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Insurance & Aftercare or Fills



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This may be a dumb question, but is there anyway to get your insurance to pay for your fills if they want cover the procedure? I am planning on having my surgery in MX and if something happens to me once I come back to the states my insurance should cover it, correct?

Thanks

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That's an excellent question. I wished I knew. Each fill I shell out 150.00 and that's after the surgery fee in Mexico. I just got cut off on the phone with bCBS Anthem. I just curiously ask them since they woudn't pay for my surgery and I pay them 700.00 per month, would they reimburse me any. Hell, she laughed so hard I thought she was doing drugs. Bitch. I could have done without that.

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Oh, my gosh!!! I can't believe she laughed @ you. That is soooo not funny. I am trying to come out the best way possible (financially). I guess I will try to call UHC today or tomorrow and see what they say. Hopefully they won't laugh @ me. When I have called them in the past each person would give me a different answer or the run around.

I guess they would have no choice, but to pay if you were hospitalized. Hopefully nothing will happen, but I like to know my options.

Thanks for replying!!:)

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I was told that if your insurance covered your surgery they will cover the fills as well and visa versa.

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I pay 300 dollars a fill. I just had my 4th fill, this is getting expensive.

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I pay 300 dollars a fill. I just had my 4th fill, this is getting expensive.

The only person that I have found here charges $250 for the fluro, the hospital charges $325, and there could be a possible reading fee of $86. So the totals anywhere from $575-$661. That sounds ridiculous to me.

I am going to keep looking. It would be cheaper to fly back to Tijuana than pay that.

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I was just reading through, and found your thread. WOW! I feel very fortunate!

My Dr. includes the first year of fills in what he bills the insurance company (or in the amount charged to the people who are "self pay"). After that he offers a "package deal" for the fills, you can pay as you go or buy a year's worth. His theory is that if we are going to take the time and effort to make this work, he isn't going to throw a potential road block (like not being able to afford fills) in our way to success.

Thanks for sharing!

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I was just reading through, and found your thread. WOW! I feel very fortunate!

My Dr. includes the first year of fills in what he bills the insurance company (or in the amount charged to the people who are "self pay"). After that he offers a "package deal" for the fills, you can pay as you go or buy a year's worth. His theory is that if we are going to take the time and effort to make this work, he isn't going to throw a potential road block (like not being able to afford fills) in our way to success.

Thanks for sharing!

I am going to be banded in Tijuana, but I need a doctor here for fills and aftercare. The surgeon in Tijuana does include fills and the fluro is a little extra (maybe $40). I just didn't want to have to fly back and forth for fills...But w/the price I was quoted and the difficulty in finding a doctor to do the fills, I might not have much of a choice.

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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.

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    • KimBaxleyWilson

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