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I am ecstatic today!!!!!<>long story short

, i am 2 years happily, successully post opat goal!!!!

my surgery done locally 12/15/11 was JUST approved - i didn't have to pay a dime!!!

yes you heard me right, 2 years later - i am approved :)

heres my story

2 years ago medicare didn't accept the sleeve (now it does- everywhere i think)

my secondary ins did cover the sleeve

i was told AFTER surgery i had to submit my paperwork to medicare to get an OFFICIAL denial - then i would resubmit paperwork to BlueCrossBlueShield!!

told no problem

18 months PO - i received a bill for $22,000.00 :angry:

are you kidding me!!!!! :angry:

after much "discussion" papers back and forth............

the other day, and 2 years PO - i have been approved!!!

not only did i lose 105 lbs with surgery

i now find myself minus 22,000 lbs off my shoulders!!!!

early Christmas present!!!!!

Kathy

one "relieved" proud grammy ;)

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Wow!!!!!! What a blessing! Congratulations!

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22,000............

Thanksgiving Day..........extra prize to be thankful for!!!!

kathy

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Wow how incredibly stressful! I'm so ylad for you to have that finally off your back!

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Merry Christmas to you!! Goal and 22,000 saved!! I am very happy for you!! :)

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Dear lord. That is truly weird to take two years but hey, you are sleeved and PIF!

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<p>I am ecstatic today!!!!!<>long story short</p> <p> </p> <p>, i am 2 years happily, successully post opat goal!!!!</p> <p> </p> <p>my surgery done locally 12/15/11 was JUST approved - i didn't have to pay a dime!!!</p> <p> </p> <p>yes you heard me right, 2 years later - i am approved :)</p> <p> </p> <p>heres my story</p> <p> </p> <p>2 years ago medicare didn't accept the sleeve (now it does- everywhere i think)</p> <p> </p> <p>my secondary ins did cover the sleeve</p> <p> </p> <p>i was told AFTER surgery i had to submit my paperwork to medicare to get an OFFICIAL denial - then i would resubmit paperwork to BlueCrossBlueShield!!</p> <p> </p> <p>told no problem</p> <p> </p> <p>18 months PO - i received a bill for $22,000.00 :angry:</p> <p> </p> <p>are you kidding me!!!!! :angry:</p> <p> </p> <p>after much "discussion" papers back and forth............</p> <p> </p> <p>the other day, and 2 years PO - i have been approved!!!</p> <p> </p> <p>not only did i lose 105 lbs with surgery</p> <p> </p> <p>i now find myself minus 22,000 lbs off my shoulders!!!!</p> <p> </p> <p>early Christmas present!!!!!</p> <p> </p> <p>Kathy</p> <p> </p> <p>one "relieved" proud grammy ;)</p>

Wow! That's amazing! I bet it takes a load off of your shoulders.

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Congrats! So glad you were able to get that straightened out.

Lynda

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thanx all for your happiness and support for me :)

WLS finally officially paid for by insurance

like it always should have been

amazing weight off my shoulders :)

i do feel 22,000 lbs lighter

wow - how would that look :lol:

kathy

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Hallelujah and WHEW! Wonderful success all around

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A great insurance success story! What a weird path. Congrats not only on getting it paid for but your success! 105 pounds - that's amazing. A true inspiration!

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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.
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      https://www.cms.gov/nosurprises
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      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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