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Insurance Blessing!



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I received the call yesterday that I was approved for surgery! So I started trying to get my ducks in a row on all my copays, deductibles, and other expenses so I would be prepared when they give me my date.

Called the surgeon's office, I owed a 1$ for my portion bc I had a credit with them!

Called the hospital, I owe $320.00 and I have already met my $150.00 deductible so all I owed the day if surgery was $100.00!! So for $101.00 I will have my surgery!!!

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Wow that's great! Who's your insurance provider?

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Oooh i havr bcbs pa / highmark as well hwhat questions did u ask i wanna find out what what mine will be as well.... Thx congrats and goodluck

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I had BCBS-IL, I didn't have to pay anything to the surgeon, but I had to pay the hospital $2K. It was the best money I've ever spent!

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I got mine for $45 :) I feel very blessed to have good insurance. It is so sad that all of us don't! Good luck to all who need this surgery struggling with insurance...or worse, no insurance!

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I have BCBS tx mine was $3400 to the hospital don't know what I will owe the dr. Then they said I will owe the anesthesiologist. I'm not complaining though cause i can't put a price on good health. No regrets so far!

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Oooh i havr bcbs pa / highmark as well hwhat questions did u ask i wanna find out what what mine will be as well.... Thx congrats and goodluck

First, I called Highmark and had them fax me a copy of my contract concerning WLS.. It basically tells you step for step what is needed and I went from there.

I asked the dr if I had a credit from services I had already paid for such as office/NUT visits. Since they had filed with my insurance and the insurance had already paid.

I also kept monthly copies of my 6m dr supervised diet. I did not leave the dr office without it. I requested a letter from my GP stating I was cleared for surgery. After, the six months, actually 7, I went home and faxed everything to the coordinator myself. I then called the insurance daily until I received a "yes, it in our system". Then, I called every other day requesting my status.

I work in the medical field so I know how annoying people can be, BUT as I tell my pt's it's your health/health care you can be as annoying as you want! You pay for it!! So be persistent:)

:)

The hospital I told them I had met my deductible and I would pay $100.00 at my initial surgery THEN after insurance paid I would see if there was anything owed.

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I got mine for 45 :) I feel very blessed to have good insurance. It is so sad that all of us don't! Good luck to all who need this surgery struggling with insurance...or worse' date=' no insurance![/quote']

I agree Sassy!! I love my insurance, actually I use to love them more when it was free! AlI had to do was my $20 co pay no matter if it was brain surgery! It covered a 100% but last year they got us with a 5% co pay! And $150 deductible :(

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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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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      1. This update has no replies.
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