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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..!!!

Sent from my iPhone using the BariatricPal App

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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    • 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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