HELP HELP Heiatal and band surgery????

[lady jay11 0]

Okay first day on here. My surgery is scheduled for next week thursday. just found out that i have to pay for hernia sugery in advance in case I have a hernia. This wil put a financial strain on me. I've never had any symptoms of hernia... don't know if its truly necessary for me to pay front.... Please give me feedback. they said 90% of people needed this surgery need hernia surgery too....pleae give me feed back on this...

[Astrasmom 1]

Okay first day on here. My surgery is scheduled for next week thursday. just found out that i have to pay for hernia sugery in advance in case I have a hernia. This wil put a financial strain on me. I've never had any symptoms of hernia... don't know if its truly necessary for me to pay front.... Please give me feedback. they said 90% of people needed this surgery need hernia surgery too....pleae give me feed back on this...

Do you have reflux or heart burn? My doctor also said that a big percentage of people also have a hernia. If you do have one and you don't get it repaired, it could cause major problems and I'm not even sure if they can do the surgery without fixing the hernia. What happens is that your stomach goes back up through the opening. That's what a hietal hernia is. So I don't think they can place the band if you have a hernia. Are you self pay for the lapband surgery? My insurance covered the herian surgery as well. I didn't have to pay in advance. And honestly I have never heard of paying in advance myself.

Edited July 20, 2010 by Astrasmom

[outside*looking*in 0]

Uhh....what??? I had an unknown hernia that was repaired while they were in there. They don't charge extra for it. It is a matter of a few stitches! So, if you or your insurance is already paying for everything else, just HOW much are they charging to put in a couple of stitches? I have not heard of anyone saying that had to pay for the repair let alone pay in advance "JUST IN CASE"!!!! That is CRAZY! Plus, you have no way of knowing if they REALLY fix a hernia or not,.

By the way if your ins is paying I would give them a call with this.

I guess we will see if anyone else has had this happen.

[lady jay11 0]

he's asking for 500.00 in advance or i have to sign a waiver saying that I don't want hernia surgery...I called my insurance company. they said they would pay for it. His office says that although the insurance company SAYS they will pay for it they have a pile of claims that they are refusing to pay. my insurance co. also says they have not recieved a code for that surgery at all!!! only the band....

[lady jay11 0]

oh i have reflux once in a blue moon only if i over eat...thanksgiving thats it...

[Astrasmom 1]

he's asking for 500.00 in advance or i have to sign a waiver saying that I don't want hernia surgery...I called my insurance company. they said they would pay for it. His office says that although the insurance company SAYS they will pay for it they have a pile of claims that they are refusing to pay. my insurance co. also says they have not recieved a code for that surgery at all!!! only the band....

No way. You need to call your doctors office and tell them to submit the code because that's fraud. If they are going to pay for the surgery then your doctors office has to submit the papers. You tell them exactly what your insurance company said. If they still refuse then have your insurance company call them directly doing a 3 way call. You shouldn't have to pay anything out of pocket except your copay and any deductables that your insurance company doesn't cover. That's what insurance is for. Your doctor is totally wrong. And it doesn't matter that they have claims that the insurance company isn't paying. That's because someone at the doctors office isn't doing their job properly. Those aren't claims from you, those are claims from other patients. If the doctors office accepts your insurance and your insurance is going to pay for the hernia surgery, then the doctor HAS to submit it to them.

Edited July 20, 2010 by Astrasmom

[lady jay11 0]

i am really thinking about going to another doctor i don't have 500. extra hanging around! im on day 6 of the pre op diet....im so torn right now!

[AmberK 5]

There is no way I would pay an extra $500 on the CHANCE you might have a hernia. Thats complete crap and if the doctors office refuses to file under your insurance then I would find another doctor. Even if that meant postponing surgery for a little bit. But I would call another surgeon's office and explain your situation and find out if they will take you then get your medical records from your first doctors office. You have already done everything you need to and have approval for the surgery so I doubt you would have to go through the whole process again.