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Yowza, these people make it so difficult



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Hey y'all. Just a rant and a vent. I went for my pre-admission testing yesterday. My surgery is 6/7 and I'm on liquid diet. I go to my dr. appt first and they give me some more stuff for surgery, like and eating journal etc, and I meet my new surgeon (my other one retired). All went well, as I really liked him. Then I go downstairs for preadmission testing. The nightmare hell begins.

I sit in the cubicle with the temp hovering at about 95, as she has her heat on full blast (mind you I'm always cold with no thyroid) but I was dying. She then proceeds to tell me that my balance is $4500 and how would I like to pay. I look her at with the wtf look and say excuse me, I'm covered under my insurance. I know I haven't met my deductible yet, but I also have a card from my employer to pay that once the Explanation of Benefits is produced by my insurance, AFTER procedure. You're telling me that I have to pay this up front? Before surgery?! Why wasn't this mentioned before? She said "well, it's considered cosmetic surgery and yes, you pay up front" Needless to say, I did NOT have $4500 in my purse, so I was beyond distraught. She said well, you can go on with your testing, but know it's due the morning of your surgery, and they have to have it before you are taken back, and must be in cash or certified check. Pissed and heartbroken wasn't the word. Hello, already on liquids and have taken off work for surgery.

I call a different person today, and she said she wasn't sure where the girl came up with cosmetic, as nowhere on there does it mention that, and she said no, I didn't have to pay it all up front, that I could pay a little (down with that) and the rest billed. Of course I'm still panicked that it will foul up, but I have her name, the time I called, and it was on a recorded line. I could use a drink, a real one.

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Paying up front, day of procedure is BS and has messed me up a couple different times. I met my out of pocket for this year and all bills from now thru Dec should be paid 100%. Still getting some in the mail. Grrr

BCBS said one of the providers must not of filed correctly because it wasn't showing that I paid over $1000 day of my pre op heart catherization test. Now I have to keep paying to avoid these last bills from becoming past due and possibly going to collection. Then I'll have to wait on a refund for overpaying.

It used to be, providers filed with insurance and then I paid the balance for whatever was left, after . When did all this change because I want it back the way it was.

From now on I would avoid prepaying anything unless you absolutely have too. OK rant over...

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OMG what a total mess that was. When you are doing the pre op you just do not need it. I hope everything goes smoothly from here on out. Keep us posted

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5 minutes ago, summerseeker said:

OMG what a total mess that was. When you are doing the pre op you just do not need it. I hope everything goes smoothly from here on out. Keep us posted

6 minutes ago, BabySpoons said:

Paying up front, day of procedure is BS and has messed me up a couple different times. I met my out of pocket for this year and all bills from now thru Dec should be paid 100%. Still getting some in the mail. Grrr

BCBS said one of the providers must not of filed correctly because it wasn't showing that I paid over $1000 day of my pre op heart catherization test. Now I have to keep paying to avoid these last bills from becoming past due and possibly going to collection. Then I'll have to wait on a refund for overpaying.

It used to be, providers filed with insurance and then I paid the balance for whatever was left, after . When did all this change because I want it back the way it was.

From now on I would avoid prepaying anything unless you absolutely have too. OK rant over...

Thanks y'all! Yes, absolute mess. Healthcare has become such a flipping train wreck. It was such a horrible experience. I'm still freaked out and paranoid that they are start some shenanigans the day of surgery. But I have the lady's name I spoke with, the time (as it said calls were recorded), and everything. I means that's a lot of money to say oh hey, this is due today. Yes, I have some savings, but wow, yeah, what a crock. It makes it worse that I have my Difference card, provided by my job, to make up the difference in deductible and such (since they had to take us from a $500 yearly deductible to a $5000 due to covid and the insurance hikes). But that card has to be used after services. So, they will get their money.

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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
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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.
      · 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💪
      · 0 replies
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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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