Hello all, I am getting ready to go to the seminar and in hopes of changing my life for ever. I have already got pre-certified from my insurance so hopefully the next 6 mo. will go by quickly. I am very nervous but excited. I am looking for new friends and experiences so talk to me and I also would like to know other peoples receipes and do's and don'ts regarding diet after the surgery. Beck:wink_smile:

I dont know if mine will pay for them or not. I have BCBS also..so probably not. (?) I know I would have to meet my deductible before they would pay anyways. I was just curious what they ran...im like you....I'll pay for them regardless.

I justify it in my head with...what im saving on food...will make up for the cost of them.

When you asked your insurance if they covered them - what did you call them? Lapband fills? Or is there a technical term I should use when calling?

Thanks for all of the info. :biggrin:

You're welcome :thumbdown:

WHen I first called to check on the pre-cert for surgery, my insurance said point blank that the surgery was covered but nothing before or after surgery (meaning fills) would be. That said...insurance did cover my psych eval and EGD. They covered my husband's psych eval, but did not cover his EGD. So...I am sort of laying low on the radar right now and not calling and raising a red flag. I figured I would wait until Kaplan's office submitted the claims and see if they cover it or not. Your insurance may very well cover it. It's different for each emlpoyer. My employer just didn't buy into the aftercare portion. If you call them, I would just ask if they cover the after care portion of gastric banding, including the fills. I would also ask if fills are covered under fluoroscopy (Radiology). Good luck!

Thanks! :thumbdown: I will call them at lunchtime today and see what they say. *fingers crossed*

I hope fills aren't too much. I get my surgery in November should have one fill in December while I still have insurance but as of December 31st Froggi has no more insurance. I dunno how I am going to be able to goto the docs and get my inhalers and all my other medicine refilled. :thumbdown: Let alone get fills. Oy oy oy lol

Oh Kyla I have a question. I got a letter in the mail yesterday from Camden clark for a bill for my ekg and chest xrays. It says my account is delinquent. Does this need to be paid before they wil let me do my surgery? or does it matter..my mom said it didn't matter and that she would call friday to tell them she will pay it after we pay for surgery...since she's been saving up money from each of her paychecks to add to the 1700 I have to pay at EGD time.

You NEED to call CCMH billing to let them know of your plan or you WILL be turned into collections. I was making payments to them without calling them to tell them I was making payments, and they turned me in because it was deliquent even though I WAS making payments, they said since I didnt call to arrange it, then the payment was late and they turned me in.

Oh Kyla I have a question. I got a letter in the mail yesterday from Camden clark for a bill for my ekg and chest xrays. It says my account is delinquent. Does this need to be paid before they wil let me do my surgery? or does it matter..my mom said it didn't matter and that she would call friday to tell them she will pay it after we pay for surgery...since she's been saving up money from each of her paychecks to add to the 1700 I have to pay at EGD time.

Elizabeth's right. They will turn you into collection and possibly not let you have surgery, since it is an elective surgery. Camden's really good about setting you up on an affordable monthly payment plan. As long as you send them your agreed upon amount, it'll be ok. Just call them because if you don't make that contact, they'll turn you in to collections. Even though your Mom pays the bill, they probably want to talk to you since it's your account.

I tried calling the insurnace about the fills and they need the procedure code. :thumbdown:

I will get that on Thursday during my appt and call back. I hate insurance companies...you'd think they would have some sort of search field.

Elizabeth's right. They will turn you into collection and possibly not let you have surgery, since it is an elective surgery. Camden's really good about setting you up on an affordable monthly payment plan. As long as you send them your agreed upon amount, it'll be ok. Just call them because if you don't make that contact, they'll turn you in to collections. Even though your Mom pays the bill, they probably want to talk to you since it's your account.

My mom said she would call friday...she doesn't want to call about a 300 dollar bill that's late from work...lol she said she would call before we goto Lindsey.

LMFAO this is perfect for this thread. Since we are WV people. :thumbdown:

Charge dropped against man who farted - Criminal weirdness - MSNBC.com

I tried calling the insurnace about the fills and they need the procedure code. :cursing:

I will get that on Thursday during my appt and call back. I hate insurance companies...you'd think they would have some sort of search field.

Here are some procedure codes from Anthem's website. Maybe this will help? :thumbdown:

SURG.00024 Surgery for Clinically Severe Obesity

I broke down and called my insurance again.... EEKkkkk.......First call I got the diagnostic code or thats what I'm told it was by BSBC 278.01 but this wasn't the code that was needed. The lady was really nice and told me if I could get a procedure code she could tell me if it would be covered under my policy. I ended up with Dr. Shins office on my cell and her in my other ear. I didn't get a code but The woman at Shins office said that if BCBS covered the surgery they would cover the fills as well.......and the lady from BCBS's reply to this was they would know better than her........so even though this sounds like they will pay for it, theres still that room for doubt.......but I'll ask again when I go on the 6th.

Saundra

Edited September 30, 200817 yr by Saundra

I should of mentioned this as well, she said there was no precertification showing yet, which could explain why I paid so much for my endo.....I think the best thing I heard was I only pay $100.00 per hospital stay, regardless of how many days.... something tells me when its all said and done its gonna cost me more than I'm thinking right now, it almost always seems to.

Froggi I know what you mean, I feel for you when you talk about coming up with the money. We are feeling the crunch already here, with 5 boys the economys hit is hitting home fast here. Makes me wish I could go and get a job to help out, but it won't make me feel bad about spending money for the surgery. I'll find other ways to cut costs around the house, with the exception of hitting my goal weight, I plan to shop till I drop :thumbdown:

Saundra

Froggi with 5 sons, I was expecting to see someone I knew :thumbdown:

So I decided to call the billing center at CCMH. They told me even if I hadn't called that they couldn't stop me from having surgery. But I told them my mom would call friday and let them know how to do the payments etc. The lady said she was just going to put down in my account that we were going to pay 10-50 dollars at the end of october and continue to make payments each month. She said that way they wouldn't send it to collection. Nice lady. :thumbdown: