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Old 02-16-2009, 11:40 AM   #9 (permalink)
Sparkles
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Join Date: Feb 2009
Location: Headed to Loserville
Age: 26
Posts: 247
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Quote:
Originally Posted by NikkiJoT View Post
I have Pacificare Insurance, but because I belong to the Sharp Medical Group, all my authorizations go through Sharp and my insurance only gets involved if there is a dispute. My surgery doc said this is much better as they are a lot easier to deal with than the insurance company, so I hope that holds true for me!! So far I've had to pay copay's out of pocket ($10 for PCP and $30 for surgeon) and I should only have to pay $100 a day for the hospital stay, so I should be getting by fairly cheap!

How about you??

PS...I'm running out of good colors to add in my siggy, so I hope I don't have a lot of other appointments to list!!


I am sure you can do a pattern of colors! LoL. Well that’s pretty good spending. Will your Surgeon Office submit after your 6 months is completed? What are all your little “hoops” you have to jump through?

From what I am told I have a 90% Covered by Insurance and 10% Out of Pocket with a maximum out of pocket of $500.00. But I do have to pay for $10.00 PCP/Surgeon Visits. I have to pay 50% of the Nut Doc visit (Like $100.00 total). So less than a thousand for sure is what the Benefits Customer Service Rep said. We will see. Oh plus I am on WW for the 6 months with a PCP visit each month. Unless they will accept the last WW attempts I have had but I won’t know until 04/14 Surgeon consultation.

Whats your motivation?
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02/12/09 WLS Journey Starts!
03/23/09 Submit to BCBSofMI
04/21/09 Officially Approved
05/27/09 PreOp Testing 05/29/09 OpenRny Surge Date!
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