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About nerdmom
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Rank
Senior Member
- Birthday November 14
Contact Methods
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Website URL
http://myzombielove
About Me
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Gender
Female
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Interests
Comic Conventions, tattoos
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City
El Paso
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State
Texas
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tberger74 reacted to a post in a topic: I'm one board
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nerdmom started following Bcbs of Texas won't approve, Any April Sleevers?, Cash pay? and and 6 others
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Just got my surgery date! April 6th!!!!
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I'm in El Paso Texas with a bariatric center of excellence. Dr. Lara with Del Sol. I'm cash paying at $10,500. There is a Mexico option that is like 30 miles from my house in Juarez Mexico that they said their price is $6,800. Even though I have checked out all the credentials with the doc in Jtown, I'm staying state side because it's 3 days in Jtown and I would have no one to watch my kiddos. I'm also insanely picky about doctors and I have already met Dr. Lara and really liked him.
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My doctor, dr. Lara here in El Paso Texas is $10,500. It is a bariatric center of excellence. Del Sol bariatric center if you want to Google him. I'm self pay and get my surgery date on Wednesday. You can email me at dilligaf1983@gmail.com if you want.
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Self pay in El Paso Texas with Dr. Lara, he's wonderful. $10,500 including follow ups for 18 months.
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Thanks @@Teebaby I hope all goes smoothly with your approval. My situation is unfortunate but I am fortunate to be able to pay on my own for the most part. My same surgeon's rate is $10,500 flat rate. If I were to head to Mexico theirs was like $6,800 and their hospital is like 30 miles from my house. I'm staying with my surgeon because I'm really insanely picky about doctors and I'm comfortable with him. If I were to head to Mexico I also would not have anyone to watch my kids while I was there. So that also played a factor.
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Bcbs of Texas won't approve
nerdmom replied to nerdmom's topic in PRE-Operation Weight Loss Surgery Q&A
We are self employed with the gold standard policy. -
El paso here. Looking for people to text and maybe get together with! We travel to Dallas frequently but live in EP. Dilligaf1983@gmail.com
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Bcbs of Texas won't approve
nerdmom replied to nerdmom's topic in PRE-Operation Weight Loss Surgery Q&A
It states yes on the Internet on our policy and excludes it on our explanation of benefits. -
Bcbs of Texas won't approve
nerdmom replied to nerdmom's topic in PRE-Operation Weight Loss Surgery Q&A
Yup we called bcbs ourselves. I don't know if it has to do with the fact that we have a ppo. We are self employed and pay everything on out of our own pocket. This just sucks. Thanks though. Luckily I can still get it but it sucks to have to pay it all out of pocket. -
I should add we are self employed and our insurance is bcbs but private. Ppo. $800 a month for the highest package they offer and it's excluded. :/
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I have bcbstx and after doing everything required I was denied and they told me it not only wasn't on my specific policy but it doesn't get approved in the state of texas. I am now self pay. I'm so pissed. My bmi is over 40 with co-morbidities and they told me too bad so sad. Bcbs can't find of course any of the calls from when my surgeon's office called to verify.
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Is anyone getting surgery without having insurance?
nerdmom replied to cuchas's topic in PRE-Operation Weight Loss Surgery Q&A
I'm self pay in Texas. I'm choosing state side even though the Mexico hospital is maybe 30 miles from my house. The difference in price is about 4k. It's $10,500 for my doctor including checkups for the next year and a half. I'm going to take my deposit tomorrow. -
Welcome! Good luck on this journey. I'm always up to chatting. It seems to be the only thing I want to talk about lately! Lol. I'm still pre-op.
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We spoke to bcbstx and they will not approve me under any circumstances bc it is not a covered benefit. Went through the psych eval UGI and all my clearances and got denied. Even though the surgeons office called to confirm it was a benefit in feb. Can't appeal as bcbs told us the won't accept an appeal at all. Soooo here I go self pay. Taking my down payment tomorrow. This sucks. What the heck am I paying $800 a month to bcbs for then?
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My letter of medical necessity was sent just yesterday. I'm waiting on approval from the insurance now. I have a tonsillectomy next week and I was hoping to do my 2 week liquid diet at that time. Kinda cheat the system you know? Lol.