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First visit today...



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Maybe you guys can help.. went in for my first visit with the surgeon today and I was a little shocked when I was told that I have to come up with roughly $2,000 out of pocket for "Physicians fees". They participate with my Ins Co. and should accept what they pay... or so I thought.. anyone else have this issue??

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Please find out exactly what 'physician fees' includes. You will be responsible for your co-pays, co-insurance, and deductibles. Many doctors charge a small program fee but $2000 would be ridiculous. If the $2000 is your estimated total out of pocket cost that might be acceptable (mine was around $1100), if the items I mentioned above aren't included I would look for a second opinion!!!

Good luck!!!!

HW 312, pre-op (RNY) 255, current weight 200.6

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I had to pay a 200 program fee. I haven't had my surgery yet so I'm not how much my out of pocket will be after my deductible is met. 2000 for physician fees seem excessive. I would ask for a break down of what the fee is for. Don't sign anything saying you'll pay it until you know exactly what it's for. Good luck!

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Ouch! I only paid $10 deductible for each visit so $60 bucks out of pocket. No program fees??? Never heard of this.

I would look at other docs too, the insurance companies pay these docs well. Check ur coverages are they paying 100% 80% that could b the issue, BUT if it would have cost me $2000 to get to where I am today I would have gladly paid it. Best Wishes!!! ;)

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I paid $400 physician program fee and $50 to see the in house nutritionist. $2k seems kinda wild. I think I might would seek another opinion before paying it. I do have to say tho with my program fee came excellent patient care and service. Good luck!

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I have uhc and paid 150.00 for my psychological evaluation early on and just yesterday paid 1600 of 3000 for pre-op (hospital/physician fees). Thankfully the rest is onba payment plan..to be honest it's well worth every penny.

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I paid around $3500 out of pocket but that was to hit my deductible and out of pocket max- my UHC plan was 80% but once I hit my out of pocket I was done. $300 of that was a program fee and $130 was for pre op diet they made me purchase. In the grand scheme of things it could have been so much worse. If that 2k is for deductible and stuff that's ok but if its just the program fee I'd find another surgeon.

Sent from my iPhone using RNYTalk

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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💪
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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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