iwant2becurvynotlumpy
Gastric Sleeve Patients-
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Everything posted by iwant2becurvynotlumpy
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Has anyone had their surgery with Dr Roshek? He is with Nicholson clinic in Plano. I've tried searching for his patients and have found only three. I'm sure he has had to do more then just that. Would love to hear experiences. I have a date on the 21st. Was going to go with Dr Nick but he got booked up.
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Oh wow. What plan do you have?
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Is that you specific plans deductible? I have BCBSTX as well. I have a $2000 deductible. I've met my deductible so now the actual surgery part is a little over $800 that I have to pay.
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I've read here that people have found out the were approved for surgery before they got their letter in the mail. How do you find out? Mine was sent off November 3rd so it's only been a couple days. I'm in a time crunch to get it done before the end of the year because I'm switching insurance and new insurance doesn't cover WLS.
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BCBS TEXAS - Check on Approval Status
iwant2becurvynotlumpy replied to iwant2becurvynotlumpy's topic in Insurance & Financing
Okay I just called! ???? it got to them yesterday on the 4th not the 3rd like my caseworker said (may have been late in the day when she sent it) so it hasn't been sent to review yet. ???? I asked her how long it usually takes and she said 7-10 business days. I've seen so many people on here say it only took like 3 days! I guess I will give it til Wed and check again. Have you gotten your approval or are you still waiting? -
BCBS TEXAS - Check on Approval Status
iwant2becurvynotlumpy replied to iwant2becurvynotlumpy's topic in Insurance & Financing
I have an account. Where in there did you go to find out? When was your info sent in? I don't want to be too pushy. It's taken all I have to restrain myself from calling! -
Houston Area Surgeons Experience & Time Frame
iwant2becurvynotlumpy posted a topic in Weight Loss Surgeons & Hospitals
Looking for Houston area surgeons. Please give me your experience, what they required if they required anything other than what insurance required, and what your time frame was. I am on a time crunch to get surgery completed by the end of the year. My insurance got deactivated and won't be reinstated until the end of October. Husbands company is changing insurance at the first of the year and will not cover Bariatric surgery. I've started the process with Dr. Nicholson's office in Plano but may have to switch. When insurance is reinstated I will have had my psych, my EGD, and my nutrition visit (that was required by Dr. Nicholson office) and sleep study. -
My husband informed me today that his company sold to another company and our insurance is switching and my deductible is starting over. I had BCBS of Texas. My deductible was met and I was almost done with everything to be submitted to insurance. I am so frustrated and feel defeated. I don't know what plan we will have yet so I don't know if WLS will be covered or not. If you have UHC can you tell me what plan you had, if it was covered and what the requirements were? Also if you had UHC and used Dr. Nicholson in Plano that would be a plus since that was who I've started my process with.
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United Healthcare & Dr. Nicholson
iwant2becurvynotlumpy replied to iwant2becurvynotlumpy's topic in Insurance & Financing
I went through the Nicholson clinic and had UHC which my plan excluded any WLS so I went the hernia route. Insurance pays to repair the hernia and while the doctor is in there he does the sleeve which cost me 4000 dollars out of pocket but my bmi was to high for them to do it out patient so it was done at forest park hosital in Dallas my wife also had hers done but she was able to go through True Results in Plano and have it done outpatient she has UHC also and the financed the sleeve. Dr Rosek done both of our surgeries. Wanted to find out your experience with dr rosnek? I had planned to go with Nicholson but I may have to switch doctors due to available appointments. -
United Healthcare & Dr. Nicholson
iwant2becurvynotlumpy replied to iwant2becurvynotlumpy's topic in Insurance & Financing
Thank you! Trying to stay positive but knowing I was less then a week away from a surgery date kind of stinks! -
United Healthcare & Dr. Nicholson
iwant2becurvynotlumpy replied to iwant2becurvynotlumpy's topic in Insurance & Financing
How does that work? -
Frustrations! Psych Clearance
iwant2becurvynotlumpy posted a topic in Weight Loss Surgeons & Hospitals
Can't figure out how to delete the post?? -
If you use Instagram I'd love to have more VSG people to follow/follow back. My user name is flufftofab my account is private but if you send a request I'll accept and follow back!
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Nicholson Clinic
iwant2becurvynotlumpy replied to sleevefaith83's topic in PRE-Operation Weight Loss Surgery Q&A
What is the cost with in network doing it hiatal hernia route? I have BCBS Tx and they said my part would be like $2,800 because I hadn't met my $2,000 deductible at the time of consult. I mentioned hiatal hernia route and they said it would add an extra $4,000 or so to the total. This is with the Nicholson Clinic -
Nicholson Clinic
iwant2becurvynotlumpy replied to sleevefaith83's topic in PRE-Operation Weight Loss Surgery Q&A
What made them go the hiatal hernia route? Was this found during the EGD? -
Approved!
iwant2becurvynotlumpy replied to LadiSani's topic in PRE-Operation Weight Loss Surgery Q&A
I'm using Dr Nicholson! I am hoping to get a surgery date for October but it will be close. Had my nutrition consult last night and I have my sleep study this Saturday. I had a psych eval Monday but he wouldn't approve me because he wanted me on a diet plan for 4 weeks before he would approve. However I'm thinking about using one online on Friday to hopefully speed up the process. Really think that the nutritionist is the one that should decide that and fatter talking with her last night I've got some strategies to accomplish it. Hoping insurance doesn't take too long to approve so that I can get a date. -
Psych evaluation- how did you find your Doc?
iwant2becurvynotlumpy replied to Astrosgirl's topic in PRE-Operation Weight Loss Surgery Q&A
I had to pay my $30 copay but my $2,000 deductible hasn't been met so I had to pay $264 for the visit. Very frustrating! He just wants me on some sort of diet and workout plan for 4 weeks. When really the nutritionist should be calling those shots, I would think. Good luck on your appointment! -
Psych evaluation- how did you find your Doc?
iwant2becurvynotlumpy replied to Astrosgirl's topic in PRE-Operation Weight Loss Surgery Q&A
Ugh! I wish I knew they existed before today, like yesterday lol I just had my evaluation where I shelled out close to $300 and they would not approve me at the moment. Nothing wrong with my mental health I was told but he wants to see me on a nutrition plan and excersie plan (which I really think that's the nutritionists expertise) for 4 weeks before he will consider approval. Grrr!! -
Beaumont, Texas Area Mental Health Dr?
iwant2becurvynotlumpy posted a topic in Gastric Sleeve Surgery Forums
I need to get a psychological evaluation and clearance by a licensed mental health professional. I am in the southeast Texas area (Beaumont). I am using a surgeon, Dr. Nicholson, in the Dallas area so the people they suggest are all 5 hours away. Any suggestions for one that deals with bariatric clearance? -
Beaumont, Texas Area Mental Health Dr?
iwant2becurvynotlumpy replied to iwant2becurvynotlumpy's topic in Gastric Sleeve Surgery Forums
Thank you I'll try to locate his information! I'm going to Dallas because my parents and sister live a hour away in Greenville. My husband works out of town all week and is only home on weekends. I've got two kiddos, a Great Dane, a cat, and two guinea pigs to care for so I'll need some help! Haha -
Beaumont, Texas Area Mental Health Dr?
iwant2becurvynotlumpy replied to iwant2becurvynotlumpy's topic in Gastric Sleeve Surgery Forums
Thanks! I'll look them up and see! -
Hiatal Hernia Route? Dr. Nicholson
iwant2becurvynotlumpy posted a topic in PRE-Operation Weight Loss Surgery Q&A
I've called and scheduled a consult with Dr. Nicholson in Plano, Tx. While I was on the phone the lady scheduling it said you are going the hiatal hernia route. When I asked her what that meant she said the lady with insurance would go over that with me. Anyone know what this means? I know when I spoke with Melissa on the insurance info she said that first my part would be 10,000 but then she said she wAs looking into something and would call me back. She called back saying that going gastric sleeve she could get it where it was just under $3,000 with $2,000 of that being my deductible. -
Surgery date - finally
iwant2becurvynotlumpy replied to mcjenkins1's topic in Gastric Sleeve Surgery Forums
Were you able to get a surgery date? -
Surgery date - finally
iwant2becurvynotlumpy replied to mcjenkins1's topic in Gastric Sleeve Surgery Forums
Welcome! Glad they got back with you! Aww that stinks about the extra 3 weeks! I was hoping to get a consult sooner but he's out for vacation right now and then I guess booked up til the 23 of July for consults. -
Surgery date - finally
iwant2becurvynotlumpy replied to mcjenkins1's topic in Gastric Sleeve Surgery Forums
Not Sure if you had been talking to Keisha but she is no longer there. Was trying to set my consult up and never heard back from her. This is Abby's number that took her place: (972) 432-6832 Dallas, TX Or a main number that is different from the 800 number (could never get an answer at 800 number) : +1 (972) 494-3100 Plano, TX Hope that helps!