Jump to content
×
Are you looking for the BariatricPal Store? Go now!

So sad... So so sad



Recommended Posts

I believe I met the surgeon that was to perform the Lap-band on me back in October of 2008. Since then I have met with all kinds of specialists for approval of the surgery. I had a sleep test done at the hospital. My insurance, Blue Cross Blue Shield IL - HMO had approved everything... I have/had an appointment scheduled with the surgeon for this coming Friday and I just called to confirm that they had all the evaluations needed so that when I met with the surgeon again we could take the next step which I understood was to schedule the surgery.

Well the nurse informed me that due to contract negotiations the insurance has cancelled all surgeries. I have to wait AT LEAST 2 months.... but maybe more just to maybe schedule the surgery, mabye. She said another option could be to go back to my primary care doctor and have him refer me to another surgeon at a different hospital since the one I was seeing is the only one covered by my insurance at that hospital.

Should I call the insurance and see what they say?

Should I go see my primary care doctor?

I'm so sad. I am so ready for it now. :thumbup:

Share this post


Link to post
Share on other sites

I know that it seems a long way off, but 2 months isn't the end of the world. I had my first consult with the surgeon back in May 08 and just had my surgery on Friday 1/16/09. I don't think that this is the norm, but the surgeon had some personal issues that had him out of the office for a couple of months.

I would look into your options, but if the best option is to wait the couple of months, go to some extra support groups, work on changing your eating habits, practice chewing your food to liquid consistency, etc. Once your surgery comes around, you'll be even more prepared.

good luck!

Share this post


Link to post
Share on other sites

We have BCBS (PPO not HMO) and I am not even going to bother with them. We are going to finance it instead. BCBS drug us into the middle of a contract war with our kid's doctors office. They sent us a letter saying, oh so sad you must like your doctor, but they are being unreasonable. you shuold call them and get mad at them, but in the mean time, start looking for a new doctor". Then the doctors office wrote us and said "you insurance company is being unreasonable, you wont be covered any more after march here. Call you insurance company and tell them not to be such _____"...ok that wasnt the wording in either of them, but you understand. I was so upset. My daughter has a serious health condition and having to leave the doctor who has seen her through it was really upsetting. They ended up resolving in a matter of a few weeks. But sometimes they do not. I would start looking for a new doctor and see if they come around too. 2 months isnt a long time in the grand scheme of things, but when you are ready right now, it seems like forever.

Share this post


Link to post
Share on other sites

Thanks so much every body. I called the insurance this morning... they said the negotiations the surgeon is having are not with them, the insurance company, but with the Health Group (the hospital)... so I called the Health Group... they said I need to call my PCP so he can refer me to a different surgeon because it can take a LONG time (if it happens) before the surgeon and the group finish negotiations.

I'm calling my PCP today. What a pain in the butt.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×