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Good Morning everyone, i truly enjoyed reading everyone comments. When i tell you guys this has been super hard for me. My first year all i did was stay going into the hospital from issues with my surgery. like now i was rush to the hospital from my PCP. The issues was that my throat felt like something was blocking it and it was cutting off my airways. Once i arrive to the hospital and they check me out. According to the doctor it's GERD I HAVE. its been kicking my butt for years. like now cook food is a no go for me. cant swallow meat so i do not eat it. Let's not forget about Constipation x10. Plus now i have arthritis in both knees and neck until its hard for me to walk. Fluid building up because of my 20lb weight gain from the steroid shots... just started walking again... i need some relief from all this. The insurance i have do not cover no type of weight loss surgery. when i got my sleeve done my late husband insurance paid 100%, but this market place cigna EPO connect do not cover at all. unless the doctor will have to submit a medical note. i do not know what to do helpp...

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I’m so sorry this has been happening to you. It’s so hard to stay positive and focus on navigating through the hospital world and then insurance is even tougher! You can get through this!

When my favorite aunt started having strokes, but she was a doctor and didn’t want help from family, we asked for a hospital social worker. The hospital didn’t want to do it, but by law they are required to provide one if requested. The worker helps folks figure out the medical issues, the insurance, and navigates all that stuff with you and ALL the different doctors involved so they act as one team for your benefit. The worker is like a conductor of an orchestra and you are whispering in her ear, so that the orchestra plays for you.

Getting all these people to play together nicely takes some time so it’s not instant.

Start with the last time you were in the hospital. Look at your paperwork and call the money payment number because hospitals are quick to respond to money issues. Then ask for a social worker to help you navigate. When you get one, tell her what you wrote here. Or, the next time you go to the hospital because you’re vomiting blood from the GERD, (it looks like coffee grounds in the vomit) ask for the medical social worker right away.

Or ask your general physician for a referral. If you have been visiting regularly for checkups, they will willingly recommend a medical social worker because they will know you and your family situation.

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I am so sorry to hear you are having a terrible experience, I am as well. For some it’s a blessing, but in disguise. Unfortunately that is what it is for you and me my friend. Hang in there.

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    • 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.
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    • 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
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    • 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
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    • 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
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    • 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.
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