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So I'm new to BariatricPal, but I've been on this Bariatric train since April when I first saw my surgeon about it. Actually, even in April I saw my doctor and asked him if he thought I was a candidate. He said he thought I was since in the last few months my weight gain was severe and there was no medical cause for it according to him. So he put in a referral to the same practice my mom used when she had her surgery 5 year ago. I thought it would take ages to get a call from them, referrals to a specialist always do. Well, a week later, I got a call and they had an opening that Friday (this never happens, last time I saw a specialist, I had to wait a month).

So I went in to that appointment with my mom because I'm 24 and I still need her to ask all the questions sometimes. My BMI was 30.4, which is what I needed since I don't have any other risk factors that the insurance requires. We went over the options, talked about everything, we all asked questions. And then at the end, he just says "I think you're a great candidate!" I wish it was solely up to him.

But there's the insurance requirements. I did the scope of my upper GI: passed with flying colors; saw the psychologist: wonderful appointment, although some of the tests made me feel crazy; and I've had 3 of the 4 appointments with my dietitian (my 4th is next week). And then everything is up to the insurance company and I am so scared. I think that right now, that is what I am fearing the most. They are going to hold my future in their hands.

I don't know what I'd do if they said no because God knows I can't keep living like this. My mom tells me not to worry about it, but the closer I get to the end of this, the worse it gets for me.

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    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
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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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    • ChunkCat

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