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I have a quick question I'm in the last stages of getting approval for the gastric sleeve surgery,up until yesterday I was excited.Reason being is because I decided to call my insurance company just to ask some general questions.I basically asked about coverage I have BCBS NY.I wanted to know about the coverage of the surgery the rep I spoke with yesterday mentioned something about my out of pocket cost saying that if it was at like $600 it would be 80% coverage and if it was at $3500 it would be 100% coverage.She didn't go in depth on my situation specifically she was really just speaking in general well anyways I'm worried now cause i started doing the math and I really can't afford to pay huge amounts like I have bills so idk.Also she mentioned they cover up to $20,000 in full for bariatric surgery as like the max amount.I guess my question is if there is a out of pocket cost is that something that is expected all at once,or do they allow you to pay it over a course of time.Or is that I have to pay it up front or no surgery at all?Sorry if I'm all over the place but I'm just extremely worried now...and maybe I am just getting ahead of myself and need to be patient and wait to see what the outcome is but that is eaier said than done

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I had to pay the hospital like $2000. My BCBS covered something like $25000. The hospital wanted 40% up front.

Edited by MissSimpson

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5 minutes ago, MissSimpson said:

I had to pay the hospital like $2000. My BCBS covered something like $25000. The hospital wanted 40% up front.

Is that how much the sleeve cost?$25,000?

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2 minutes ago, Aworknprogress said:

Is that how much the sleeve cost?$25,000?

The guy at the hospital quoted me something like $26,000 something. I’m not exactly sure because he said the number and I was SO shocked! Maybe it is, if BCBS will pay $25,000 and I had to pay around $2,000?

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1 minute ago, MissSimpson said:

The guy at the hospital quoted me something like $26,000 something. I’m not exactly sure because he said the number and I was SO shocked! Maybe it is, if BCBS will pay $25,000 and I had to pay around $2,000?

Ima just hope for the best,ty for responding :)

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    • 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

      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

        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

      Officially here for a long time, not just a good time💪
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    • 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!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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