Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Do not feel bad about it. It was the best thing I have ever done!! Do this for yourself. Please! Do not feel guilty, ashamed or anything. Be proud that you have the courage and ability to do this for yourself.

Thank you, I needed to hear that.

Share this post


Link to post
Share on other sites

I get what you are saying but we have a bariatric rider in the policy that requires 40% out of pocket. Nothing to be done about it I am afraid. Thanks

Butterbeanfly- I think this is an investment in yourself and you are worth it!! This initial investment is priceless and will pay for itself many times over throughout your life!!! As women and mothers it is hard to put our needs above those of our family members, but we need to take care of ourselves. You are not alone.

I understand that you have to pay 40% out of pocket per your policy, but different hospitals have different rates negotiated with different insurers and also negotiate different rates with different patients. I have to pay 30% up to my out of pocket max of $8000. I have 3 hospitals in my state that my plan contracts with. Each of those 3 hospitals had a different cost. 2 hospitals were going to cost me the full $8000 out of pocket. The third hospital was only going to cost me $4500 out of pocket for the same procedure. It is absolutely worth calling around and seeing what the different hospitals cost in your area. I was fortunately found to be covered under a secondary insurance which will significantly reduce my out of pocket cost and I was able to go to the hospital closest to my home (even though it is still 3+ hours away).

Your payment is a percentage which can change significantly based upon the total procedure cost negotiated between each hospital and each insurer. It may cost you significantly less at another hospital.

Please don't be offended for me stepping in to this conversation. I know how important this surgery is to each of us and also am very frugal.

Share this post


Link to post
Share on other sites

I looked at it this way. The surgery probably added 10 years to my life. Great investment even at x10000000 the price.

Share this post


Link to post
Share on other sites

I get what you are saying but we have a bariatric rider in the policy that requires 40% out of pocket. Nothing to be done about it I am afraid. Thanks

Butterbeanfly- I think this is an investment in yourself and you are worth it!! This initial investment is priceless and will pay for itself many times over throughout your life!!! As women and mothers it is hard to put our needs above those of our family members, but we need to take care of ourselves. You are not alone.

I understand that you have to pay 40% out of pocket per your policy, but different hospitals have different rates negotiated with different insurers and also negotiate different rates with different patients. I have to pay 30% up to my out of pocket max of $8000. I have 3 hospitals in my state that my plan contracts with. Each of those 3 hospitals had a different cost. 2 hospitals were going to cost me the full $8000 out of pocket. The third hospital was only going to cost me $4500 out of pocket for the same procedure. It is absolutely worth calling around and seeing what the different hospitals cost in your area. I was fortunately found to be covered under a secondary insurance which will significantly reduce my out of pocket cost and I was able to go to the hospital closest to my home (even though it is still 3+ hours away).

Your payment is a percentage which can change significantly based upon the total procedure cost negotiated between each hospital and each insurer. It may cost you significantly less at another hospital.

Please don't be offended for me stepping in to this conversation. I know how important this surgery is to each of us and also am very frugal.

Thanks, honestly I am a little worn down from the whole process thus far. I have already had to switch hospitals once and fortunately the new doctor took all my pre-cert from other place. The other two wanted me to start from square one again. I have been at this since April. I really need to finish it this year since I have met deductible,es and invested so much time off work. The closest place is 2 hours away, fortunately they also have Saturday meetings which is a plus. I know it's expensive but I don't want to start over again and I did not care for one of the two remaining choices. My husband says it is what it is.

Share this post


Link to post
Share on other sites

I understand completely. (((hugs))) I don't know how you have started over and still kept such a positive outlook. Good luck on your surgery and I hope everything goes smooth from this point. I LOVE the fact you found someone who does weekend meetings. I haven't been so lucky here. I am trying to time my appointments with the times of the monthly support meetings. You will be on the loser's bench before you know it and this struggle will be a faint memory one day!

Share this post


Link to post
Share on other sites

I understand completely. (((hugs))) I don't know how you have started over and still kept such a positive outlook. Good luck on your surgery and I hope everything goes smooth from this point. I LOVE the fact you found someone who does weekend meetings. I haven't been so lucky here. I am trying to time my appointments with the times of the monthly support meetings. You will be on the loser's bench before you know it and this struggle will be a faint memory one day!

According to my psychological profile test it's in my nature to take a licking and keep on ticking, lol. Though truthfully when I found our I had to start again I cried for a few hours until my husband pointed out it was just another hoop and basically a change of venue. He is a really great guy. I need to learn to accept I am worth this. I have thought a lot about what everyone has been so kind to offer and I feel no less guilty when I have to tell my kids I can't do something because I am physically unable. I am afraid to fly on business trips with my husband because of fat plane shame and I want to do so much! I want to ride roller coasters and run agility with my dogs and go to school functions where I just blend in. Thanks for helping, fingers crossed insurance comes through soon. :)

Share this post


Link to post
Share on other sites

Yay!! Congratulations!!

Share this post


Link to post
Share on other sites

Excellent news! You ARE worth it. Accept the blessing that you can afford and it go with gusto. :-)

Share this post


Link to post
Share on other sites

Excellent news! You ARE worth it. Accept the blessing that you can afford and it go with gusto. :-)

Thank you! I am sure when I get going I will believe I am :).

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×