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Insurance Requirments

MrsAnders

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Mommie4    53

Mommie4
Posted

I don't blame you! I know that my surgeon requires the nutritionist, but I'm not sure about the rest.

well, they are all gonna have to deal with payments..lol I just cant wait to have it all over with and find out if Im approved. so done with these crazy appointments. I have to drive an hour to all of them, I live in Illinois and these appointments are in St. Louis,mo the surgery is in St. Louis too, but I don't mind driving it for the surgery..lol

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MrsAnders    34

MrsAnders
Posted

well' date=' they are all gonna have to deal with payments..lol I just cant wait to have it all over with and find out if Im approved. so done with these crazy appointments. I have to drive an hour to all of them, I live in Illinois and these appointments are in St. Louis,mo the surgery is in St. Louis too, but I don't mind driving it for the surgery..lol[/quote']

That is far! I'm only about half an hour from all the doctors. And I totally understand about the pmt thing. It's expensive to get and stay healthy.

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Mommie4    53

Mommie4
Posted

well. I will be done with everything next week! Monday I go to surgical weight loss support group ( just have to attend one) and then Wednesday I have physc eval...THEN IM DONE YAY!! surgeons office said to wait 5 days after my last doc appointment and then call them to set up appointment with surgeon, so Im gonna call on the 5th ( 5 business days later) and I am hoping to hear from insurance on approval by the end of next month!!

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MrsAnders    34

MrsAnders
Posted

well. I will be done with everything next week! Monday I go to surgical weight loss support group ( just have to attend one) and then Wednesday I have physc eval...THEN IM DONE YAY!! surgeons office said to wait 5 days after my last doc appointment and then call them to set up appointment with surgeon' date=' so Im gonna call on the 5th ( 5 business days later) and I am hoping to hear from insurance on approval by the end of next month!![/quote']

Well good luck!!! Keep us posted! I hope everything goes according to plan. :)

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MrsAnders    34

MrsAnders
Posted

well. I will be done with everything next week! Monday I go to surgical weight loss support group ( just have to attend one) and then Wednesday I have physc eval...THEN IM DONE YAY!! surgeons office said to wait 5 days after my last doc appointment and then call them to set up appointment with surgeon' date=' so Im gonna call on the 5th ( 5 business days later) and I am hoping to hear from insurance on approval by the end of next month!![/quote']

Well good luck!!! Keep us posted! I hope everything goes according to plan. :)

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Mommie4    53

Mommie4
Posted

The psych eval is kind of dumb. You fill out a questionnaire, you talk a bit and then they tell you that you are an emotional eater.

The two hours accounts for slow readers, I was in and out in 40 minutes.

Oh and the bill was 595 bucks. Total scam.

just found out that my psych eval is only $255....phewww!! NUT is $275...guess I will see if insurance pays any of it.

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MrsAnders    34

MrsAnders
Posted

just found out that my psych eval is only 255....phewww!! NUT is 275...guess I will see if insurance pays any of it.

It's crazy how each area seems to fluctuate so much in price and the way they so things. My first visit with nut is 175. I'm not sure about the rest. I know my insurance doesn't pay for the nut, but I hope it's helps with the rest.

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kamkam    7

kamkam
Posted

I'm just over 2 hours away from my surgeon! It does get expensive

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ShrinkyDinkMe22    376

ShrinkyDinkMe22
Posted

I met my surgeon august 29 2010. Scheduled surgery the middle of October for mid december. I did not have to do a required diet before surgery.

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Mommie4    53

Mommie4
Posted

It's crazy how each area seems to fluctuate so much in price and the way they so things. My first visit with nut is 175. I'm not sure about the rest. I know my insurance doesn't pay for the nut, but I hope it's helps with the rest.

so how far are you now? getting your appointments done? I went to my surgical weight loss support group tonight, and Wednesday is my Phsyc eval and then Im done! just gotta met with surgeon and see what insurance says. Tonight was fun, learned a lot. They had guest speakers who had bi pass but none with the sleeve. But still encouraging! What do you have left to do?

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MrsAnders    34

MrsAnders
Posted

so how far are you now? getting your appointments done? I went to my surgical weight loss support group tonight' date=' and Wednesday is my Phsyc eval and then Im done! just gotta met with surgeon and see what insurance says. Tonight was fun, learned a lot. They had guest speakers who had bi pass but none with the sleeve. But still encouraging! What do you have left to do?[/quote']

Well I met with my surgeon as planned on the 22nd. I really liked him and he was very knowledgable. I hit a small snag. He wants me to lose 50 lbs before surgery. It isn't an insurance requirement, it's his requirement. So I have started working my way towards this goal. I meet with my nut the first time on Sept 13 and she is going to help with a plan to get me to that 50 lb goal. I've started on my own and would really like to go in at least 10 lbs down so they know I am serious. Meanwhile I have to schedule an upper GI, as well as pulmanologist to make sure my lungs can withstand the surgery. I also have a ton of labs to do. So far that's all I know. I'm glad to hear that the support group was helpful! Keep me posted on whats going on. Your almost there!:)

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Mommie4    53

Mommie4
Posted

oh no! they talked about that same thing youre having to do in the support group tonight. Tey said there is a lot of risk having surgery if your BMI is 60 or above so the surgeons require weight loss first. I know you can do! back in the day I could lose 50 in two months (with diet pills lol)...not any more! lol ya, I am getting close and very nervous about what insurance will say. But I cant wait to find out! after Wednesday we will see! good luck, and kick butt! YOU CAN DO THIS!!!!!!!

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kamkam    7

kamkam
Posted

I met with my surgeon on the 22nd. They scheduled my surgery for October 23rd. I have my psych eval on Sept 10th and have to see nutritionist also (waiting for a call back to schedule that) baring any hang ups with my insurance I should be good to go :)

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Mommie4    53

Mommie4
Posted

I met with my surgeon on the 22nd. They scheduled my surgery for October 23rd. I have my psych eval on Sept 10th and have to see nutritionist also (waiting for a call back to schedule that) baring any hang ups with my insurance I should be good to go :)

Congrtas! I cant wait till everything is sent to my insurance, probably in a couple weeks, gotta met with surgeon after my last appointment this wed. and then just wait and see. I am so nervous!! I do not want a denial letter or call!!

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kamkam    7

kamkam
Posted

I know. It will all be way more real after i hear back from my insurance with an approval. Good luck to you!

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

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    • LeighaTR

      LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 1 reply
      1. Phil Penn

        Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      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. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

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