kcaves

I had my Roux en y on October 15th. My first weigh in was today and I'm down 25 lbs! We don't have a scale at home so I have been unable to weigh myself but that's how I wanted it. There are so few surprises in life anymore. Now that I've had this weigh in im off to get scales. So far things have gone pretty well. I had a drain for the first 10 days and having it removed was no picnic. I've not thrown up and don't plan on it if I can help it! Started out on this journey on May 26th at 387. On surgery date I was at 380 now I'm down to 355 as of today!

My doc said no alcohol. Alcohol poisoning for someone who has had bariatric surgery is a very real and scary thing!

I have some meds that are awful when crushed so I mixed them in V8. The tomato taste masks them pretty good. I tried applesauce but the bitter taste kept coming through and I would throw up.

My surgery is this Wednesday, October 15th. I found a great book that helped with the anxiety I had just like yours. The name of the book The Weight Loss Surgery Coping Companion by Tanie Miller Kabala. Dr. Kabala takes your through all the range of emotions you will experience before and after surgery. Good luck!!

I would call the insurance company myself and ask them. Have you been exercising? Could that have caused the gain? Also will the Dr. weigh you again before they go to the insurance company to get the go ahead? I have Aetna Be Well Premier so I don't know if that is the same thing. Can I ask you how much coverage you have with them? Mine pays 50% up to 10K. I'm trying to find someone with the same coverage so I will know how much my out of pocket will be.

I have called my insurance company and was only able to give them the code given to me by the Dr. The rep for the insurance company said the allowed amount for the code was $1185.00. My question was is this code for the Dr. fees or the procedure as billed by the hospital. They could not give me an answer. The rep told me to have the Dr. and the hospital request a predetermination. I did this and they both told me "we don't do that until right before your surgery." REALLY? They do these surgeries all the time so they know what to give me. I am meeting with a different physician on Monday and I'm anxious to see what answers they give me. I just get the sneaky feeling they are trying to "hood wink" me into self pay because they will make more money. Question for you Mthreffinprncss1126...in your experience do you think is is possible to self pay and then turn all bills over to the insurance company and ask them to reimburse (pay me) what amounts they allow?

I am looking at gastric bypass and have a dilemma. The Dr. office says do self pay, it will be cheaper. The insurance company says no use your insurance since we have allowable rates the Dr. and hospital must follow. My insurance company pays 50% up to $10K. Here is the problem.....I can't get a straight answer as to what my cost would be using insurance. The Dr. says they can do "everything" as self pay for $23,000. They had someone from the hospital quote me using the "estimated allowable" which is $36K is I use my insurance. How could it be more expensive to use insurance??? Ready to pull out my hair!!!

I have Aetna and my plan pays 50% up to $10,000. The "coordinator" for the physician/hospital is telling me I will come out cheaper if I self pay, which will be $23,000.00. According to a person from the hospital if I use insurance the "estimated amount allowed" is $36000, subtract $10,000 my insurance pays and I would have a balance of $26,000. I don't understand how this could be.