mrsbrooksusmc

Dr. Bobby Bhasker WLS seminar a bit disapointing :(

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Ok so i went to the seminar today at eisenhower medical center in Rancho Mirage, ca for Dr. Bobby Bhasker-rao. I loved the seminar, it was very informative I learned new things that never came up in research. I loved the stories of his patients who came for testimony. I say that I left disapointed because Dr. Bobby Said that he requires a program that NO insurances cover. It's a follow up program in which you see him as well as the nutritionist for a total of I believe 7 visits.

1 week after

1 month after

2 months after

3 months after

6 months after

9 months after

This Program costs $6,500 for GBP, and 7,000 for LB! My jaw was on the floor!

two problems.....

1)WHY does he say NO insurance will cover follow up visits?? I mean why would an insurance company approve such a serious procedure and not approve the follow up appointments? I have tricare standard and the woman told me this surery is covred 100%. So why in the world is he charging people this outrageous money! Not to mntion the fact that dr. Bhasker is actually contracted with Tricare in my area to perform this surgery so why in the heck?? I just don't get it.

2)how in the heck can I afford 6500 dollars?? I cant! thats the thing. My husband is the only one that works right now and he is a high ranking soldier at all. Actually his pay, even as a soldier, still leaves us below the national poverty line!! rediculous! Both of us have absolutely horrible credit so there's no way to get a loan!

all in all this financial issue makes me feel like this surgery will never happen, especially before april. I cannot afford something that my insurance should be coverin. smh...I just dont know yall I may never make it to th loers bench. I feel like i will be destined to live out the rest of my life, even from 22, as a super morbidly obese woman who cant produce a child :(

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My out of pockets for my center of excellence pre-surgery education were less than $1,000 -- not counting my $250 copay for the hospital.

I think you should keep looking around.

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You have loads of choices for surgeons who do this surgery. Make some phone calls - particularly to the office of the chief of bariatric surgery at a hospital near you. What you describe is financial outrageousness!

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Can you switch to Prime and get a better choice of Dr? I know I am having mine on-post, and everything is covered. I don't see why Tricare would be any different off post!

Also, look into an AER loan for follow up visits and see if they will cover that. you will need to go to the finance NCO of your unit, and they will send you to ACS to get the paperwork done if you qualify. It is interest free, and put in as an allottment, so you will never see the money you owe. :)

Don't give up yet. Follow ups should be covered, so I don't know what the hell that dr is talking about! Sounds fishy! You don't hear of someone having surgery and then the follow up visits are not covered...especially with Tricare! I would go with Prime, though, to be on the safe side. I know it costs a little more, but it will benefit in the long run. :)

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Are you sure you heard right? I heard the same thing from various people when I was pre-op and it just wasn't the case. Call your insurance company to find out for sure.

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Hi,

I would call your insurance company because they will tell you which surgeons in the area they will cover the cost of the surgery with. You can also ask them directly about associated costs. For example, with my surgeon follow up visits up and labs were covered at 100%. Then went back to normal co-pay after 6 months.

Since your insurance company has the final say, you might as well find out from them who they would want you to see to get the ball rolling.

Good luck to you and the surgery is closer than you think!

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I would call your insurance company and if that is the case, I would look to other drs that would be covered. All of my follow-ups are covered under insurance with no co-pays. Do not give up...you have come this far and you need to keep fighting!

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:confused: This does not sound right to me, I would call your ins and see what they say and go from their, dont give up. I am blessed, my ins covered at 100% I only pay a $15.00 co-pay for office visits and all pre-op and post op classes are free. I had no hospital co-pay either. Looks like you have a lot of good advice and I would persue the advice. I went to this md's web site and read patients pay extra fees as well. Pleae seek elsware or change ins as suggested before.You deserve it ;)

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I would find a Doctor who took tricare and just get it all paid for. I only had to pay 1 time and that was a $94 nutrition class tricare did not cover.

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I understand and appreciate all of this advice you all thanks!! in response:

1) I have tricare standard because i like having my choice of where to go.

2) this Dr. Bobby is in network with my insurance. on fact He is CONTRACTED with Triwest to perform this surgery for Robert E. Bush Naval Hospital in 29palms, Ca. So Even if I did have Prime, he is where they would hav sent me. so If I had Prime I would have been stuck.

3) ys Im sure I heard right Because My husband recorded the key parts he spoke about on his phone and that was one of them.

4)On Monday I will be calling My insurance to findout. But I feel like Ive already changed my mind about switching surgeons. But I am going to atleast try to figure out what is going on with this doctor. I mean he is one of the best at what h does I would love for him to be my surgeon.

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IMHO....I think the surgeon is full of it. If he says Tricare won't cover the follow up visits, red flags are going up. If he is in the network, then they should have a deal, unless he is overcharging for the surgery.

I hope calling Tricare will get your questions answered. If you have Tricare at your local military facility, I would stalk them until they paid! lol :D

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Ok so i went to the seminar today at eisenhower medical center in Rancho Mirage, ca for Dr. Bobby Bhasker-rao. I loved the seminar, it was very informative I learned new things that never came up in research. I loved the stories of his patients who came for testimony. I say that I left disapointed because Dr. Bobby Said that he requires a program that NO insurances cover. It's a follow up program in which you see him as well as the nutritionist for a total of I believe 7 visits.

1 week after

1 month after

2 months after

3 months after

6 months after

9 months after

This Program costs $6,500 for GBP, and 7,000 for LB! My jaw was on the floor!

two problems.....

1)WHY does he say NO insurance will cover follow up visits?? I mean why would an insurance company approve such a serious procedure and not approve the follow up appointments? I have tricare standard and the woman told me this surery is covred 100%. So why in the world is he charging people this outrageous money! Not to mntion the fact that dr. Bhasker is actually contracted with Tricare in my area to perform this surgery so why in the heck?? I just don't get it.

2)how in the heck can I afford 6500 dollars?? I cant! thats the thing. My husband is the only one that works right now and he is a high ranking soldier at all. Actually his pay, even as a soldier, still leaves us below the national poverty line!! rediculous! Both of us have absolutely horrible credit so there's no way to get a loan!

all in all this financial issue makes me feel like this surgery will never happen, especially before april. I cannot afford something that my insurance should be coverin. smh...I just dont know yall I may never make it to th loers bench. I feel like i will be destined to live out the rest of my life, even from 22, as a super morbidly obese woman who cant produce a child :(

This really sounds strange in that I thought (there I go thinking again) Tricare covers items much like how Medicare covers items. by that I mean there is a 'global' fee for a procedure that includes follow up visits. Now, I am not sure the amount of follow up visits would be included in that gloabl fee but this sounds strange.

Even if Tricare only had a three month global, that would still cover 4 of the six follow up visits. I would call Tricare and ask them about this. I would ask if a contracted provider can require you to do something above and beyond what they are contracted for.

It doesnt seem right to me. It sounds to me like he is trying to go above and beyond medical necessity to make up for the amount he has agreed to accept from Tricare.

Edited by frances
additional info

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Something is really not right and if this is indeed the case, then run the other way cause this guy is just all about going outside the system to make a killing.

There are too many things you might need your money for, like complications and plastic surgery! Not to mention the after surgery life time of supplements and protein! And the entirely new wardrobe you will need after you lose weight.

My initial visit to the psychologist and to the nutritionist were out of pocket but everything else has been covered up to a point, but with my complications, I exceeded my insurance and have had to pay several thousand dollars out of pocket.

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If I could just give you (the OP) one piece of completely unsolicited advice, it would be to PACE YOURSELF. The time leading up to your surgery, however long it is, is like training for a marathon. It is not always going to be simple and straightforward. You should be getting a second opinion anyway--you can't have your stomach & intestines completely rerouted and just go with the first guy you meet, no matter what his reputation is.

If you really want this surgery & are serious about making changes for the rest of your life, you won't be deterred by speed bumps along the way. If you really want this, you must be tenacious about it. Don't let things throw you into a tizzy. Believe it or not, but this is actually the EASY part. Once your guts are rearranged and food is no longer an option to comfort & soothe you, that's when it gets hard.

I wish you much luck & success. You are doing the absolute best thing by coming here for support.

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Ok so here's what's been happening. Today after going back and forth with Tricare and back and forth with the surgeon's office. I was informed that while some of his charges were legitimate, He should not have been charging for these follow up consults. Anything medically necessary was to be covered by my insurance, as said by the rep. that I spoke to. He was pricing for the usage of support groups, a personal trainer once a week, a vitamin regimen and all the protein powder. This is a good program to follow, but I feel like this program should be a CHOICE, not a requirement to be one of his patients. What If i do not like protein powder given to me then I would end up purchasing something that better suits me. What If I had a personal trainer already or found a support group already? further, what if I CHOSE not to utilize support groups or trainers?? I went on to file a complaint with tricare about him charging out of pocket expenses for things that are covered by my insurance. after that I wiped my hands clean of this surgeon and moved on in my search.

I then found Dr. Ramy Awad. After reading reviews, scanning the website, reading up an him as much as possible I decided to make the phone call. I spoke to the front desk nurse who gave me a run down of th procedures. She informed that they AS WELL have a Program that they want patients to follow. This program was so much less than even half of the other dr.'s. This program was $1500 and it included: a weekly personal trainer, support groups, and 6 months of vitamins. All of their follow up appointments and and consults were no charge. I must say thst I am pleased with this program. I feel as if I would be Something that i would be payng for in the long run anyways, only at a MUCH better price and everything except for the vitamins is guaranteed until YOU REACH YOUR GOAL WEIGHT.

So Ive set up an appointment for this surgon on the 24th this month. Hopefully this is the one or I will just keep on searchin.

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I sure hope so. I really hope you can find a good surgeon who isn't trying to rip people off. Is there a gen surgeon on your base where it would be covered unconditionally? Do you HAVE to do the package with this new surgeon, or is this optional? You had mentioned that it would be better if it was optional. Too bad you can't pay for only what you will use!

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I sure hope so. I really hope you can find a good surgeon who isn't trying to rip people off. Is there a gen surgeon on your base where it would be covered unconditionally? Do you HAVE to do the package with this new surgeon, or is this optional? You had mentioned that it would be better if it was optional. Too bad you can't pay for only what you will use!

You don't want a "general" surgeon for gastric bypass. You only want a bariatric surgeon who strictly specializes in bariatric surgery. It's a specialty and I don't think there even is such a thing as a general surgeon for this procedure.

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You don't want a "general" surgeon for gastric bypass. You only want a bariatric surgeon who strictly specializes in bariatric surgery. It's a specialty and I don't think there even is such a thing as a general surgeon for this procedure.

This x 1000000. You DO NOT want a general surgeon doing your gastric bypass. The chief of surgery at a hospital did my small bowel resucction but had my gastric bypass surgeon as his right hand man because he didn't know the newly rerouted system like my bariatric surgeon did.

The rest of your life should not determined because you cannot afford it. (this isn't towards the OP), but if you cannot afford the upkeep of RNY; the vitamins, the possible higher food bill, the followups, then you shouldn't be doing this right now. It is still considered an elective surgery, remember that.

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My gastric bypass was done by the Chief of Surgery at our local hospital. He trained intensely in bariatric surgery before taking on any patients - its all relatively new here in Canada. He is still listed as a General Surgeon and does other procedures as well as teaching at the University of Toronto, etc. I totally trust him and his ability and (touch wood) I haven't hit any snags in my health. Dr. Smith explained the whole procedure to me in great detail, saw me several times pre-op, sent me for all the necessary tests, has a nutrition specialist on his team and has followed my post op care as well. I am not advocating for a General Surgeon doing the procedure, but know that my own experience was without problems and went smoothly for me. Just another opinion. :)

Edited by Highlandlass

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Ok so here's what's been happening. Today after going back and forth with Tricare and back and forth with the surgeon's office. I was informed that while some of his charges were legitimate, He should not have been charging for these follow up consults. ..I went on to file a complaint with tricare about him charging out of pocket expenses for things that are covered by my insurance. after that I wiped my hands clean of this surgeon and moved on in my search.

So Ive set up an appointment for this surgon on the 24th this month. Hopefully this is the one or I will just keep on searchin.

Great job being tenacious and reporting him to Tricare! Good luck with new doc you found.

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I sure hope so. I really hope you can find a good surgeon who isn't trying to rip people off. Is there a gen surgeon on your base where it would be covered unconditionally? Do you HAVE to do the package with this new surgeon, or is this optional? You had mentioned that it would be better if it was optional. Too bad you can't pay for only what you will use!

There is a general surgeon on Base, But you have to be on Tricare Prime to be seen at the hospital, except for emerency situations. Even still if you have prime they will send anyone wanting weightloss surgery to a Bariatric Surgeon.

With this Surgeon as well, this program is not optional and is required to Have the procedure done and does not offer a discounted price if you choose not to use the trainer or support groups. But this program I completely agree with and I do plan on utilizing it fully. The things this program covers are truly not covered by Tricare. I feel as if I will be purchasing a whole lot of vitamins anyway so why not just use the doctor recommended regimen along with the program and after the six months If I do not like them I can do my own. I feel that this program is a great setup to a pathway to success and that's what I want.

_______________________________________________________________

I believe it was Julie S. that mentioned above about not rushing things and to pace myself. I really needed to "hear"(read) that because when I jumped into something I am into fully and I am one of those people who want it dont and want it now, as fast as possible. But this has been a learning experience for me because after the initial starting of the process I was pumped, running around like a headless chicken wanting to do it, get it done, how fast, how soon, I wanted it. But now after this little experience dealing with this surgeon, Ive been humbled of sorts. Although I still feel this anxiousness and excitement to go through with this, I have learned that somthing this big should not be rushed, I need to take my time and just let things take their course, not getting aggravated because the next appointment available isnt for two weeks away. I was alittle bummed but hey, you know what it is what it is I will just have to wait my turn and keep telling myself..."this will happen"

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My surgeon has a after program,...I had to pay $600. for it, not covered by Ins and required by the Doc

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My surgeon has a after program,...I had to pay $600. for it, not covered by Ins and required by the Doc

What was your prgram like/ did you like it?

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i went to his seminars last night (1/19).

This was the 4th weight loss seminar I've attended (yes, I am being very, very picky about who I choose). By far, his seminar was the most informative. I was so impressed that I was ready to throw myself on the floor and beg him to perform the operation right then and there!

But then he brought up that $6500. Once I recovered from the shock of hearing that, I left the seminar to talk to his assistant sitting outside. I asked her why I wasn't told about this "ransom" when she was going over my insurance. I was beyond disappointed--I was pissed because had she told me, I would not have crawled out of my sickbed (bad cold, horrible chronic sinusitis) then driven more than an hour for something so...so....ugh! Anyway, after expressing my feelings about the 6500, I was told not to worry. The doctor would sit down with me during the consultation and work something out with the fee (take some services out). WELL WHY NOT JUST DO THAT FROM THE START INSTEAD OF SENDING PROSPECTIVE PATIENTS INTO CARDIAC ARREST????

Well, I'm glad I've been to all these seminars. At least now I have a group of doctors to choose from. I think I'll be giving Dr. Krahn (Riverside/San Bernardino) a second look. He's a good doctor, good reputation, and he's not charging extra fees!

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UPDATE: I went to a seminar for the dr. krahn that jelywa mentioned and this is the guy. I feel so comfortable with him. He's such a nice and c ool doctor, I ean he had 70s sideburns! lol. seriously though. The after program seems so excellent and there is no cost for this. He isnt in network for me but thats ok because even though I would have to pay 20%, its 20% up to a thousand dollars and my mom is giving me that money! Lucky me! :D. So I turned in my patient packet, and am witing on them to call me for my consult with him, in the mean time I have an appojntment on monday with my new pcm to get clearance for the surgery. Im feeling so excited right now about this! haha when I first started my research I expected to have my surery done by now lol. NOT! hahaha!

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