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H.Pylori test required???



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I have Aetna. I have read Clinical Policy Bulletin #0157. I haven't seen that they require an H.Pylori breath test. However, my surgeon is. His office manager, Tina (his SISTER btw) said that the insurance is only waiting for this test to approve me for the surgery. At this point I do feel the office is only trying to squeeze more money out of me. I feel I have been lied to on at least two occasions and they charge my 4x's the copay for office visits. I really don't feel like starting over with another physician. Since it's only one exam I think I should do it and get it over with. Once I get my surgery done I can relax a bit. I'm really sick of this doctor's office (and his damn sister, Tina).

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There are many types of Aetna. Even though I have AETNA that was not required for me. I do know that it is a requirement of Tricare. Tricare is one of the few insurance companies that require this test. H. Pylori is the bacteria that is responsible or ulcers. From what I have read, it is not unusual to have it and remain asymptomatic.

Khy

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Did you have an upper endoscopy done?? If so, they should have taken a tissue sample of your stomach and tested it for the bacteria then. That is the most effective way to see if you are positive for it.

I had the blood test done and it was negative. I had the tissue sample done and it was positive. WEIRD!!

Kelly :)

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I have blue shield and they approved me already without it, but my surgeon requires this test in his office. they arent getting anymore money out of me for doing it, its just something they have everyone do. i went through bariatric solutions and i love them. they have been so wonderful through this whole process. i just found out i have no copay for the surgery at all!!! if i would have known this before i would have done the sleeve years ago! good luck and i hope you get your date soon!

I have Aetna. I have read Clinical Policy Bulletin #0157. I haven't seen that they require an H.Pylori breath test. However, my surgeon is. His office manager, Tina (his SISTER btw) said that the insurance is only waiting for this test to approve me for the surgery. At this point I do feel the office is only trying to squeeze more money out of me. I feel I have been lied to on at least two occasions and they charge my 4x's the copay for office visits. I really don't feel like starting over with another physician. Since it's only one exam I think I should do it and get it over with. Once I get my surgery done I can relax a bit. I'm really sick of this doctor's office (and his damn sister, Tina).

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I have Aetna and I had to have it done. They told me it was a requirement for insurance along with an EKG.

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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.
      · 0 replies
      1. This update has no replies.
    • 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
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    • 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!!
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      1. This update has no replies.
    • bellaamey

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