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OMG!!!! Approved AND Scheduled!!!



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Whoo hooo!!! Just called BCBSIL today and they sent the approval letter off to the surgeon! My surgery date is October 20. Almost one month from today. Gosh, a whole 'nother month. Ah, well, it should go by fast...I hope! I really didn't expect it to be this easy (except for the looonggg 6 month diet part). I was fully expecting to be denied and have to appeal. My surgeon's office just submitted my claim last Wednesday!!! Holy moly!!!

I just can't wait to join everyone on the loser's bench! Now I'm starting to get butterflies. I was at first worried more about the actual surgery, and the very, very minimal possibility of leaving my beautiful little boy without a mommy, but you know what? Now I'm starting to realize that I'm kinda scared of the unknown....I have never, never been thin. Don't get me wrong, I'm ecstatic at the possibility, and I'm a very strong person that totally embraces change, but that's why it's so weird for me to feel a little shaky about this. I know that I will be changing so much, not only physically, but mentally, too. It's going to be an exciting journey, that's for sure!!! I can't wait to get on this roller-coaster ride and just goooooooooooo!!!!!!!!!!!!!

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Congratulations! Yes, the month does go by fast. After I got my approval, I got my surgery date exactly 28 days later and I am now down to 9 days....seems like just yesterday. See you on the other side :)

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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
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    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
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