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Looking for a buddy in michigan!

kaylaxO

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onedaycloser    136

onedaycloser
Posted

Greetings to all!

I am new to this and find this MOST helful and supportive. Thanks to all!

I have not had my surgery yet, in the early stages however have many questions I am hoping someone can answer. Went to seminar, met with Nut for the first time this past Friday (having SX in Toledo hopefully?).

I have BCBS of Mi and apparently I have to meet with Nut for 6 monhs? Is this normal? I have not contacted them however this is what they told me at clinic. My fear is that after 6 months the insurance company will say no..MY BIGGST FEAR!

Any insight on what to expect during this process and how long does it take after 6 months with Nut before surgery?

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auntmissa1    39

auntmissa1
Posted

Each insurance company's requirements are different. I have Cigna and they required one nut appt (mine was over the phone).

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JennJ536    43

JennJ536
Posted

Greetings to all!

I am new to this and find this MOST helful and supportive. Thanks to all!

I have not had my surgery yet' date=' in the early stages however have many questions I am hoping someone can answer. Went to seminar, met with Nut for the first time this past Friday (having SX in Toledo hopefully?).

I have BCBS of Mi and apparently I have to meet with Nut for 6 monhs? Is this normal? I have not contacted them however this is what they told me at clinic. My fear is that after 6 months the insurance company will say no..MY BIGGST FEAR!

Any insight on what to expect during this process and how long does it take after 6 months with Nut before surgery?[/quote']

Definitely each insurance is different. I had to go to my PCP for 6 months of weight loss under his supervision. I also needed clearances from a dietitian, psychologist, and the PCP. Also blood work, urine samples, EKG, chest xray, as well as an endoscopy and an ultrasound of my gallbladder.

Since I had a set back because of finding a cyst in my lung, which I had to surgically have removed, I now have to repeat blood work, EKG, and chest xray. As well as a clearance from my thoracic surgeon. So it depends on not only insurance but also what your doctor wants.

I have HAP PPO .Health, Alliance and Life.

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cjjenkins    2

cjjenkins
Posted

I was sleeved on June 19, I'm in the Lansing area. ????

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kaylaxO    5

kaylaxO
Posted

That is great to hear!! I love hearing all positive things about him! I have yet to hear anything negative! I have been jumping thru hoops for my insurance company since September. My surgery was suppose to be June 11th with him but in pre surgical testing he found a baseball sized cyst in my left lung. Thank goodness he found it! Anyways my bariatric surgery was delayed and I had lung surgery on June 12th to remove the cyst. I have a new date of August 13th and finally feel like I am back on track!!!

Yes!!! And it will be here before you know it!!!!

Glad to hear all is well after your lung surgery!

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kaylaxO    5

kaylaxO
Posted

Greetings to all!

I am new to this and find this MOST helful and supportive. Thanks to all!

I have not had my surgery yet' date=' in the early stages however have many questions I am hoping someone can answer. Went to seminar, met with Nut for the first time this past Friday (having SX in Toledo hopefully?).

I have BCBS of Mi and apparently I have to meet with Nut for 6 monhs? Is this normal? I have not contacted them however this is what they told me at clinic. My fear is that after 6 months the insurance company will say no..MY BIGGST FEAR!

Any insight on what to expect during this process and how long does it take after 6 months with Nut before surgery?[/quote']

I have BCBS of mi and because my bmi was greater than 50 my insurance company did not require anything. Just my dr required the psych eval, lab work, chest X-ray, ultrasound on the gallbladder & EKG. I saw my dr for a consultation on april 2, after debating surgery for a year, and was scheduled for surgery may 13.

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awifeinmichigan    233

awifeinmichigan
Posted

I have BCBS of mi and because my bmi was greater than 50 my insurance company did not require anything. Just my dr required the psych eval' date=' lab work, chest X-ray, ultrasound on the gallbladder & EKG. I saw my dr for a consultation on april 2, after debating surgery for a year, and was scheduled for surgery may 13.[/quote']

Did your BMI drop below 50 prior to surgery? If so did you have any issues with bcbs?

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kaylaxO    5

kaylaxO
Posted

Did your BMI drop below 50 prior to surgery? If so did you have any issues with bcbs?

Not that I am aware. It was only about 6 weeks difference and the only weight loss I recorded before surgery was the week before because I was on a strict 1000 calorie diet & 3 days before Clear liquids and Protein drinks only. During that week I lost 10 pounds and when I found that out it was because they weighed me the day of surgery. So even if I had, (but don't think I did) i don't think they would have caught it in time anyways lol

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awifeinmichigan    233

awifeinmichigan
Posted

Not that I am aware. It was only about 6 weeks difference and the only weight loss I recorded before surgery was the week before because I was on a strict 1000 calorie diet & 3 days before Clear Liquids and Protein drinks only. During that week I lost 10 pounds and when I found that out it was because they weighed me the day of surgery. So even if I had' date=' (but don't think I did) i don't think they would have caught it in time anyways lol[/quote']

Thanks. Good to know.

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mrskamariab    0

mrskamariab
Posted

Sleeve 4/23 Henry Ford Hosp. Detroit by Dr. Genaw. I just joined the forum, and was just curious about others experiences post-op :-)!!

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mrskamariab    0

mrskamariab
Posted

I'm also in Southfield, and I wish u the best!! I was sleeved on 4/23, and I'm down 42 lbs yayyy lol!! So pls don't get discouraged because it's gonna be a lil bumpy at first, but it gets better everyday!

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awifeinmichigan    233

awifeinmichigan
Posted

Hey Ladies it is good to hear that we are so close in proximity. I live in Lathrup Village. Do you guys know of any support meetings in our area?

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mrskamariab    0

mrskamariab
Posted

Sry I don't. The closest group that I know of is at the Henry Ford Athletic center if ur familiar with that.

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awifeinmichigan    233

awifeinmichigan
Posted

Sry I don't. The closest group that I know of is at the Henry Ford Athletic center if ur familiar with that.

Is it just for HF Patients or are all welcome?

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Go To Topic Listing Gastric Sleeve Surgery Forums

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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. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
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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
      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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