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Hi. I am having RNY next Tuesday. My insurance company has a specific clause disallowing all WLS. I am self paying 26k out of pocket for this surgery. However, I am getting EOBs from earlier visits for nutrition, lab tests, psych eval that have all been submitted through my insurance company and they are paying those charges! They didn't pay for surgeons visit, but basically everything else. Now, on Thursday, I have to pay my 26k. But they have already been paid for items included in the flat fee. When I asked at the clinic, the lady said, oh well they weren't supposed to charge that through, you are self pay. Duh... I know that. S I told her that her office did. She said it didn't matter. After the procedure they sit down and go through all my charges and if the insurance company paid anything, they will be refunded. I don't believe them. I think they will pocket my money and what the insurance company pays. Anyone ever seen a review post surgery of your account?

Has anyone ever bought Bliss insurance and needed it? Thanks. BTW, this is Cleveland Clinic.

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This sucks! You must have a great job to have over 20g for surgery. Took me a long time to save for my boob job then still saving for next year.

Insurance company sucks! Glad your doing this for you. You will feel good. Hope you get some money back from stuff you were cover threw ins.

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I have Blue Care Network... They always sent me a copy of the "bill" that they pay. I can also look online to see what has been submitted to them for payment, what they paid and what they rejected

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This sucks! You must have a great job to have over 20g for surgery. Took me a long time to save for my boob job then still saving for next year.

Insurance company sucks! Glad your doing this for you. You will feel good. Hope you get some money back from stuff you were cover threw ins.

I do have a good job, but I lobbied for over a year to have it added to our plan, but in the end, they would rather pay for obesity related issues for the rest of my life. I saved over that year and now I am ready. I am just not happy about them billing my insurance company and making me pay the entire bill! My surgery is next Tuesday. I am so excited (and scared out of my mind!)

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Your insurance company is going to send you the same EOB they send the doctor, sans check. If your EOB shows the insurance company paid, the doctor has to issue you a refund or credit. I'd watch your mail closely and read the EOB's even closer.

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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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