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What happens at this appointment?

futuresleever

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futuresleever    44

futuresleever
Posted

I have Anthem BCBS and I finally completed the 6 supervised diets that were required. I have an appointment on tomorrow to meet with the dieticia, the nurse, and a do a psych eval, what can I expect at this appt?

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Richard Foor    655

Richard Foor
Posted

When I had my preop consults they were mostly about preparing me mentally for the changes to life that the surgery was going to cause. Basically they explained what I would need to do postop and made sure I was prepared and committed to fallow through with it. Good Luck.

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reneetrom    31

reneetrom
Posted

Its basically a baseline to see where you are at. They educate you on the changes and make sure mentally, and medically, this surgery is something you can withstand.

At this initial consult, they wont book you for a surgery date. You will be mandated to do 4 group therapy sessions and booked with a follow up with the nurse practioner again. Its usually at that month follow up, to see what changes you have made to prepare for the lifestyle change, that they go ahead and put thru the paperwork.

Good luck! It will be worth it!!

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futuresleever    44

futuresleever
Posted

They also have a program fee of $300, does that take care of all the appts?

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reneetrom    31

reneetrom
Posted

I dont know about the fees, as my insurance company is covering all costs involved

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READY4CHANGE2013    88

READY4CHANGE2013
Posted

I know I have to pay the first payment of $300 at the first appointment so I would say be prepared to pay it. It covers they physch, nut and everything else. My insurance company pays 100% too BUT they don't pay for the program expense....I guess it depends on your doctor. Thanks for sharing Reneetrom! I was wondering how it went from the first appointment. Now I can be a little more at ease!!

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reneetrom    31

reneetrom
Posted

Yeah, its very straight forward!! And very informative. Call your insurance company ahead of time just to make sure you wont owe a payment when you get there.

Good luck to you all!!

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futuresleever    44

futuresleever
Posted

This is what happened, I met with the nurse first and she went over some things on my application, a few things on nutrition, and complications. Then I met with the psychologist, she looked over my app and asked me a few questions and then said she approved me. Then I spoke with the dietician, she went over what I can eat for the first few weeks. The program fee allows me to keep in touch with the dietician and the counselor for lifetime, no extra fees.

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reneetrom    31

reneetrom
Posted

Yes, insurance typically covers all those costs. To see what costs you may incure, if any, for surgery.....

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futuresleever    44

futuresleever
Posted

The $300 program fee covers unlimited dietician and counselor visits.

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READY4CHANGE2013    88

READY4CHANGE2013
Posted

Yeah, that's what I had to pay for...the program fee NOT the surgery. Thanks you guys are VERY helpful!!

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Aunty Mamo

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      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. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
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    • BeanitoDiego

      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
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      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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