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The only two doctors in my area that provide psychiatric testing and are on my insurance (yes, all two of them) don't have any availability to do my psych eval. So I'm going to have to go to someone and pay cash.

How much was your psych eval if you had to pay cash?

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My psyc evaluation was $580 but I use insurance. They said if you're cash it would be like $350, I think.

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The only two doctors in my area that provide psychiatric testing and are on my insurance (yes, all two of them) don't have any availability to do my psych eval. So I'm going to have to go to someone and pay cash.

How much was your psych eval if you had to pay cash?

So when you say they dont have any availability what do you mean? Have they told you flat out that they WILL NOT see you? I would NOT pay cash for an eval if you have insurance, I would press them harder, that is unacceptable.

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So when you say they dont have any availability what do you mean? Have they told you flat out that they WILL NOT see you? I would NOT pay cash for an eval if you have insurance, I would press them harder, that is unacceptable.

Meaning, one could see me in August and one could see me in October.

My surgical consult is February 6. I would be happy to wait for an appointment later in February or March, but 7-9 months is a little much, no?

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Meaning, one could see me in August and one could see me in October.

My surgical consult is February 6. I would be happy to wait for an appointment later in February or March, but 7-9 months is a little much, no?

THAT IS A CRAZY WAIT. Can you contact your insurance company to ask for a prior authorization to step out of network considering the situation you find yourself in?

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I know, it's a crazy long wait! For some reason, not many doctors in our area take our new coverage. We could only pick from 2 pediatricians. 3 or 4 PCPs...2 of them had waits until August/September too, luckily one had just added a doctor and I was able to get in right away.

A prior auth is pending...that was my first thought too. Even if they will just pay for part of it, that would be awesome. They told me it could be several days before I hear back. A psych eval is my surgeon's requirement, not the insurance company...the nurse on the pre-cert line kept saying "we don't require a psych evaluation..." So I was just looking for some worst-case scenario $$ info if I have to go OOP.

My surgeon is 4 hours away, and I did see if I could get an appointment with someone in their area that they work with, but I haven't had any luck with people returning my phone calls yet.

My FSA will totally cover my deductible and OOP for the surgery, so if all that is standing between me and getting it done is $200-300 for a psych eval, I'll totally pay it.

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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.
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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.
      · 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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