michele035

Hi hoping someone where can help. I just had my final meeting with my doctor and scheduled my revision RNY to DS. 2 years ago my insurance denied my revision so I am 100% self pay. I got all my payment information today and the woman at the doctor's office told me she would need to "run the insurance info through" for the hospital just so they have the denial info? huh? the LAST thing I want is for my insurance company to have any info on this surgery. I majorly understand the risks of any complications in the hospital and being responsible for the costs personally since I am paying for the initial surgery. I understand that risk and am willing to take it. I also understand that if I go home a few days or weeks later sometype of complication happens, that I should be able to run that through insurance and have it be covered (different medical coding). So with all this being said the LAST thing I want is for the insurance company to have any inkling of this surgery Has anyone ever had this experience? I am very concerned now that she said that this morning and I cannot think of anything else...any insight would be appreciated.

So a month ago I had my DS surgery here in NJ Virtua. I am a self pay and scrimped and saved for this. I had paid my surgeon, anesthesiologist and hospital all pre paid. My hospital payment had the big ESTIMATE qualification on the quote. Understood. If I had special tests, specialist that needed to see me, more time in the hospital, all understood, it COULD be higher. Understood. A risk we take. So I leave the hospital a DAY EARLY. They sent me a bill for another 3k. are you kidding me? I had nothing out of the ordinary, no tests, nothing extra, nada. They are sending me the details but I am pretty furious. Again, I get the entire "estimate" thing, but how do I come out early and still owe $? I plan to fight this. Just seeing if anyone had ever had this problem. I feel this is so unethical I need to speak out about it. Wanted to see if anyone else had any issues here....

I am a revision from RNY to DS. I will be self financed as my insurance turned me down for this 2 years ago. I am back going through the pre-tests, etc. They have me seeing the nutritionist for the 3 months as before. My understanding previously is that the 3 month requirement is for insurance purposes. Since I am not going through insurance I asked if this was still a requirement. I have done all the other tests and have been cleared. I was told that I had to do the 3 month nutritionist. It doesn't make much sense to me since I am a revision, understand all the dietary requirements (also since I did the 3 month nutrition 2 years ago) and the last time lost 10 lbs. Needless to say I am not getting much in the way of true responses just "this is what you have to do". So I am doing it. My question is, does anyone know if I can get "denied" if I don't lose any or enough weight? I have stayed the same weight for 2 years (even the doctor noted that I am stable). I have terrible back issues (another reason for surgery so I can exercise and avoid back surgery) so I can't really exercise. I was down at my goal weight for 9 years, totally know how I gained the weight back (tragic family situations and I stopped paying attention to my food and exercise, typical...) and am ready for the surgery. Does anyone have any thoughts/experiences where they were "turned down" due to weight loss or lack of? Given that I am getting on the scale every day, I know I am the same. Any thoughts/insight would be appreciated.