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New and insurance woes

pansy27

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pansy27    23

pansy27
Posted

I'm new here and of course like so many others have struggled most of my adult. Life with my weight.. I've thought of surgery often but never went through it.. So I finally talked to my husband.. Called and signed up for the seminar that everyone must attend.. My first weigh in I was at 38.1 bmi and they let me talk to the pa.. They said she would decide if I could continue to the seminar.. I have blood pressure problems and have since I was 37..im 45 now.. I take two BP meds a day but of course not the max dose and it controls it.. Which bcbs of NC states that if tou are below 40 bmi you must have one comorbidity to qualify.. I don't have sleep apnea.. Don't have reflux.. I do have gastritis.. I don't have diabetes.. I don't have high cholesterol.. I do have osteoarthritis but I had my knees replaced last year at 44..so don't know if that will. Count.. I'm. Just scared.. I am at 38.8 bmi now.. My plan does not require anything other than nutritional counseling and psychological counseling prior to submission for approval.. I'm so scared I'm going to all these appts and I'm gonna be denied.. It's sad that 7 lbs is gonna get me denied.. I've lost and gained more weight than I want to admit and I'm tired..i have fibro and I'm in pain everyday.. And I know this surgery would help so. Much..

I guess I'm just looking for some good vibes.. My last appt before I get an appt with my surgeon is August 11 for the cardiac Dr.. And I know my heart is fine. I'm just sad.. And worried I pursued this and now I'll be turned away :(

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anniebanana    167

anniebanana
Posted

I know you say you don't have sleep apnea...have you actually ever been tested for it?

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anniebanana    167

anniebanana
Posted

I only asked because I thought I didn't have it and found out I did! Anyway, the bariatric centers, at least in my experience, try to do everything they can to make it work for people in our situation. Hopefully your center is the same. It seems like high blood pressure is (or should be) considered a comorbidity! Good luck, keep us posted.

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LizHobbs    27

LizHobbs
Posted

I am new to this site. My surgery is on August 16. I still don't know how much of the hospital bill I will have to pay :-( I am so stressed out over this that I am not sleeping well all night. I have Cigna. Everything was approved when I first started the treatment with my Bariatric surgeon. My fear is when I get to the hospital on aug16 and they tell me I have to pay thousands of dollars before surgery :-( How this work with you? Thank you.

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anniebanana    167

anniebanana
Posted

Get the code for the procedure from your bariatric center, then call the billing department at the hospital. They should be able to tell you what is covered and what isn't. Good luck!

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NikkiRT    265

NikkiRT
Posted

I am new to this site. My surgery is on August 16. I still don't know how much of the hospital bill I will have to pay :-( I am so stressed out over this that I am not sleeping well all night. I have Cigna. Everything was approved when I first started the treatment with my Bariatric surgeon. My fear is when I get to the hospital on aug16 and they tell me I have to pay thousands of dollars before surgery :-( How this work with you? Thank you.

Sent from my iPhone using the BariatricPal App

Hey LizHobbs,

You need to call your insurance company and they should be able to advise you of your cost, or approx cost. You can also look at your insurance handbook that should provide this information. It really depends on the type of insurance you chose.

Best of luck with everything!

Nicole

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Go To Topic Listing PRE-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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