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HELP HELP Heiatal and band surgery????

lady jay11

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lady jay11    0

lady jay11
Posted

Okay first day on here. My surgery is scheduled for next week thursday. just found out that i have to pay for hernia sugery in advance in case I have a hernia. This wil put a financial strain on me. I've never had any symptoms of hernia... don't know if its truly necessary for me to pay front.... Please give me feedback. they said 90% of people needed this surgery need hernia surgery too....pleae give me feed back on this...:unsure:

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Astrasmom    1

Astrasmom
Posted (edited)

Okay first day on here. My surgery is scheduled for next week thursday. just found out that i have to pay for hernia sugery in advance in case I have a hernia. This wil put a financial strain on me. I've never had any symptoms of hernia... don't know if its truly necessary for me to pay front.... Please give me feedback. they said 90% of people needed this surgery need hernia surgery too....pleae give me feed back on this...:unsure:

Do you have reflux or heart burn? My doctor also said that a big percentage of people also have a hernia. If you do have one and you don't get it repaired, it could cause major problems and I'm not even sure if they can do the surgery without fixing the hernia. What happens is that your stomach goes back up through the opening. That's what a hietal hernia is. So I don't think they can place the band if you have a hernia. Are you self pay for the lapband surgery? My insurance covered the herian surgery as well. I didn't have to pay in advance. And honestly I have never heard of paying in advance myself.

Edited by Astrasmom

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outside*looking*in    0

outside*looking*in
Posted

Uhh....what??? I had an unknown hernia that was repaired while they were in there. They don't charge extra for it. It is a matter of a few stitches! So, if you or your insurance is already paying for everything else, just HOW much are they charging to put in a couple of stitches? I have not heard of anyone saying that had to pay for the repair let alone pay in advance "JUST IN CASE"!!!! That is CRAZY! Plus, you have no way of knowing if they REALLY fix a hernia or not,.

By the way if your ins is paying I would give them a call with this.

I guess we will see if anyone else has had this happen.

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lady jay11    0

lady jay11
Posted

he's asking for 500.00 in advance or i have to sign a waiver saying that I don't want hernia surgery...I called my insurance company. they said they would pay for it. His office says that although the insurance company SAYS they will pay for it they have a pile of claims that they are refusing to pay. my insurance co. also says they have not recieved a code for that surgery at all!!! only the band....

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lady jay11    0

lady jay11
Posted

oh i have reflux once in a blue moon only if i over eat...thanksgiving thats it...

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Astrasmom    1

Astrasmom
Posted (edited)

he's asking for 500.00 in advance or i have to sign a waiver saying that I don't want hernia surgery...I called my insurance company. they said they would pay for it. His office says that although the insurance company SAYS they will pay for it they have a pile of claims that they are refusing to pay. my insurance co. also says they have not recieved a code for that surgery at all!!! only the band....

No way. You need to call your doctors office and tell them to submit the code because that's fraud. If they are going to pay for the surgery then your doctors office has to submit the papers. You tell them exactly what your insurance company said. If they still refuse then have your insurance company call them directly doing a 3 way call. You shouldn't have to pay anything out of pocket except your copay and any deductables that your insurance company doesn't cover. That's what insurance is for. Your doctor is totally wrong. And it doesn't matter that they have claims that the insurance company isn't paying. That's because someone at the doctors office isn't doing their job properly. Those aren't claims from you, those are claims from other patients. If the doctors office accepts your insurance and your insurance is going to pay for the hernia surgery, then the doctor HAS to submit it to them.

Edited by Astrasmom

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lady jay11    0

lady jay11
Posted

i am really thinking about going to another doctor i don't have 500. extra hanging around! im on day 6 of the pre op diet....im so torn right now!

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AmberK    5

AmberK
Posted

There is no way I would pay an extra $500 on the CHANCE you might have a hernia. Thats complete crap and if the doctors office refuses to file under your insurance then I would find another doctor. Even if that meant postponing surgery for a little bit. But I would call another surgeon's office and explain your situation and find out if they will take you then get your medical records from your first doctors office. You have already done everything you need to and have approval for the surgery so I doubt you would have to go through the whole process again.

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.

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