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tpinto

Gastric Bypass Patients
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Everything posted by tpinto

  1. tpinto

    I just had surgery on November 17th and when I weighed in on surgery day I weighed in at 222 and my starting weight was 235 and now I weigh 208 and for some reason I thought I would have lost more. I know that sounds crazy my stomach is still swollen for goodness sakes but I am inpatient anyway. Why? Oh, and I am on protein shakes, soup, and low fat cheese sticks right now. Okay guys help! Talk me down.....

  2. tpinto

    I was denied!

    tpinto replied to michellew1's topic in PRE-Operation Weight Loss Surgery Q&A

    I'm so sorry that happened to you. I am with Blue Cross and they approved me the first time we submitted. With that being said I really think it is all about the insurance company. Is there any way that if this doesn't go through you can switch insurance companies? Blue Cross doesn't even have a wait time anymore.
  3. tpinto

    Okay my surgeon foes not make us purchase anything there but gives us a list and we must have it prior to surgery but we can purchase it anywhere. I will shop around.

    1. Miss Mac

      Miss Mac

      Mine did too, but they did give me multiple options. I wayyyyyyy overbought, so I am going to have whey protein on hand for a couple of years. Oh well.

  4. tpinto

    Can anyone tell me how you paid for your post surgery food? You know when the surgeon has you purchase your food just before the surgery takes place. My hospital's Bariatric Center has a store where I can purchase everything there.

    1. Show previous comments  1 more
    2. Bring It On

      Bring It On

      Same here. No requirement. I only bought it because I was a little afraid that I wouldn't know what to drink. That didn't last long. Their prices were way too high, so I found my own!!

    3. Kya Wolf

      Kya Wolf

      same here, no requirements to buy anything. in fact, at my pre-op class, they gave us samples of different products.

       

    4. Bandora

      Bandora

      I didn't purchase any special pre-op food. Seems like it may be pricey. You can supply your own items much cheaper.

  5. tpinto
    They told me that I will need the liquid diet for only one week yay! I believe that I can do it. Thank you for stating that you can eat jello and Popsicles too. What brand of popsicle?
  6. tpinto
    Absolutely everyone should have a scope done. I found that I had two small developing ulcers and when they performed the biopsy they found that I had H Pylori! They gave me a round of antibiotics that I had to take for two weeks just to get rid of everything. Who knew? I felt fine. I had heard of those who did not have this test done and found that they had Pylori after the bypass procedure and ended up back in the hospital. I am telling you and everyone else to have it done please.
  7. tpinto

    Okay guys - as you know I have been approved for surgery and they told me to pay my co insurance first and the amount was $626.00 and they said my deductible had been met. I thought to myself hmmmmm...Iz have one appt. left and it was part two of my sleep study and I betcha that once that is done my co insurance would come down. So Iz went and had that done and then called BCBSNC and asked if that claim had come in - I waited 4 days and it had. The rep told me I would then owe $326.76 so I called the center and told them. She confirmed it called me back a day later and I paid and so my surgery date is November 17th! I put in for three weeks off from work right away I am sooooo excited! So if anyone has anyone insurance related questions or anything please ask away. I have pretty much been my own advocate to keep everything rolling correctly.

  8. tpinto

    Hey guess what? I have been approved! Yea! However, I have also been told that I'd have to pay $635.00 before I can be scheduled. I feel a bit blindsided because I've always asked BCBSNC and they said noooo u won't have to pay anything. But, of course, I will pay it. They are saying it is my co insurance . Hmmmm, what do you guys think?

    1. beautysleeve559

      beautysleeve559

      That's weird that your insurance would tell you that you wouldn't have to pay and they say you have to pay $635.00. How much is your insurance covering of your surgery? I also had to pay a co-insurance but my cost was $153.00. And I wasn't blind sided they told me right a way once I told them I was interested in the sleeve. I think it wouldn't be as bad if they would have told you from the beginning, but I hope everything everything goes smoothly for you :)

       

    2. sunnkistme

      sunnkistme

      Oh how I envy the both of you. My annual out of pocket is 8500.00. Had I known when I started this that it was possible to get have the surgery in Mexico for less than 8500'00 and not have to worry about approval from BCBS; I so would have made different decisions. I still have six weeks before I submit for approval.

       

  9. tpinto

    BCBS OF NC

    tpinto replied to cped1973's topic in Insurance & Financing

    I met with my surgeon yesterday and they have informed if the policy change with BCBS of NC and there is no longer any wait at all! He said that now I just have three more appointments left and they will submit my paperwork. I started my journey the first week of June and will now NOT have to wait until November and I am sooooooo excited. Way to go BCBS!

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