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Had my surgery...now lost my insurance. How do I get my fills now?

lapbandchic73

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lapbandchic73    39

lapbandchic73
Posted

:( Well...I lost my insurance. I had my surgery on December 6, 2013. I have had a lot of issues with my band. I had to go back into surgery on January 14 do to having to have a Port Revision done. My stitch came undone. Thank god it happened when it did, while I still had insurance.

Well ...I lost my insurance. Love Obama!! NOT!

Anyway..Not sure how Im suppose to get my fills and still get the medical care that I need. I know the fills are going to be costly. Im just at a loss.. Iv only had one fill. And another surgery. Was suppose to get my 2nd fill on March 4th. Well...Now what? Anyone else gone thru this?

I feel so defeated.

Lapbandchic73

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kll724    3,055

kll724
Posted

Check, your surgeon might have included 6 months fill in your orignial bill. Mine did!Best wishes

☠carolinagirl☠, 2muchfun, MzEboni912 and 4 others reacted to this

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2muchfun    8,928

2muchfun
Posted

Let's assume you can't get your insurance back? I would insist on a fill using fluoroscopy so that you get one fill, done right, so you can start your journey without shelling out hundreds of dollars over the next year.

Like Kll said, check on the 6 months of fills and if that doesn't work, see if you can negotiate a lesser fee for future fills? Your surgeon has a vested interest in seeing your success.

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lisacaron    5,075

lisacaron
Posted

I would let the Dr. know what is going on as well and see if they can work with you to get the care you need from them. After all they did the surgery and they should have some kind of follow up care available to you as part of the surgery that has already been paid for through insurance.

Also most times if there is a fee, I hear there is a "cash" fee and an insurance fee...so see what they can do for you....I thought under this Obama care it was mandatory for everyone to have healthcare coverage...so how do you lose coverage? I have been hearing that a lot from people all over that they lost coverage...just curious.

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terrydumont46    1,954

terrydumont46
Posted

because there was a lot of things that obamacare demanded that insurance covers and some insurances didn't have that in the policy so they cancelled any of the policies that didn't have everything included. your next choice is to go to the obamacare or affordable act and apply for insurance. you maybe eligible for a subsidy. and pay the rest. and the biggest part they have to cover pre-existing conditions. if you are unemployed you maybe eligible for Medicaid. and if you can ge t into the web page go and apply at the affordable act web page. if you are disabled apply for social security and medicare. medicare does cover wls and fills. good luck.

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lapbandchic73    39

lapbandchic73
Posted

Well I called the WLS center that I use. And they have a thing called "safety net" so I just have to pay $50 for the fill..that day. Then I'll have to pay the remaining balance of $200 before my next visit.

I havent asked about the fills being built into my plan when I had the surgery, but I definitly will ask when I call or go up there. I tried to get on the Obama healthcare plan. It said that it would be like $300 a month for just me. I had medicad. Just goin to do the safety net thing till I can figure something else out. Thanks everyone for your help and suggestions.

lapbandchic73

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JOANNE M HOLL    388

JOANNE M HOLL
Posted (edited)

:( Well...I lost my insurance. I had my surgery on December 6, 2013. I have had a lot of issues with my band. I had to go back into surgery on January 14 do to having to have a Port Revision done. My stitch came undone. Thank god it happened when it did, while I still had insurance.

Well ...I lost my insurance. Love Obama!! NOT!

Anyway..Not sure how Im suppose to get my fills and still get the medical care that I need. I know the fills are going to be costly. Im just at a loss.. Iv only had one fill. And another surgery. Was suppose to get my 2nd fill on March 4th. Well...Now what? Anyone else gone thru this?

I feel so defeated.

Lapbandchic73

Don't want to get into politics, but I know what I would do. . . . . . I would contact my Federal & State Legislators and ask them what you should do. . .. . . . . & I would really get involved! That law wasn't really meant to do that. . . a bunch of politicians just screwed up! If our mothers & other women hadn't spoke up in the past we'd still be barefoot, pregnant and waiting on men! ;)

Edited by JOANNE M HOLL
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Go To Topic Listing POST-Operation Weight Loss Surgery Q&A

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    • Alisa_S

      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

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.

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