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what tests did you have to have done prior to surgery



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I had 4 nutrition visits, 3 psych visits, metabolic test and follow-up, a crazy amount of labs drawn, and two visits with the surgeon. I have tricare and will be having my surgery in a military hospital.

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I have the same ins. Did they have a lot of requirements?

I also have the same. I had to have my psych eval completed first. After that, I was approved immediately. Then I had cardio and pulmonary and after it was submitted to insurance

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I had

Seminar

First surgeon visit

Blood work

Ekg

Psych

Upper gi

Second surgeon apt

Nutritionist

Pre op apt.

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For my first WLS (Lap Band) in 2010 I had Carefirst BCBS of Maryland

1. 6 visits w/nutritionist

2. mental health evaluation

3. sleep study

4. pulmonary function test

5. chest x-ray

6. upper gi

7. echocardiogram

8. blood work

I currently have CoreSource (employer funded plan). I am waiting to be approved for a revision to RNY and I had to do:

1. blood work

2. echocardiogram (surgeon's requirement, NOT my insurance)

3. upper endoscopy to check the position of the band (surgeon's requirement, NOT my insurance)

4. mental health evaluation

5. After submitting to the insurance they asked that I have a consult with the nutritionist before they make a final decision so I spoke with her over the phone for 15 minutes last week and she faxed her report Friday morning.

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Ok here is what I've had so far:

3/13 dr suggested seminar

3/28 seminar

4/15 mental health (cleared)

4/16 gynecologist (cleared)

4/19 my dr (referred)

4/19 nutritional group seminar (make diary of food)

4/25 mammogram (required)

Now tomorrow, 4/27 I have physical and history. I'm kinda nervous!

Then on may 20 I have a 1 on 1 with a dietician.

Can anyone tell me what happens next? I already talked to my insurance and they cover everything :-) ! I am so excited to become part of the losers group! Just wondering how much longer this process is. The insurance said all they require is 5 yrs of failed diet attempts from dr...that's done too. Sorry if I'm rambling.

This is a big year for my family, my oldest son graduates in June and leaves for the Air Force in aug. just trying to figure out the timing.

I would appreciate anyone's input on the next steps, like when do I meet the surgeon and set the big date! Lol ! Thanks all!

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I had to have the company that supplies my cpap send them the pressure. I had just had a recent titrate study within the past 6 months so I'm not sure if that made a difference.

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I have the same ins. Did they have a lot of requirements?

I have BCBSIL as well. The paperwork submitted to them did show my weight history, High blood pressure, and high cholesterol. I did not have to do any further testing or dieting to get the approval..

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    • 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.
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