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12-18-2007, 10:18 AM
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#1 (permalink)
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Junior Member
Join Date: Oct 2007 |
Location: Pittsburgh, PA |
Age: 21 |
Posts: 2 |
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What kinda BS is this!
I went to the seminar to get my bypass going, got a call from the doctor saying i was a candidate for surgery, BUT my insurance( UPMC, University of Pittsburgh Medical Center ) wont cover it unless i go on a 6 month diet AND pay 400$ for a "Comprehensive Lifestyle Program" to prepare me for life before and after surgery with dieting, exercising, Pre and Post Op Lifestyle Changes.. I barley make enough money to pay my bills and they expect me to pay 400$ to even think about getting a bypass done. And if i dont go on the diet and go to all 6( 1 per month for 6 months) Lifestyle meetings AND pay 400$ or i cant get it done...
What can i do....
Last edited by BoonDox; 12-18-2007 at 10:22 AM.
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12-18-2007, 10:19 AM
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#2 (permalink)
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Senior Member
Join Date: Jan 2007 |
Location: Upstate NY |
Surgeon: Taewan Kim, Syracuse NY |
Age: 37 |
Posts: 3,044 |
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What can you do? Go on the diet and pay your $400.. and thank your lucky stars that your insurance will cover it after that!
good luck!
__________________
Jen
367/325/227/180
Start/Day of Surgery/Current/Goal
July 9, 2007.. my re-birthday!
Century Club: November 17, 2007
140 Pounds Lost... I'm not Going to Miss them or even TRY to find them.. they can stay lost!! (And if you see them... RUN.. you dont want them either!)
"Life is 10% what happens to you, and 90% how you respond to it" ~~ Lou Holtz
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12-18-2007, 10:22 AM
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#3 (permalink)
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Senior Member
Join Date: Jul 2005 |
Location: Temecula, CA |
Surgeon: Dr. Suh...LOVE HIM!! |
Age: 36 |
Posts: 4,627 |
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Yep, 6 month supervised diet is pretty standard these days... as for the $400....I would rather pay that then the $50,000 the self payers have had to pay.
__________________
~*~CINDY~*~
March 3, 2006 LAP RNY 329/184/179 Going...going...!!! 
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12-18-2007, 10:30 AM
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#4 (permalink)
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Senior Member
Join Date: Nov 2007 |
Location: El Paso, TX |
Surgeon: Dr. Lara |
Age: 36 |
Posts: 134 |
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I had to pay more than $600, plus gym membership which was another $400, for my six month program and that doesn't count towards my deductible. I'm just happy I got approved. I kind of understand your fustration I wasn't sure how I was going to do it since I had to pay for school too, but I managed. I had to put some stuff on credit cards but I figured i'm worth it. If you really want it, don't give up, you will find a way.
Blay
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12-18-2007, 11:22 AM
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#5 (permalink)
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Junior Member
Join Date: Nov 2007 |
Location: Armada, Mich |
Surgeon: Dr. Cole |
Age: 21 |
Posts: 20 |
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the six month diet is just one of the hoops you will have to jump through. sorry, but there is a light at the end of the tunnel. As for, the $400. Collect cans, ask for help, do what you must...it will be worth it. I know there hast to be a reason that we go through this (and soon i'll find out)
__________________
264/130
Highest & current/ goal
Surgery date: Lap RNY Jan 16th 2008
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12-18-2007, 11:27 AM
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#6 (permalink)
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Senior Member
Join Date: Dec 2007 |
Location: houston, texas |
Surgeon: thomas v. taylor (houston) |
Age: 36 |
Posts: 736 |
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i think we've all had the 6month deal..........it's not an easy road but you will find a way if you want it bad enough
__________________
~Tricia~
"It's all DOWNHILL from here baby!!!!"
~SmartAss Ghetto Booty Bear~
Started the process/info session: 6/5/07
End of 6 months supervised weight loss: 12/5/07
Insurance Approval: 12/5/07
Lap RNY Surgery date: December 28, 2007
Onederland 03/15/08
MYSPACE
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12-18-2007, 11:33 AM
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#7 (permalink)
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Senior Member
Join Date: Sep 2007 |
Location: Upper Michigan |
Surgeon: Dr. English |
Age: 32 |
Posts: 1,552 |
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If you don't have the money now maybe you can make some type of payment arrangements. I would at least talk to them and explain your situation they might have some suggestions.
__________________
Kim
AKA CelebrityBear
Height 5' 8"
286/169/140
Highest/Current/Goal
Approval: Nov. 16th 2007
Surgery: Jan. 07th 2008
TT Gym Rat #85
Onderland: June Friday 13th 08
Century Club: July 17th 2008
"You laugh at me because I am different, but I laugh at you because you are all the same."
Join our exercise support group: http://www.fitlink.com/TTsupport
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01-07-2008, 08:53 PM
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#8 (permalink)
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Member
Join Date: Nov 2007 |
Location: south of Pittsburgh, PA |
Surgeon: Dr. Felix |
Age: 34 |
Posts: 49 |
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Cant give up over $400. If you dont have it beg, borrow, plead, or Rob a bank (did I say that out loud?)  Lets be happy that they even cover it right?
__________________
Lap RNY 08/31/07
366/236/???
highest/current/goal
over 100lb gone forever....yay!!!
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01-07-2008, 09:04 PM
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#9 (permalink)
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Senior Member
Join Date: Jul 2006 |
Location: Alabama |
Age: 43 |
Posts: 3,250 |
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Coming from a self pay GBS patient.....I would say PAY THE $400 and be happy you have medial insurance and the bonus is it will pay for the surgery. I didn't have the money and my mom saved my life with the $30,000 needed to have this surgery. I would not wish that on ANYONE!
__________________
Trina
Lap RNY 06/07/06
357/197 /170
Pre-Op/Current/Goal
Century Club - Nov 7, 2006
I MADE IT!!!! ONEDERLAND FEELS SOOOO GOOD! - March 15, 2008
160 lbs GONE!!
Officially: AlabamaSlammerBear
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01-07-2008, 09:08 PM
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#10 (permalink)
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Senior Member
Join Date: Nov 2007 |
Location: massachusetts |
Surgeon: dr.shore emerson concord ma |
Age: 26 |
Posts: 482 |
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i have to pay 500.its standard stuff.
__________________
Kelly
highest 400
now 352=48 pounds lost on my own!!!!
[color="DarkOrange"]surgery 8/11/08 Im switched!
Goal 180
Thyroid is now under control.
I have made the Duodenal Switch my WLS of choice! Feel free to ask me why!
TT Bear - Lucky Bear
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