorn, hireling, idiot,intermediary, jackal, lackey, mark*, medium,messenger, minion, patsy, pawn, peon, puppet,stooge, stool pigeon, sucker

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