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

Time between Consult and Sugery



Recommended Posts

As soon as they have an opening available. There's no waiting period in Australia, provided you've done the 12 months with health insurance if you aren't paying it all yourself.

Some people have waited 3 weeks, others a bit longer. Just make sure you can get the psych and dietitian visit in though.

Share this post


Link to post
Share on other sites

I've only just joined a health insurance and they've told me as long as the doctor says it's medical then they will cover it etc? I'm hoping mine will be fine

Share this post


Link to post
Share on other sites

As you can see from my signature, I had my consult on 10/6 and was approved by my insurance on 10/14. They wanted to schedule me for 11/5, but since I'm leaving for vacation on 11/18 I have to put it off until after, on 12/6.

Share this post


Link to post
Share on other sites

I think for me it was about 6 weeks.

I've only just joined a health insurance and they've told me as long as the doctor says it's medical then they will cover it etc? I'm hoping mine will be fine

So you don't have to wait 12 months? That seems a little odd to me. If I had known that I would have paid that way rather than spending $12,000 of my hard earned super.

Share this post


Link to post
Share on other sites

I think for me it was about 6 weeks.

So you don't have to wait 12 months? That seems a little odd to me. If I had known that I would have paid that way rather than spending $12,000 of my hard earned super.

Well when speaking with my health insurance ppl, as long as it's "medical" and medicare agree then yes they tell me it's covered?

How did you manage to get your super to pay for it??

Share this post


Link to post
Share on other sites

Well when speaking with my health insurance ppl, as long as it's "medical" and medicare agree then yes they tell me it's covered?

Wouldn't most claims through PHI be for 'medical' reasons??? I personally would look into that if I were you as it just doesn't seem right to me.

I called APRA and they gave me the forms in regards to taking the money out of my Superannuation. You just need a letter from your surgeon and one from your Dr. Really was quite easy although took a while. I am now close to 2 weeks post surgery and I haven't received my money back as yet.

Share this post


Link to post
Share on other sites

Hmmmm guess I will find out. Maybe I'm not asking the right questions to the health fund... I don't know, it's all confusing to me.

Share this post


Link to post
Share on other sites

I had my operation 3 weeks after seeying my doctor for the first appointment.

You do have to wait out the 12 months for the insurance company to pay such a claim, it's a government standard waiting period that applys for all heath insurance companies, who ever is telling you otherwise I think is pulling your leg.

Share this post


Link to post
Share on other sites

yes sadly thats correct....this is a pre-existing condition

not a medical condition that has suddenly occured

so its the 12 mths wait for the health fund

but in the mean time get your referal and see the surgeon and get all pre-op things done

i was banded 4 days after my 12mths health fund kicked in

so you can get ready and then save time

and good luck

Leeanne

Share this post


Link to post
Share on other sites

hmmm interesting, I'm going to call my health fund and just plainly ask them!! If not, looks like I'll be finding a way around it

Leeanne I'm assuming it was much cheaper with the Health Insurance... I mean obviously it was cheaper but much?

Share this post


Link to post
Share on other sites

yes give them a call be direct and simply say it like it is....

the last thing you want is to go ahead and be given a massive hospital bill in the thousands because there was a misunderstanding

the normal rule is any obesity or weight loss surgery is a pre-existing condition and subject to the waiting period

with health fund my out of pocket expense was $4,000

plus the cost of insurance which i have kept just incase i need it

but without ins then anywhere between $10,000-$18,000

depending where you live, what state, and really what your surgeon decides to charge

I was lucky my surgeon allows it to be paid off and im still paying him rofl

but i wouldnt change it as my life has changed for the good

Leeanne

Share this post


Link to post
Share on other sites

Ok, well just spoke to my health insurance AND Medicare and I need the numbers and Medicare will tell me if they will pay and if Medicare pay then my health insurance will pay... so guessing I just have to wait till my consult now...

Share this post


Link to post
Share on other sites

who is your health fund

it isnt actually if medicare will pay

medicare will pay on all item numbers

there isnt a wait for them

but they dont pay very much its just a pittance

the health insurance is needed for the private hospital

thats where the waiting time is involved

and that isnt anything to do with medicare hun

unless you go on a public waiting list to go through a public hospital

medicare only pay a small percentage to your surgeon

and a percentage for the actual silicone band

and a percentage for the anaethetist

hope that helps

Leeanne

Share this post


Link to post
Share on other sites

HCF and I'm just about to boot them if they can't give me the right info. They told me that if Medicare put money towards it then they do. I also need to determine if it's a "pre-existing" condition, which I'm guessing it is, I've asked them regardless to send me out the paperwork.

Part of me is just about to give up and give it one more shot the good old fashioned way, even though it's failed me, but I can't see this happening anytime soon for me :biggrin: I'm just so frustrated.

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

    ×