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Hiatal Hernia and wishful thinking



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I have been racking my brain for months trying to find a way to have this surgery. I know it will be absolutely life changing and feel in my heart it is for me. However, my insurance through my work BCBSOK does not cover any type of bariatric surgery. Recently had a friend tell me she went to Nicholson Clinic and had a hernia so was able to get the surgery done with little out of pocket cost. I have an apt on Friday with a physician in that clinic and and am praying my situation will be similar. I constantly have heart burn so I am almost sure I have the hernia, however my insurance just doesn't seem to cover a whole lot which is disappointing. I am praying this will not cost an arm and a leg and that there will be a way for me to afford anything out of pocket I may have to pay. There is no prices listed for EGD or sleep study or anything does anyone have any numbers or similar issues so that I can quit with this anxious feeling? I will just be devastated if I get bad news :(

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Where I live in western ny I paid about 2,000 for the endoscopy and the sleep study was two parts and about 4,000 plus the cpap machine and mask I had to mandatory wear and use for 30 days before surgery it had a chip in it u have to turn in and they send a report to the dr my surgeon said if I didn't comply no surgery so I was stuck your insurance may cover the testing for cpap and sleep study cuz that can be ordered without an underlying surgical reason usually u can go on your insurance company website and look for prices of procedures I had to log into mine at bcbswny.com with my name and password so u can see what your benefits are and then usually if u navigate around u can find like common procedures or tests something like that and then look in the list click on any one u may need done and it gives you prices for local and some further away places it seemed the more rural places weren't as expensive and large city hospitals like where I am are freakin hella expensive

Edited by shellyd88

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How did you appt go hilaryglynxo? I am trying them same path you are except I will be traveling across country.

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I just had an EGD this morning and my out of pocket was $604.00. I have a 500 ded that had not been met which is why it was so expensive. Total billed to my bcbs was around 1200.00

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I got lucky my employer offers a secondary insurance through kempton premier providers and as long as I go to one of their providers my work waives any copays co insurances and deductibles so I pay nothing out of pocket. I got to have the procedure in Oklahoma instead kf driving to TX and my appt is tomorrow so I'm praying for a hernia and I'll let you all know!

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It was a breeze don't know what I was worried about! And I have the hernia. It's small but it will do they said!

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Congrats! :) When is your surgery?

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Not sure yet! Talk to my surgeon Wednesday hopefully we will know then! Can't wait!

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I have mine today. I ended up having to do it awakened it was the worst thing ever. But I have a hernia - yay for hernias

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Hoooray that's great news and why in the world did you have to be awake that sounds terrible!

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My iv failed and they couldn't find a new place for it. The Dr was ready to cancel it completely. Thank God his nurse was a bariatric patient, she talked me into doing it. The Dr was hesitant, but we did it!

Great news for you too! I am just waiting on a surgery date now.

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Me also! Probably will be around the same time I'm a little nervous about the 2 week lover shrinking diet but I know I can do this and once I get a surgery date it is going to be so real

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EGD was a breeze.. Doc ended up doing a biopsy but I understand it is sometimes routine. I have not heard any results yet but they did say it would be within 7-14 days.

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Yes I am dreading the diet also. I am so excited though, just like you I thought I would have too many hoops to jump through instead of having faith. Let's keep each other posted. Astrosgirl, I had a biopsy too. What's next for you?

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