IMissVegas
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About IMissVegas
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Denied again and surgeon's office is silent
IMissVegas replied to IMissVegas's topic in Gastric Sleeve Surgery Forums
The surgeon's office called today and said if I go out of network next year to a specific hospital, then it will only cost me about $200. Apparently the hospital won't charge me a deductible or co-pay. This makes no sense to me. I have out-of-network benefits but why would the insurance pay for the surgery at all, even if it's for a hiatal hernia? I told the surgeon's staffer to call me back next week. I'm still on painkillers after my double knee surgery and this is making no sense to me. Sent from my SM-N920P using the BariatricPal App -
IMissVegas started following Late decision change., Has anyone received a denial just for Band Removal?, Denied again and surgeon's office is silent and and 7 others
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Has anyone received a denial just for Band Removal?
IMissVegas replied to kristenmh's topic in Gastric Sleeve Surgery Forums
BCBS won't pay for my band removal even though I have a lot of port site pain. Of course the surgeon wants to do a revision, but they've denied it twice. I plan to appeal. Sent from my SM-N920P using the BariatricPal App -
Denied again and surgeon's office is silent
IMissVegas posted a topic in Gastric Sleeve Surgery Forums
BCBS denied my lapband removal and revision to sleeve again. I received a letter saying that since my first bariatric surgery didn't get results, they wouldn't pay for a new one. This is despite the fact that I'm down 80 lbs and am in pain at the port site. To make things worse, the Nicholson Clinic seems to have forgotten me. I have to email and ask for a status or I never hear from them. Since I've met my OOP for the year, I met with an orthopedic surgeon and am having knee surgery on both knees next week. That way, I can exercise again. I feel that BCBS denied me because I've met my deductible and OOP and they don't want to pay for it. So now they can pay to fix my knees. Yes, I'm angry. What am I supposed to do about the port pain? Sent from my SM-N920P using the BariatricPal App -
BCBS denied first submission
IMissVegas replied to IMissVegas's topic in Gastric Sleeve Surgery Forums
Update: BCBS denied me again and it turns out my surgeon's insurance coordinator didn't turn in the letter I wrote or the dietician session information during the Pending More Info period. She says she is appealing, but I'm discouraged. I see an orthopedic surgeon tomorrow and am focusing on getting my knees and hip repaired so I can exercise. Sent from my SM-N920P using the BariatricPal App -
FunkyMunkyBrat reacted to a post in a topic: f**king freezing
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Bed Bath and Beyond if you can afford it and Walmart if you can't. The only negative with my Walmart pad is that I can feel the coils/cords through my sheets. My sister has the BBB ones and you don't feel them. But I paid $45 and she paid $200. I can live with feeling a cord now and then. Sent from my SM-N920P using the BariatricPal App
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I agree. My pets love it, too! Sent from my SM-N920P using the BariatricPal App
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IMissVegas reacted to a post in a topic: f**king freezing
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IMissVegas reacted to a post in a topic: Feeling scared
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h.brooks661989 reacted to a post in a topic: Skin
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Call your doctor and ask. Hang in there! Sent from my SM-N920P using the BariatricPal App
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Swimming and moisturizing, once you're allowed to swim, of course. Sent from my SM-N920P using the BariatricPal App
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Restart the liquid diet, lost weight again and also lost hairs?!
IMissVegas replied to Tara2000's topic in POST-Operation Weight Loss Surgery Q&A
Eat more Protein and make sure Biotin is included in your vits. Sent from my SM-N920P using the BariatricPal App -
Feeling whiny ..... would love advice.
IMissVegas replied to Pam924's topic in PRE-Operation Weight Loss Surgery Q&A
Congrats! Sent from my SM-N920P using the BariatricPal App -
Oh yes. The gas definitely causes shoulder, neck pain. It will get better. Sent from my SM-N920P using the BariatricPal App
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A Little Bit of a Difference
IMissVegas replied to Moogle's topic in Weight Loss Surgery Success Stories
Great job! Sent from my SM-N920P using the BariatricPal App -
Late decision change.
IMissVegas replied to Navigating the Wilderness's topic in PRE-Operation Weight Loss Surgery Q&A
Was it the office staff or the surgeon who made you feel bad? I'd make an appt w the surgeon to discuss why you changed your mind and why you need it done sooner. Sent from my SM-N920P using the BariatricPal App -
BCBS denied first submission
IMissVegas replied to IMissVegas's topic in Gastric Sleeve Surgery Forums
Thank you for the suggestion. I'll give it a try. Sent from my SM-N920P using the BariatricPal App -
sleeveisa reacted to a post in a topic: BCBS denied first submission
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BCBS wants me to do 6 mos supervised diet before approving band-to-sleeve revision. We are appealing it, of course since I did a nutrition program through work and had 3 sessions with a nutritionist even before my obligatory session with a dietician. Also, there is medical necessity argument for removing band due to gastritis and port pain. Still, this is discouraging. I feel like because I worked hard to lose 80 lbs in the last 3 years and my BMI is now 35, they are going to deny me. Do they want me to regain the weight and become diabetic again? It would be easy to do. My band has had the Fluid removed and I'm so stressed that it would be easy to binge. Sent from my SM-N920P using the BariatricPal App