Recent Posts

medwards62
on 11/22/09 2:01 am
Topic: RE: Finding Positive!
Wow, Darcie!!!  I hope only the most peaceful and restful of holidays for you and your family! 

Incredible, 185 pounds lost and maintaining for over 9 years!  What an inspiration you are for all of us!
    
medwards62
on 11/22/09 1:57 am
Topic: RE: Finding Positive!
I've been feeling pretty low for the last few days and don't know why...this post is a nice reflection on what is right in our world!  Thank you, Joyce for the reminder! 

I am thankful for ...my family and friends, my career, and my health!

Since WLS, I am able to...cross my legs, either direction, and bend over without feeing like I might pass out from oxygen drprivation!

I have lost...75 pounds!!!!

One thing I look forward to this Holiday season is...flying "home" to be with my son!


By the way, I live in Casa Grande and do not have a support group...could you suggest one and let me know when the next group meeting is? 

    
DarcieLeighAZ
on 11/21/09 10:24 pm - Tempe, AZ
Topic: RE: oops someone forgot
 Hey Terri -- Insurance auth and approvals is my department .Ive been wading trough that mess for years now and have gotten thousands of patients approved for surgery ... I read this and your updated post and checked out your profile but didnt see what insurance plan you have .... but you used the term co-insurance....  Insurance criteria, coverage and plans specifics can be very complicated since they are all so different depending on your plan, employer and even various divisions within an employer......

If it is a Blue Cross/Blue Shield of AZ policy (not a self insured, City, union, or school distrcit plan) they do have a mandatory $1000.00 Bariatric Access Fee which is withheld from your surgeon's fee. It is basically a co-insurance that BCBS had placed in their policy and it the responsibility of the patient to pay in advance of surgery....  The other $100.00 sounds like a typical deductible or co-pay for hospital.  Your surgeon will most lkely require that it be paid in full prior to surgery....

I always get as much detail on financial requirements for all patients from day the first day they see me so no one is shocked when surgery day comes.   Once I get an auth letter I then re-verify all the financial again... I wish you had been advised from the beginning.... 

You can always log into your insurance company's website and check your benefits and co-pays from there instead of having to wait till Monday....Ill check back in a bit and see if you posted or you can email my profile and I can try to help you get you info 



DARCIE LEIGH EDELKRAUT
LAP RNY 12/2000 -- Pre-Op: 314 lbs  BMI 44
Current: 125 lbs BMI 19
www.tempenewday.com LAP-BAND Program Specialist

 

 

DarcieLeighAZ
on 11/21/09 10:10 pm - Tempe, AZ
Topic: RE: Finding Positive!
JOYCIE -- Ive had a rough week...So I waited till I heard good news - Mom recently had lung cancer and had part of her lung removed (recovered and doing well - not even chemo needed). And just as she was recooping.. Dad has had a series of heart problems .. he just recovered from aortic valve transplant  -- SO Thanksgiving has an entirely different meaning to me tihis year than ever before.  

I am thankful for MY PARENTS & FAMILY_?

Since WLS, I am able to_BE CONFIDENT AND MOVE FORWARD NO MATTER WHAT CHALLENGES - GOOD OR DIFFICULT ARE  IN YOUR PATH__?

I have lost___185+ for 9 years_!!!!!

One thing I look forward to this Holiday season is_PEACE, CALMNESS AND ENJOYING MY CHILDRREN__?


Come on out and play Arizona!  Let's chase away the "bummers"!!!

DARCIE LEIGH EDELKRAUT
LAP RNY 12/2000 -- Pre-Op: 314 lbs  BMI 44
Current: 125 lbs BMI 19
www.tempenewday.com LAP-BAND Program Specialist

 

 

Terri G.
on 11/21/09 10:00 pm - ME
Topic: RE: Update on ooooops someone forgot
Debbie,
I also like Dr Fang very much. Support is the best.
Terri
 
                        
dbuckeye
on 11/21/09 5:03 am - Sun City, AZ
Topic: RE: Update on ooooops someone forgot

Terri,

I want to wish you the best on your surgery.  Dr Fang is my surgeon, He is the absolute best.  See you at support group.

Debbie

Terri G.
on 11/21/09 2:28 am - ME
Topic: Update on ooooops someone forgot
I called the insurance company this am. What they said
is That I do not have a Co-Pay. I have a deductable but that is charged after surgery.
When the Hospital called they used the word co-insurance. When I asked the insurance company they said I don't have that.
so now I guess Monday I will call the hospital and get this figured out.
Thank you all for all the good Ideas. More than one brain can work better than one.
Terri
 
                        
Terri G.
on 11/20/09 11:40 pm - ME
Topic: RE: oops someone forgot
I will call on Monday. Thank you
Terri
 
                        
dperez
on 11/20/09 10:57 pm - Phoenix, AZ
Topic: RE: oops someone forgot
I would check with your insurance. I had that happened to me when I called into the hospital. They were trying to say that I had to pay 20% of my surgery. That would have been $3'700.00 two days before surgery!! I litterally was having a cow, a horse and a chicken all at once.  My insurance and Dr. Juarez's  office  told me all I have is a $300.00 co-payment. The hospital admitting lady was kind enough to check on it for me. (maybe because I was ready to cry.) It turned out that the information in the hospital system is completely wrong and my insurance gave her the right information.
MTMiser
on 11/20/09 1:34 pm - Colorado Springs, CO
Topic: RE: Happy Thanksgivings everyone
Hi Gayle

Happy Thanksgiving to you as well. I'm down 65 now and still doing pretty well. We will have to get together again soon. I really enjoyed re-connecting and the support.

Thanks again.

John
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