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All up to Insurance at this point

ZollDoll

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ZollDoll    21

ZollDoll
Posted

Hi everyone

I haven't posted in a while but wanted to update you all that I completed all the pre-op necessary insurance stuff and met with my surgeon this morning.

They will be submitting my information to insurance in the next few days then the wait begins for the approval process.

My insurance company takes awhile to approve (they told me 21 business days when I inquired about it) so at this time if approved I am looking at a mid-November surgery date.

It has been a long process but I know some people have longer then what I went thru.

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wellah    14

wellah
Posted

I'm almost in the same boat. I had to get my appointments all rescheduled a couple of times, because the WLS Center lost a couple of staffers and had to move everyone around. I found that I will likely get an earlier appointment with my primary care doc to count as one of the 3 weight management appointments that are required. Which means my paperwork will be submitted in the first week of October instead of the last week of November.

I'm hoping for a November or December surgery date!

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less_of_christan    4

less_of_christan
Posted

I totally understand! I just got my approval letter from insurance last week, and it was like Christmas!! Waiting is difficult when you're ready. I still have to wait until 10/11 for an appointment to set the surgery date. It's definitely a study on patience and perseverance!

Sent from my iPhone using the BariatricPal App

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Jen-2+1    131

Jen-2+1
Posted

I hope your approval comes quickly. Mine took about a week when they told me two weeks.

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ZollDoll    21

ZollDoll
Posted

I am hoping for a November date but as long as it is this year I will be happy.

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ZollDoll    21

ZollDoll
Posted

I got my approval letter from the insurance company!!! YAHOO

Now just waiting to hear from the surgeon to find out when :)

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wellah    14

wellah
Posted

Congrats! I got my approval yesterday too! Looks like I'm scheduled for November 9th!

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ZollDoll    21

ZollDoll
Posted

I heard from the girl at the surgeons office. she will be calling me next week to setup a date. She thanked me for being patient. HA I don't feel like I am being patient tho I am trying. LOL

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

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    • Eve411

      Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
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    • Clueless_girl

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      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
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    • KeeWee

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      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 
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    • Aunty Mamo

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      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. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
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    • BeanitoDiego

      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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