Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🎉 "1 per Day!" Bariatric Multivitamins

Very frustrated with my case worker

tholbert08

Recommended Posts

tholbert08    51

tholbert08
Posted

I am 2 months away from surgery and I will basically have ZERO out of pocket due to meeting my max out of pocket. But I am now being told by my surgeons office that they won't schedule me in November but that my surgeon is not scheduled at my in network hospital FOR THE ENTIRE MONTH! I am really not happy and I feel like I have lost my voice.

Sent from my SM-N920V using the BariatricPal App

Share this post

Link to post
Share on other sites

blizair09    3,250

blizair09
Posted (edited)

My patient advocate hasn't been much of an advocate for me, either. Now that my surgery has been approved, I am hoping that I don't have much interaction with her going forward. She acted like I was a problem because I INSISTED that my surgery be done at an in-network hospital and because I inquired about the anesthesiologist to insure that he/she is also in-network.

Just keep pressing the issue. That's what I have done. My experience is that customer service has been seriously lacking in this endeavor (even though the surgeon himself is really awesome).

Edited by blizair09

Share this post

Link to post
Share on other sites

IMissVegas    23

IMissVegas
Posted

My caseworker has been slow and snarky. I'm starting to realize that "I'll get right back to you" means 4 days, which doesn't cut it in any other business. I've become very persistent and vocal.

Sent from my SM-N920P using the BariatricPal App

Share this post

Link to post
Share on other sites

tholbert08    51

tholbert08
Posted

I have requested a new advocate 2 weeks ago and have yet to hear back. Called twice and keep being told they are working on it but I am 45 days out from being able to submit. Very frustrated. I need a true ADVOCATE! Someone on my side.

Sent from my SM-N920V using the BariatricPal App

Share this post

Link to post
Share on other sites

cherieinnv    3

cherieinnv
Posted

I feel like it's too late to request a new advocate and I've learned to go to the woman that assists him when I need help. However, I have another issue now. My paperwork was supposed to be submitted to insurance a week ago but when I called BCBS on Fri. to see if they had received it, they said no. This is so frustrating! So I called my advocate and got voicemail, as always, but didn't bother to leave a message because I don't want to wait the usual 4 days for a reply. So I emailed the assistant, who always answers promptly.

Share this post

Link to post
Share on other sites

tholbert08    51

tholbert08
Posted

THAT stinks and is exactly what I was afraid of! Stay on them. My nutritionist told me that she transmits the results of the appt within seconds of completing our visit. If that is the last thing needed for approval, it should be very simple to get a file submitted.

Sent from my SM-N920V using the BariatricPal App

Share this post

Link to post
Share on other sites

cherieinnv    3

cherieinnv
Posted

Someone new from the surgeon's office contacted me this week and said the file was sent to insurance on Monday. I guess if I don't hear back from her next week I'll start checking with BCBS for a status.

Share this post

Link to post
Share on other sites

tholbert08    51

tholbert08
Posted

Someone new from the surgeon's office contacted me this week and said the file was sent to insurance on Monday. I guess if I don't hear back from her next week I'll start checking with BCBS for a status.

Any update?

Sent from my SM-N920V using the BariatricPal App

Share this post

Link to post
Share on other sites

Joy@boman    151

Joy@boman
Posted

I am so lucky. I called the bariatric office and left initial message. They called me back next day and told me exactly what to do. And this whole process from 1st call to surgery has been less than 3 months. The hospital bariatric ward is so in depth. I got tons of preop testing and they personally walked me to the ultrasound, xray, bllood gas, blood work, and ekg. I never had to wonder around from the moment i walked in the door.loved it.

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • vsg.with.sharon

      vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×