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Approval e-mail today

treequeen

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treequeen    13

treequeen
Posted

So today I got a call from my advocate from the surgeons office. She didn't leave a message and was gone by time I got off work...I'm thinking it was to schedule a date cause when I got home there was an e-mail from my aetna contact who said all was well with the paperwork and I'm approved for the sleeve and 1 bed day in the hospital...That took the joy and turned it to worry because my surgeon requires a 3 day hospital stay. He likes for the swelling to go down significantly before doing a leak test which is the reason for the long stay. Now I'm afraid if I have to pay for 2 extra days myself I will have to keep saving and by the time I have enough, my approval will have expired and I'll have to start all over again.

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AutumnBlueCarmen    4

AutumnBlueCarmen
Posted

I hope you can find a good option. I wonder if your surgeon could arrange something where you can come back. I hope you can make a deal! Good Luck! Try not to worry too much!

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Maddie    9

Maddie
Posted

I agree, I would see if the surgeon's office could coordinate things since it's his idea that is changing the dynamics of things. It's also only your surgeon that could possibly convince the ins to pay for the additional days. Just keep jumping through those hoops, you'll land on your feet. ;)

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PeteO    3

PeteO
Posted

So today I got a call from my advocate from the surgeons office. She didn't leave a message and was gone by time I got off work...I'm thinking it was to schedule a date cause when I got home there was an e-mail from my aetna contact who said all was well with the paperwork and I'm approved for the sleeve and 1 bed day in the hospital...That took the joy and turned it to worry because my surgeon requires a 3 day hospital stay. He likes for the swelling to go down significantly before doing a leak test which is the reason for the long stay. Now I'm afraid if I have to pay for 2 extra days myself I will have to keep saving and by the time I have enough, my approval will have expired and I'll have to start all over again.

Talk to your advocate about this. My surgeon's office told me that my insurance plan only covers a 24 hour observation period, but that is flipped into a 2-3 day stay based on the doctor's assessment during the observation period. It is all a cat and mouse game.

-Pete

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former_vbg    198

former_vbg
Posted

Talk to your advocate about this. My surgeon's office told me that my insurance plan only covers a 24 hour observation period, but that is flipped into a 2-3 day stay based on the doctor's assessment during the observation period. It is all a cat and mouse game.

-Pete

Ditto. I was only approved for a one night stay, but stayed 2 nights due to the fact that I was I had not passed gas or had a stool yet. That was enough for them to put in a diagnosis code to support the stay. They were possibly not even going to release me the next day because I wasn't drinking enough fluids. I was so ready to leave though. I did not like Forest Park, their staff was VERY inconsistent with care.

But, you might also see if you can come back for the leak test too. Especially if you feel like leaving after the first day.

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treequeen    13

treequeen
Posted

All is well in my world again! Advocate said that it is the standard initial approval from the insurance... and I have nothing to worry about.. And even better, she told me my out of pocket is $300 less than I thought it would be!!! Now I just have to wait for the scheduler to call me next week. Yippie!

Thanks for the support everyone.

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AwesomeSleeve    5

AwesomeSleeve
Posted

Congratulations on your approval and I'm happy everything worked out for you. Good reason to Celebrate this weekend.

All is well in my world again! Advocate said that it is the standard initial approval from the insurance... and I have nothing to worry about.. And even better, she told me my out of pocket is $300 less than I thought it would be!!! Now I just have to wait for the scheduler to call me next week. Yippie!

Thanks for the support everyone.

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1tracy    1

1tracy
Posted

Just had to say congratulations and I am so glad it has all came together! Wishing you the best!:D

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Go To Topic Listing Tell Your Weight Loss Surgery Story

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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.

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    • KimBaxleyWilson

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      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!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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