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I'm devastated

Bun0530

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mbuczkowski    272

mbuczkowski
Posted

How much is the gastric sleeve without insurance in the US?... what BMI do you have to be?..

interested in the difference between you guys and us in Australia..!!!

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It varies state by state. In Fl the lowest I found is 10,500. Locally in Orlando, 14,200

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sleeveisa    333

sleeveisa
Posted

I was one week into my pre-op diet with surgery set for 11/15. Everything was going great and I was so excited to finally be getting there. Then I got a call Tuesday from my surgeon's office that my insurance denied me and my surgery was cancelled. They will help me start the appeal process but to be in the middle of my pre-op diet and so close to surgery and have it all just stop is heartbreaking.

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It happened to me too, I already had started my liquid diet and my surgery was set and then I received a call that my insurance denied it. Yes I was upset but my dr office staff said not to worry about it. With my medical conditions they were appealing it for me. I received a letter from my insurance that my surgery was approved. GOD IS GOOD.Don't loose faith it will get approved if it's medical necessary Good luck

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Butterflywarrior    241

Butterflywarrior
Posted

That royally sucks... wonder why they denied? Obviously surgeon didn't expect it or tgey wouldn't have you I. Pre op.

Dobt give up.. this was your trial run!!!

Appeal like heck...

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_Kate_    2,224

_Kate_
Posted

*Hugs*.

Hope its all sorted out and approved soon.

Kate

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Mz_Allen2017    2

Mz_Allen2017
Posted

i hope this helps...

http://www.obesitycoverage.com/insurance-and-costs/pre-approval-process/appealing-a-denied-request-for-bariatric-surgery-coverage

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DahliaIris    45

DahliaIris
Posted

@@DahliaIris, I am from NJ as well. Where about are you? How are you feeling now that your surgery is done?

Im from Camden..Im 4 days post op..and I feel pretty good...pain is minimun and no nausea at all..thank God for that..and tomorrow I start my Protein..

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mrobles1027    7

mrobles1027
Posted

I was one week into my pre-op diet with surgery set for 11/15. Everything was going great and I was so excited to finally be getting there. Then I got a call Tuesday from my surgeon's office that my insurance denied me and my surgery was cancelled. They will help me start the appeal process but to be in the middle of my pre-op diet and so close to surgery and have it all just stop is heartbreaking.

Sent from my iPhone using the BariatricPal App

I know the feeling. I was recently denied as well. So Im waiting to see my doctor and do an appeal.

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olamae    16

olamae
Posted

Why would a surgeons office even schedule surgery without the approval? Or maybe schedule it further out until they know for sure? Just curious if this happens often?

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TheRev    235

TheRev
Posted (edited)

It took me a year to fight through the insurance douchebaggery and actually go under the knife. I even had to switch surgeons because my original surgeon's office staff was so completely incompetent that they screwed up not just my paperwork but dozens of other sets as well. The office manager was even fired and when all of this was explained to my insurance company they said:
"Oh... wow. Ok, look me just need 5 minutes on the phone with the surgeon to verify that."
He refused.

He. f**king. Refused.

So, yeah, I ended up having my surgery 9 months later than I wanted, but I'm incredibly pleased with the surgeon I went with, his staff, and the facility where I had my surgery. Getting denied can be crushing, but stick with it. Stay on the diet, keep doing everything you're doing in preparation for the surgery. If nothing else, you'll just lose MORE weight and be closer to your goal! You got this, lady!

Oh, and all said and done, the bill was like $45,000 or so. I paid $2500. Insurance! Wootwoot!

Edited by TheRev

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

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    • 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. 💜

    • 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. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

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