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He goes by what the insurance requires; ex: some docs ask u for a 6 month (consecutively) of a physician supervised diet.. My insurance policy does not require that; i got a letter from the insurance explaining exactly what they need (n that isnt mentioned)' date=' n the coordinator at Dr. Gonzalez said she can work with that letter.

My insurance needs: the last 3 yrs of physicals I've done (along with lab work), letter of necessity from my pcp, psychological clearance, proof that i understand how my lifestyle will change post op (that is covered by Dr. Gonzalez's 5 hr class u have to take a week prior to surgery).

I have all these docs already (except for the 5 hr class of course) for my first visit with the doc, so im hoping that will speed up the process. Im even providing letters from all the commercial diets ive done in the past 5 yrs n gyms ive been members at, just to ensure im putting together a good "case" for the insurance n doctor.

I'll keep u posted, my appt with him is on the 25th, so im hoping for a positive outcome <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/smile.png' class='bbc_emoticon' alt=':)' />[/quote']

Oh!! N of course theres the BMI over 35 with comorbidity related health issues or 40 n no comorbidity ;)

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Erika - I did not use insurance. My surgery was self payed so the process moved very quickly. Just did my pre ops and surgery. Recovery was fairly easy. Just be prepared to be very tired for a week and also weak for a few weeks. Keep in mind you will be on a liquid diet so that is tough. I did go back to work 4 days post op but I was exhausted and really pushed myself. A week at home would have been much smarter. I did

Have my boyfriend with me to help me. But you really don't need much the first few days. Just sleep and some Jello or Water. Best of luck and let me know if you have any other questions.

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Hi Flower girl, just out of curiosity, how much was ur self pay with Jacobs? I had insurance but friend was thing of self paying.

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Hi Flower girl' date=' just out of curiosity, how much was ur self pay with Jacobs? I had insurance but friend was thing of self paying.[/quote']

You pay Jackson South directly and the cost is 16,000.00. My insurance did cover my preop but because I have reflux.

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