Surgeon Requirements

[ridgerunner 115]

Just got back from my weight loss seminar and signed up to get an appt. They are calling me tomorrow to set up a day. According to the surgeon (if I understood him correctly) since I will be self-pay I only have one 4 hour appt in which they run all the tests needed and then if all looks good we will set an appt to schedule surgery. So no sleep apnea test required.

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[PaulDaniel 23]

My sleep study was like $2000 billed to insurance.

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[ridgerunner 115]

Ouch! Do you know how much of that charge you will pay out of pocket PaulDaniel? After further reading, the booklet they sent home with me from the seminar, is saying there is a small possibility I may be tested for this still.

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[Muted_Tummy 29]

At your info, they should gave u info on what surgeon requires. They are all diff. I have changed surgeons and hospitals. ..first one required endoscopy for example, this one requores chest xray. Some require sleep study, ekg....they all require blood work.

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[PaulDaniel 23]

Most of it is covered by insurance

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[2goldengirl 2,076]

2goldengirl, how much did it cost you and did you also have to buy a machine?

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The sleep study didn't cost me anything, it was completely covered by insurance. I have a 20% copay for DME, so the copay for the machine and supplies ran about $80 for the first three months.

Edited March 20, 2016 by 2goldengirl

[Alex Brecher 10,495]

@Imwilla,

Some surgeons require a nutritionist and supervised diet, others don’t. Some health insurance plans require it, some don’t. It’s not a red flag or anything if you don’t have that as a requirement for reimbursement. You can always ask for a longer term pre-op plan as a substitute for a supervised diet if you want to test yourself and make sure you’ll do okay post-op. Good luck!

[wendilin 29]

My hubby and I are going through this together. mine is covered and I am required to do the six monthly visits, three exercise visits, one psych evaluation, sleep study, letter from my primary care, nutritional visits till I'm cleared by the NUT, watch educational video series online, seminar, surgery class, meet with surgeon, and lose a certain amount of weight. Hubby is self pay and he has to do three exercise, psych evaluation, nutrition visits till cleared, same videos, same surgery class, meet with surgeon and lose weight. No six month visits, otherwise close to the same. And we can't do stuff together, they require our own appointments.

We are going to appeal his insurance so his stuff may change. Hoping to get sleeved in September, start my new life!

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