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Support Group Fees?????????????!$!$#$#$%



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My surgeon has a monthly support group meeting. His nurse and a dietician moderates. Although we do not pay a fee, I think it's "worked in" with all the other charges we pay. I have noticed that his fees seem inflated for the surgery itself and for fills.

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USC doesn't do banding, but they DO charge $800 for their program fee for support for RnY/DS surgeries.

My surgeon charges $2000 ($3000 for revision patients) for his "weight loss program fee."

Interesting enough, those fees are now tax deductible...as long as you have (well...in my case...a Letter of Medical Necessity stating that the program is for the treatment of a disease such as obesity or hypertension. which should be here soon so I can "ransom" my three grand out of my Section 125 account.)

However, when we go into the area of pre-paid follow-up we get iffy, because pre-paid medical is NOT deductible...but, the support groups, dietary advice, education, etc. are all okay.

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The support group at Hackensack NJ does not charge a fee. Do you have to use your doc's support group or can you go elsewhere? I'd be floored too.

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I had no fees, my surgery includes a year of free fills, and if you lose 50% of your weight you can get the second year of fills free too. I am not required to go to an additional support group either....I am getting that here...thanks to LBT!!!

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My doctor also requires a $750 support group fee. I understand what you mean by how hard it is to come up with the money. I am a single mother and just paid $250 for my first visit. This is going to push my surgery date back awhile until I can save up the money. Which I hopefully can. But while it is alot of money, it is a structured and TOTAL supprt group. Dr. Deol who is my surgeon here in Michigan is so compassionate and totally dedicated to her patients. She does all of the after care for like 3 years and then whatever after that. I try to think of it as paying all the money I'll be saving on groceries and clothes. Smaller sizes are cheaper and the health benefits, well you cant even put a price on that, ya know? Best of luck to all of us!!!

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Oh yea, my nutritionist appointments are not covered by insurance either! Has anyone's been covered by their insurance?

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Ok i'm going to stop complaining now....

I was complaining about the $4000 I have to pay after my surgury as my part (in reasonable payment arrangements) but I am now realizing I don't and didn't have as bad of a fight as some. Even though they were putzes about it my insurance covered the nutritionist, behavior modification specialist, psychologist and all other pre-op tests. As well my doctor and his nurse run a support group that meets once a month free of charge.

I will be happy with what I got!

That just really sucks that the system has to make it so tough for a relatively inexpensive procedure compared to the grand scheme of things with what our obesity would cost the healthcare/insurance system in the long run if we leave the extra weight on our bodies!

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My nutritionist and pshychologist were both covered by my insurance.

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My mandatory support classes (included 3 nutrition classes, meeting with nutritionist, psych evaluation, endocrinologist visit, and "aftercare" such as lifestyle classes and ongoing nutritional support) cost $1,200 out of pocket. I was really steamed when I found out there was another program I could have attended that would have cost $400, but I was roped into the more expensive one.

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I'm in Peoria, IL area and there are 2 groups run by the hospitals here for the same dr's group. One charges $495 and the other is free. I went with the free one and got what I paid for in education. I had to see the shrink, nutritionist and the dr. The other group has pre op classes and support groups that give tons of info. I kinda fumbled through till I found a group in my area to attend by way of the paper, my "group" leader didn't know it existed.

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My doctor's office told me I had to pay $2500.00 for the psychologist, support groups and the pre-op Optifast. This includes lifetime support. I think that is outrageous!!!! I am going this Wednesday and I will let you know for sure what I have to pay.

You're right. That's outrageous and very opportunistic. Shame on them..

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I actually ended up paying the support group fee of 750 because the second surgeon I consulted with was so condescending and required that I start the process all over again, even though I had already received approval from the Ins. company. I now have a date 4/13/06

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I had to pay $750 for the group meeting as well. My Doctor would not do the surgery until I did.

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HI. It's very normal. actually Dr. Deol's fee is the lowest in Michigan. I have researched it thoroughly. she doesn't make any money from this. it all goes to other disciplines for the aftercare. And she actually has an aftercare program, where as others in Michigan just charge the fee (sometimes as high as $5000) without actually providing an after care. So, it's quite reasonable.

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    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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

        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

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