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I am so glad to hear that you found another surgeon that you are working with now =) It sounds like this doctor's office is much more willing to work with you. Why is your insurance rejecting paying? Do they not cover bariatric surgery? I looked through the post, but couldn't find the reason. Is it something you could appeal? Since your new doctor's office seems more willing to work with you, maybe they'd be willing to help you appeal it.

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Whoop! Whoop! Way-to-go! Good luck on the 24 Sep surgery.

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Just got bad news from the doctor's office. Aetna has denied my claim and delayed my surgery for a month said they need more data. I complied with everything they wanted and now this. Called Aetna and was told I could appeal but it would take 30-45 days. After years of delaying this I'm ready but can't. Is this why I pay my premiums for someone behind a desk to deny my claim? This for something that could have been handled by a call to my doctor. I am angry and very disappointed.

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Buplee, I am so sorry. I've been preparing for my VS for 4 months, and my insurance denied me, over and over again. So with Prayers, Care Card and savings, I'm doing it anyway. And here I am, I have a date. I would read others on here and how excited they were when they received their date and it is a feeling indescribable. So excited but a little scared. I'm going to my doctor tomorrow and then the next day liquids. I'M ON MY WAY!!!!! Tinad

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Yay after all the drama, Tuesday I called another bariatrics surgeon and it was so easy. They offer financing, he will honor all that I have done, nutritionist, pulmonary specialist, bariatrics psycologist and he will see me the Sept. 11th and my surgery date is Sept.24th. Do I hear a Whoop whoop? Finally after 4 months. Thank you for all the encouraging replys.

Congrats and good luck! :)

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Buplee' date=' I am so sorry. I've been preparing for my VS for 4 months, and my insurance denied me, over and over again. So with Prayers, Care Card and savings, I'm doing it anyway. And here I am, I have a date. I would read others on here and how excited they were when they received their date and it is a feeling indescribable. So excited but a little scared. I'm going to my doctor tomorrow and then the next day liquids. I'M ON MY WAY!!!!! Tinad[/quote']

Thank you TinaD,

I have bern going through this for most of the year. I am not giving up that easily and still hope to get approved for surgery next month. I wish you much success on your journey. Please keep us informed of your progress and I will do the same. You'll be just fine and will feel great after the surgery. Wish me luck on my next round with Aetna.

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I met my new surgeon today, love him and his staff, from the moment I walked in...I was their first priority, now there were other ladies there and a gentleman and I am sure they were treated the same way. They did honor previous tests....laughed at the one test I had to pass. Going in knowing you are going to have 60~70% of your stomach removed I was worried. After speaking with surgeon and staff I was eased considerably. My new qualify of life starts tomorrow. I am thrilled. Today was hectic getting everything scheduled but since today was my last day for real food for a long time, my husband made me Breakfast in bed and since we were at the doctor through lunch and a hour drive from our home, we didn't get home until til 6pm. He bought all of my LIQUIDS that I start tomorrow and my very last Coke. I have a wonderful support group. Is there anyone haveing their surgery around my time? Maybe we can keep in touch and compare and support each other. My surgeon did say it was a very intense surgery and about a 2 week down time.

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    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
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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.
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    • BeanitoDiego

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    • ChunkCat

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      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
      1. This update has no replies.
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