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My Total Out Of Pocket For Lapband Surgery Was....



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I maxed out my $3000 OOP doing all of the pre-op testing.

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You guys are blessed I had to pay 17k as I fought UHC but couldn't get it done:(. I'm sure will still be worth it in end

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I work for a hospital so its a little bit easier for me. The hospital is all about the employees being healthy. I only have to spend no more than $200 on everything. I only spend $15 for my visits to the nutrientionist (6), $15 for psych eval (1), nothing for all my tests and $10 for my appointments with my band doctor (3). But that is only because i am seeing all hospital doctors and doing my lap band through the hospital. If it wasnt for that than i think it would take me longer.

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I didnt have to pay anything up front except for co-pays .... hospital and doctor's fees were billed after the procedure.

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I have finally received all of my EOB's from the insurance company and here is the breakdown of expenses:

Physician (Consult & Pre-op 2 appts) - Total billed $346 & insurance paid $81.25 and I have $70 in copays.

Nutritional counseling (4 appts) - Total billed $405 and insurance allowed and paid $324.

Psychiatry Eval (2 appts) - Total billed $200 and insurance allowed $103 & paid $78 and I have $50 in copays.

Anesthesia - $2,875 billed and insurance allowed and paid $646.40.

Surgeons fees - $2,211 billed and insurance allowed $1,189 and paid $1,039 & I have a $150 surgical copay.

Hospital fees - $23,584.60 billed and insurance allowed $2,029 and paid $1,954 and I have a $75 copay.

I have Federal BCBS Basic plan. My total out of pocket costs to date have been $345. I feel very blessed and fortunate.

~Amanda

I'll owe the psych doc $39

I'll owe my surgeon between $100-$200

I'll owe the hospital around $1900.

I have GEHA. Thank fully I have a fsa. I'll turn in my EOB's and the money will be in my account in 24-72 hours...

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I'll owe the psych doc $39

I'll owe my surgeon between $100-$200

I'll owe the hospital around $1900.

I have GEHA. Thank fully I have a fsa. I'll turn in my EOB's and the money will be in my account in 24-72 hours...

I have FSA too it has been a life saver I had to pay 600.00 for my scope and I was able to pay it without worrying three days later it was redeposited into my account. Best decision I ever made I talked all my co-workers into enrolling this year

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Did u have to pay for the surgery up front or did u get billed for it!

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Did u have to pay for the surgery up front or did u get billed for it!

I got billed after...I then take my EOB (explanation of benefits letter) when I get it and send it to my FSA and blamo usually within a week the funds are there. I lurve my fsa...

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Great thanks!

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HELP! I am so worried....Im scheduled to banded on July 10, 2012. As of today, the insurance has NOT contacted me or the Dr's office in regards to an approval. I am so afraid that they are going to say NO. I am even having dreams about being refused. :-(...Has anyone else gone through this?

Jess

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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.
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      1. LeighaTR

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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. 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💪
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