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anyone else just get done with preop appointments and waiting for approval?

Mommie4

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Jerzygurl    372

Jerzygurl
Posted

I am going to look into it. Im new to all this so Im not sure how to find out what surgeons are in my network, I guess I just call the insurance. But ya I am going to find someone who can do it before the end of the year, my deductible is already met and I am not waiting till January!

Yep. Call your insurance company. In fact, you probably can go on their website and find a doctor that is in Network... If the doc is that busy and you've got everything else lined up, I say try to find someone else in your area.

Good luck.

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Mommie4    53

Mommie4
Posted

I went in for my surgical consult on September 10th after completing ALL their requirements and my insurance requirement. My surgeon told me I couldn't do RNY, but could do VSG. My insurance won't approve VSG yet. So, I've gone to another surgeon with a Military Treatment Facility and I meet with him on October 2nd to find out if I can even do VSG. They said maybe not because I donated a kidney in 1986. OMG I am so frustrated!!! I just want to be healthy and doesn't seem as though anyone is willing to help.

That sounds frustrating! Good luck. I am switching surgeons too. Mine cant do my surgery till Jan and that's gonna start a whole new year for my deductible and right now my deductible is all paid up. He does other kind of surgeries so he is extremely busy I guess. But I want my surgery this year!

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Mommie4    53

Mommie4
Posted

Yep. Call your insurance company. In fact, you probably can go on their website and find a doctor that is in Network... If the doc is that busy and you've got everything else lined up, I say try to find someone else in your area.

Good luck.

Ya all my stuff is done. They are sending it in to the insurance, I figured it was too late since I had all my appointments done and the surgeon was sending in my paperwork. I will check online, Thanks!!

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Jerzygurl    372

Jerzygurl
Posted

Ya all my stuff is done. They are sending it in to the insurance, I figured it was too late since I had all my appointments done and the surgeon was sending in my paperwork. I will check online, Thanks!!

If they approved one surgeon can't see why it can't be transferred to another that is in network. I mean, all the paperwork and test are done...should be relatively easy. Hopefully, the new doc will only need to see you for an office visit...

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Mommie4    53

Mommie4
Posted

Are there other requirements that your insurance wants? What insurance do you have? Is he that busy that he doesn't have any openings?

I want mine done before the deductible sets in again.

Oh, and I have UNITED HEATH CARE. they said since my bmi was under 35 for two years of the 5yr weight history they are wanting, that as long as my surgeon notes on there that I was doing weight loss plans and had lost some weight at that time, that it wont go against me, I can still get approved as long as they know why it was under 35.

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Mommie4    53

Mommie4
Posted

If they approved one surgeon can't see why it can't be transferred to another that is in network. I mean, all the paperwork and test are done...should be relatively easy. Hopefully, the new doc will only need to see you for an office visit...

I know right! You would think it would be easy but so far this has been a pain in the butt!! lol I am going to do my best to switch!!

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RockyRitz    28

RockyRitz
Posted

im worried because the patch is nicotine isn't it? The nurse said they will test me for it. Or do the Patches not have the chemical that cigs do? I will try anything! I made an appointment with my doc' date=' I was gonna try Chantix. But its probably costs a pretty penny! Thanks for the positive thoughts! I am def going to try something. I just hope I get approved for surgery, we go through enough crap to get approved and getting denied will very upsetting![/quote']

I quit by using an e-cig. I bought the kind where you use liquid or "juice" and can use different flavors. I bought 0% nicotine. It helped me. I used it for about 2 months. I quit smoking in March.

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JenniferNicole    12

JenniferNicole
Posted

My hubby and I are both pre-op and awaiting approval. He was submitted for approval today, and I'm hoping to be submitted by mid-week. We're meeting with our surgeon on 9/26, and I can't wait!!!

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Mommie4    53

Mommie4
Posted

My hubby and I are both pre-op and awaiting approval. He was submitted for approval today, and I'm hoping to be submitted by mid-week. We're meeting with our surgeon on 9/26, and I can't wait!!!

how exciting, doing it together!!!! Good luck to you both!!!

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Ljones1    48

Ljones1
Posted

Approved! I'm so happy.

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Mommie4    53

Mommie4
Posted

Approved! I'm so happy.

OH YAY!!!!! congrats!! when is your surgery??

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Mommie4    53

Mommie4
Posted

I am switching surgeons. I go meet new surgeon next week. I am not starting my deductible over and my surgeon now can not do my surgery till Jan if Im approved. I just wanna be done with all this already!!

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Fit2btied    122

Fit2btied
Posted

I am switching surgeons. I go meet new surgeon next week. I am not starting my deductible over and my surgeon now can not do my surgery till Jan if Im approved. I just wanna be done with all this already!!

I'm so happy you found someone else. When you're ready, you're ready. Waiting was just be awful.

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Kasey Parker    31

Kasey Parker
Posted

Seen my surgeon once, do my psych evaluation Thursday and my EKG Friday. Haven't heard from the nutritionist yet. I have a chest x-ray and the EGD scope to do before surgery. I'll see the surgeon once more before surgery. :)

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Ljones1    48

Ljones1
Posted

I was approved today.

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

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    • Aunty Mamo

      Aunty Mamo

      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. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • 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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    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
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