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Insurance Approved last week

Ben G

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Ben G    15

Ben G
Posted

Hi all,

First time posting but these forums have been a wonderful resource over the past few months. I'm just introducing myself to this forum. I got approved last week by my insurance, which is Oxford, for the bypass and will be meeting first week of May with my surgeon to set the operation date. I believe the operation will be somewhere near the end of May. It's been quite a journey to get to this point, as all of you know, and feeling excited, anxious and a bit nervous for the next steps (pre-op dieting, op, post-op recovery & diet, etc.).

Looking forward to all of your good thoughts and glad to be a part of this community.

Ben

mjfx2 and joyful52 reacted to this

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joyful52    23

joyful52
Posted

I also got the call last Friday that I was approved, but I had all of my appointments prior to this, my last appointment was last Wednesday. My surgery is May 1st. And I agree, it has been quite the journey...My surgery is in Syracuse. I see you are in NY...are you downstate?

Sweet as peaches reacted to this

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Ben G    15

Ben G
Posted

It's interesting how every office does it differently. The surgeon I am working with meets with the patient to schedule the operation date after all pre-reqs are completed and insurance has approved. Throughout the process you meet with the other staff but I think it's a way for him to manage the appointment load considering it's a NYC office with lots and lots of patients.

May 1st is coming up soon, good luck with the day and with the next steps of the journey!

joyful52 and Sweet as peaches reacted to this

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

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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.
      · 0 replies
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    • BeanitoDiego

      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! 🤣
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    • ChunkCat

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      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.
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    • BeanitoDiego

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      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!
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    • Onedayatatime365

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