flipp98

I haven't been on here in a long time and I logged on today because the band just isn't working for me. Reading these posts have actually given me a little hope, letting me know I'm not the only one. I have decent restriction which keeps me from being hungry. In the beginning I wasn't getting fills like I should and I wasn't following my diet, but since then I've been getting the fills, changed my diet and started exercising and I'm only down about 30 lbs since July 09, I'm going to the doc Wednesday to get another fill, my doc says I'm not at my sweet spot, if something doesn't happen soon, I'm seriously going to consider gastric bypass.

There is so much that you have to do before you get to your surgery day, but once you get there it's worth it. You're almost done, once you've completed all of the tests and have your bmi history it should take less than three days for the approval from insurance. As far as the money goes tell them to bill you and then set up a payment plan. Let go and let God:thumbup: I hope you get the date you want!!!! I'm only three weeks post op and I can already see the difference in my clothes and I haven't had a fill yet. I have my first fill in August and I can't wait.

Whenever you have services performed at the hospital your deductible and co-insurance will apply. Example: Claim for pre-op testing at the hospital $1000, if you have not met your ded when the claim processes 600 will automatically be applied to your ded(1000-600=400) Of that 400 that's left you will be responsible for your co insurance precentage which varies depending on what plan you are on. After that percentage is applied to your coinsurance then whatever is left over insurance will pay to the provider. Since 600 went to your ded and a percentage went to your co insurance the provider is going to bill you for those amounts. So yes your ded applies to the entire benefit period, but it has to be met before the insurance will pay anything. Your ded does not apply to office visits or simple lab work and that's why the insurance pays those claims when you haven't met your ded. Let me know if you have any other questions, insurance can be confusing

It depends on your insurance company. If you have BCBSNC and you go to a doctor that is In-network then they are not supposed to bill you upfront. All doctors or hospitals do not follow the guidelines. I refused to pay upfront and I still had my surgery. If they don't make you pay upfront then you will receive a bill from whatever doctor performed the service. The hospital, surgeon and anesthia are all billed individually, so whatever claim processes first is the one the ded will be applied too and that's the provider that you will pay the $600 to. Also with BCBSNC whenever you go to the doctor and you only pay a co-pay it does not apply to your deductible. I hope this is helpful:smile2:

It really depends on the hospital. I went to Rex in Raleigh and they asked me to pay something towards my ded and I told them that since they are in network that they have a duty to file a claim first and then bill me. If you go somewhere else it's possible that they may refuse service without a payment, but per their contract they are not supposed too.

Can anybody tell me how long they were off work? I have an office job and I'm having my surgery on a Wednesday, I was thinking about going back to work that Monday. Is that too soon? :crying:

Thanks for all the responses. I'm back at work and I'm doing pretty good. I've only been taking the pain meds at night since that's when I hurt the most. I'm down 15lbs already so I'm excited. Starting to get hungry, ready for my first fill.

I haven't been on here in a while. But I finally had my surgery 07/01. So far I've lost 15lbs. I didn't pay anything upfront, but that is because I refused. Since I work for Bcbsnc I know that if you go to a provider that is Inn network then you're not required to pay upfront and alot of people don't know that so they pay their deduct upfront. When your ded starts over depends on what policy you have, I work in the state health plan department and their ded started over 07/01/09, but my policy won't start over until 01/01/2010. So call and see if you're on a fiscal year or calendar year. I've starting receiving bills my surgery total was $36,642 and my part is $3500 which isn't bad. I get my first fill 08/04 and I'm ready:thumbup: Since my swelling has gone down quite a bit I'm starting to get really hungry:crying:

Hello everybody, I was banded July 1ST and so far so good. I do have some pain, but nothing overwhelming. I had same day outpatient surgery. Surgery was at 7:15 am and I was home in my own bed by 1 pm. I've lost 10 lbs since my surgery day and that definitely motivated me during this liquid only stage!!! I'm off work until the 13th, but since I'm feeling good and I'm able to walk around pretty good, I'm going back this Wednesday. I do recommended walking as much as you can without hurting yourself. I've been to Target and the grocery store and that was great exercise. Good luck everybody!!!!

What is wrong with you? And who do you think is a better performer??? If you've ever seen an interview with him you would know he's not capable of hurting any kids. His made his own kids cover their faces as a form of protection from the media and individuals like you who only want to critize him. He was the greatest entertainer ever!!!! He deserves every tribute he gets... He was one of the biggest humanitarians in this world, MJ has given alot of himself to us for our entertainment and he deserves respect. Check facts before you open your mouth!!!!!

OBAMA ROCKS!!!!!! You have to be on something if you think Bush did a good job!!! Bush is the reason this economy is crap, Obama is doing everything he can to fix it, but 8 years of garbage cannot be fixed in a few months.

I'm scheduled for surgery next week with Dr.Enochs and Dr. Bruce. I'm a little nervous about the surgery, but I'm ready for the change. My process with Dr. Enochs office has been pleasant and very quick. I went to the seminar in April and I would have had the surgery earlier but due to my work schedule I had to wait until July 1st.

Can anybody tell me how long they were off work? I have an office job and I'm having my surgery on a Wednesday, I was thinking about going back to work that Monday. Is that too soon? :thumbup:

I have bcbs of north carolina and I work there. It only takes a few a days to get an approval once your doctor sends in the info. Dr. Enochs office sent my paperwork this Monday and I was approved Tuesday. It only takes longer if it's denied and they have to file an appeal. I didn't have to have a 6 month supervised diet, I just submitted my medical records to show my bmi for the last 2 years, had all the tests and evaluations. I have an appt 05/19 to schedule, I'm hoping for a June surgery date!!!

I'm hoping for a June surgery date:thumbup: I got insurance approval, had a psych and nutri eval, took all the tests. Just waiting on a date!!!! I'm a little nervous, but I'm ready to get started.....