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info meeting changed my choice

dirich

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Fixerupper    335

Fixerupper
Posted

Darn I'm so sorry. Please keep us posted.

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Cecilia    201

Cecilia
Posted

My mom was set on the band, then her doctor told her there were just not as many guarantees as with the RnY, so she changed her mind and is so glad she did. My doctor told me the RnY is the "gold standard" for gastric bypass surgery.

nienie reacted to this

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Olivereindeer    30

Olivereindeer
Posted

It see s there are many people who have Bariatric surgery in Mexico with a US trained surgeon in a US endorsed hospital. I think his name us Dr R Kelly. It is significantly cheaper. Might be worth a try if no other options

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dirich    4

dirich
Posted

I haven't given up on my insurance yet. I am having someone from the hospital contact them to get an idea of what they would pay...............couple years ago when I checked into it the DR's office tole me my part would b about $8K so I will wait until I hear the final no to be really upset

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Mia    12

Mia
Posted

OMG I am so PO'd............just found out my insurance company covers a maximum total of 15K,,,,,,,,I can't afford the other 40+k...................I feel like crying

Your ins pays 15k in network coverage what about your out of network?

Do you have out of network coverage?

My ins cover WLS 10k max and the surgery cost 30k, but I have out of network coverage and it covers 20k so the surgeon is going to use both in network and out of network.

Don't give up, if you have to find another surgeon so be it. I had another one before I found my current one and they were charging me 20k and I was like What!!! I don't have that kind of money. I talked to my coworker and she told me that we have out of network coverage and for me to find another doc that Is will to work with me and my ins, and that what I did.

So don't give up there is always a way you just need to find it. .

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dirich    4

dirich
Posted

yes I do have out of network also.....can the same doctor be used for both..............I know he is in network and so is the hospital

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Mia    12

Mia
Posted

yes I do have out of network also.....can the same doctor be used for both..............I know he is in network and so is the hospital

Yes.

My doctor is a in network and they deal w out of network too.

My new journey 2013

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

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    • Eve411

      Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
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    • KeeWee

      KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • 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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