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That is so funny! I got that same letter Friday! We are going to be surgery buddies! Keep me up to date on your progress!!!

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Well I just got a call from the office. My insurance now wants me to complete 3 more months of diet management sessions. Argh! So disheartened. They stated that because I want one surgery (lap band removal revised to bypass) that I need more documentation. However, if I wanted 2 surgeries that would be approved. How does that make any sense? Dr korn has approved me for the two-in-one surgery. I was hoping to get this done this year since I've already met my deductible. But mainly, I just want to feel better. I have an allergic reaction after surgeries now (since pregnancy) and really just want one surgery. Sigh. I guess I just need to keep truckin since this is all out of my hands. Just really frustrating news.

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Oh no!!!! My gosh how frustrating!!!! I'm so sorry!!!! You can totally still get it in this year though. I bet the month you have been waiting for approval could be counted as one of your supervised diet months. Insurance is so weird!!!! I got a call a little over a week ago from the office saying my insurance rejected mine because I needed to have a psych. eval.....but I had it almost 3 months ago now!!!! I don't know why they would even submit to my insurance without including that. They obviously knew my insurance would require it or they wouldn't have made me do it! I don't know if they have even resubmitted to the insurance yet or not. Is it horrible that I don't even care?!? I guess since I am not seeing some sort of doctor every couple weeks to satisfy the insurance requirements any more it's just not in the forefront of my mind. Good luck with the supervised diet!!!! I am planning to get back to the south beach diet after the weekend....of course, I say that almost every weekend!

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That office had a really fantastic lady doing the insurance named Danielle for awhile. She was on top of everything and so incredibly helpful. Once she passed the torch the insurance process took forever. I was fortunate enough to have all my stuff processed through Danielle but I had a family member who dealt with the new insurance processor and she never remembered anything she told people and forgot to submit her paperwork twice! I feel for you guys! Good luck!

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I just went back into the office for another appt. looks like Danielle is back in that position again....

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@beuchems. Any update on a surgery date yet? I have one more appt with Bill then they will submit to insurance. Such a long process!

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Hey there! Sorry for the delayed reply....I didnt see my notification until now!!! After a litttle back and forth with the insurance, I am finally schedule for surgery for October 8th. My last appointment with Bill was early May. I started researching and buying different Protein Shakes and need to go look at Vitamins. I am also working to get my butt going on working out!!! How is the process going for everyone else?

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@beuchems...good luck tomorrow!

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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.
      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.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
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