Jump to content
×
Are you looking for the BariatricPal Store? Go now!

November RNY Surgery Buddies 2016



Recommended Posts

Finally!!! A surgery date! After all the work, the Insurance denial, the appeal, the approval, and of course let's not forget all the waiting.... I finally got my news of the surgery date!! 11/21/16!!! ????

Obviously looking for any "November Buddies" that want to keep in touch!!

Lmk ...write below...

Sent from m

post-302086-14761489989013_thumb.jpg

Share this post


Link to post
Share on other sites

Hey just got my date an hour ago!!! November 9!! Im soo excited. Congrats ladies we are on our way!!! Now just making my list of stuff I need.

Share this post


Link to post
Share on other sites

Finally!!! A surgery date! After all the work, the Insurance denial, the appeal, the approval, and of course let's not forget all the waiting.... I finally got my news of the surgery date!! 11/21/16!!! ????

Obviously looking for any "November Buddies" that want to keep in touch!!

Lmk ...write below...

Sent from m

Did the office do the appeal for you or did you do your own. I was denied by insurance yesterday

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

@@ereese310 See if you can get a peer to peer first. I too was denied initially. I was all prepared for an appeal process, which I was going to use Lindstrom Obesity advocates for. When I called blue cross and spoke to someone in Medical Management, she told me to have my surgeon do a peer to peer prior to an appeal. He did and they approved it the same day.

Share this post


Link to post
Share on other sites

I called the office yesterday and apparently they have already started the appeal process. I just don't understand what the first part of the denial even means.... to me it sounds like they aren't going to approve the sleeve because it's experimental. And I don't understand why they have something about a 6 month supervised diet in my denial when they already told me that it's not a requirement..... insurance is just super frustrating

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

Finally!!! A surgery date! After all the work, the Insurance denial, the appeal, the approval, and of course let's not forget all the waiting.... I finally got my news of the surgery date!! 11/21/16!!! ????

Obviously looking for any "November Buddies" that want to keep in touch!!

Lmk ...write below...

Sent from m

Did the office do the appeal for you or did you do your own. I was denied by insurance yesterday

Sent from my iPhone using the BariatricPal App

I called my insurance & did it on my own...I basically told them my MAIN reason for RNY was because of my chronic pain.... that I'm an absolute bad pain daily & I can't exercise like normal people to get it off...that surgery was my only option...it only took 3 1/2weeks to get back to me with my approval!!! Best wishes I hope you get your appeal overturned too!!!

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I called the office yesterday and apparently they have already started the appeal process. I just don't understand what the first part of the denial even means.... to me it sounds like they aren't going to approve the sleeve because it's experimental. And I don't understand why they have something about a 6 month supervised diet in my denial when they already told me that it's not a requirement..... insurance is just super frustrating

Sent from my iPhone using the BariatricPal App

If they approved everyone who tried to get Surgery...that wld be A LOT of $$! Of course they have to TRY & deny it...don't get too discouraged...if you have more than co-morbidity (like sleep apnea) then most insurances will cover it... obviously you have to see what your insurance regulations are... The point is of course they're going to deny it but if you appeal it 50% of the cases get turned around...& if it still gets denied when they do a peer-to-peer that usually helps!! Again good luck... prayers for your approval!!

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

Hi! Well my surgery date is 11/11. I've been really positive and excited about it, but today I'm feeling really emotional and having a melt down. Family and friends are worried about me having complications and I keep hearing about and reading scary, negative things about VSG. I know everyone is going to have different experiences and there are people who get this done and don't take care of themselves as well. Just nervous.

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
  • 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

    ×