Lana24

the more I learn the more it hurts...

Ok who paid and how much did you pay? Mine is 2850...here is california

faith, most insurance forms are filed through the internet now...electronic claim forms...already has cpt codes/ scan supporting docs/transmit....all worth 2850 ???????

ok lets recap the fees 2850 program fee 200 psy eval (through her office) 1500 my 10% of surgery 250 my ins ded 100 5 ofc copays 500 time off work ________________ 5,400 Grand total This is why I pay $350 per month for health insurance??

Hey faithmd, This another one of my points...I don't mind paying a "program fee" that is reasonable but $2850...that seems like a lot of "program"...and if or when I move out of the area then what? Money down the damn drain. I can also understand administrative costs as well, maybe $1000 (per patient) above and beyond, but I wonder where this number came from. And I have still yet to speak to one of her patients that have PAID this fee or even know about it. I just want to be sure that this is not just some unscrupulous employee trying to get "gas money" out of Dr Machado's patients... (seen it happen)

Did you call? I am really curious....

enjoylife, We all have to jump through hoops, some more than others. And it depends on your insurance and what they require. The clearances are required by any "good" doctor to make sure your body can withstand the surgery as a whole. Good luck

I decided to get the band about 4 or 5 weeks ago, I am currently waiting but in this process of waiting, my denial is melting and I am realizing that I really need to lose about 80 or 90 pounds. I bought my son a weight (100lbs)set for Christmas that mind you I can't even MOVE... so my brain is making that connection to where I want to be, why I am not there and why the hell I have been in so much F***ing PAIN. It just saddens me terribly. Can YOU lift 100lbs????

what kind of insurance do you have?

yep the cookies, they knew they were found out! You did it...you did a brave thing and got your damn can back! LMAO good for you !!!

that is exactly why i did this thread, I think its BS also...not one other person I talked too paid a program fee or even knew about the fee (either of them lol)...After the program fee of 2850/my deductible 250/my portion of the surgery itself 1500 (est) and what about the anestesia there is another fee/by the time I am done it is equal to a cash pay in Mexico with out the vacation!

work the doctor...if he says no...go back...keep asking! My doc asked me every month if I was "sure" I was young but it was my 3rd...I really had to convince him to do it...but it has been 13 years and I have never regreted it! Good luck

Very well said Wheetsin!

Good luck Conchita, its still a journey just a different path!

If it were me I would gain the 13 pounds, as is I barely make it..If I lost 13 pounds now I would no longer qualify... Best wishes with your decision making

Who ever stole it is an asshole!

Wow, I am so sorry to hear about your disappointment. Is there anything you can do? Best wishes Lana

I know, I know...how does it get this far...life, bills, babies, marriage...and sometimes divorce. Obesity is a progressive disease, thats HOW it happened.

I know Jayne I am scared too, but honestly once you get enough information you will feel better. At first I was kind of depressed ...wow I am so fat that only medical intervention will cure me. Then I joined this forum, did a lot of reading and research on the "disease" of obesity. I did not think it was a disease...but now I know better I know that no matter how hard I try I "can" lose weight but the odds of keeping it off are very very small. I stopped dieting because every time I went on a diet I gained more weight. Again depressing. So here I am 5'2.5 and 202 pounds and this is where I will stay unless I decide there is a better way...and I did decide I want to live! As long as I am this weight my chances of a heart attack increase tremendously, as well as diabetes, and other sorts of nasty stuff. I want to see my grandkids, to be able to walk or hike, ride a bike with little or no pain. I want to take an aerobics class again. I decided I want to live a long healthy life as opposed to this sedintary, gluotenous life I already have. Just remember anything new can be frightening so educate yourself...and best wishes Lana

Hello all, What does DH mean?

Tommy O Dude..........

Hi NewYou, What is PCOS? Lana

good luck Julie you are a real inspiration

Shan, congrats of your surgery I can't wait to be where you are right now! Lana

Congrats holly on your date, I am looking at probably March.