Guest guest Posted August 22, 2001 Report Share Posted August 22, 2001 In a message dated 8/22/01 5:07:58 PM Pacific Daylight Time, alyssaj@... writes: > Now how do I break the news to my husband that this is going to cost $3-4k > (instead of the $1k I had anticipated) and that I have to go to Delano??? > Suggestions?? > > NIce dinner..let him do something you normally bug him about??? LOL Just tell him....better to be prepared ahead of time...and explain that some of us spend like $17000 to have it so this a bargain!!!! ~~* AJ *~~ Age 37 5'8'' Post op 7/24/01 Open BPD/DS self pay - Dr Baltasar -Alcoy Spain 07/24/01 BMI 64 - 415.1 08/06/01 BMI 59 - 390.2 -24.9 lbs!!!!!!!!!!~~~~ 08/16/01 BMI 58 - 387.0 -27.9 lbs!!!!!!!!!!~~~~ Check out the Bellingham Support Group and my personal page at WWW.WLSBellingham.homestead.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2001 Report Share Posted August 22, 2001 In a message dated 8/22/01 5:07:58 PM Pacific Daylight Time, alyssaj@... writes: > Now how do I break the news to my husband that this is going to cost $3-4k > (instead of the $1k I had anticipated) and that I have to go to Delano??? > Suggestions?? > > NIce dinner..let him do something you normally bug him about??? LOL Just tell him....better to be prepared ahead of time...and explain that some of us spend like $17000 to have it so this a bargain!!!! ~~* AJ *~~ Age 37 5'8'' Post op 7/24/01 Open BPD/DS self pay - Dr Baltasar -Alcoy Spain 07/24/01 BMI 64 - 415.1 08/06/01 BMI 59 - 390.2 -24.9 lbs!!!!!!!!!!~~~~ 08/16/01 BMI 58 - 387.0 -27.9 lbs!!!!!!!!!!~~~~ Check out the Bellingham Support Group and my personal page at WWW.WLSBellingham.homestead.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2001 Report Share Posted August 22, 2001 Ya see Alyssa, I told you all you had to do was have some faith! Lisbeth Alyssa wrote: I just got off the phone with Dee at Dr. K's office -- boy, is she NICE! She was very patient with my nervous-about-the-insurance-company questions. She said they've had 2 or 3 Cigna patients (at least one Cigna PPO) approved, which was also good news! They're also working on getting contracted with Cigna, which would reduce my out-of-pocket by another $1000, which would be awesome. Currently, my out of pocket expenses break down as follows: program fee: $2000 (not covered by ins, money due at time of surgery) co-pay: $2000 (the max I have to pay in a year out-of-pocket for out-of-network providers...this goes down to $1000 if they get networked before surgery...at least a deposit on this amount due at time of surgery -- more excellent news -- the hospital will allow a payment plan for this money!!) deductible: $250 (which I probably will have met by then) She also said that there's a woman down there in Delano who rents out rooms to Dr. K's patients and will even help you with things like food and possibly even getting to the airport. I'm going to find out more about this since I'll probably be by myself for my post-hospital time (husband has to go home to care for babies). Even better news: she said my goal of surgery by the end of December is reasonable and do-able!! YAY! More good news: I have my surgical consult on October 12!! YAY YAY YAY! Dee said I'm doing all the right stuff by getting my prescription records (showing proof of having taken Phen/Fen) and other doctors' records. Now how do I break the news to my husband that this is going to cost $3-4k (instead of the $1k I had anticipated) and that I have to go to Delano??? Suggestions?? ~alyssa...happy camper!! ---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2001 Report Share Posted August 22, 2001 Ya see Alyssa, I told you all you had to do was have some faith! Lisbeth Alyssa wrote: I just got off the phone with Dee at Dr. K's office -- boy, is she NICE! She was very patient with my nervous-about-the-insurance-company questions. She said they've had 2 or 3 Cigna patients (at least one Cigna PPO) approved, which was also good news! They're also working on getting contracted with Cigna, which would reduce my out-of-pocket by another $1000, which would be awesome. Currently, my out of pocket expenses break down as follows: program fee: $2000 (not covered by ins, money due at time of surgery) co-pay: $2000 (the max I have to pay in a year out-of-pocket for out-of-network providers...this goes down to $1000 if they get networked before surgery...at least a deposit on this amount due at time of surgery -- more excellent news -- the hospital will allow a payment plan for this money!!) deductible: $250 (which I probably will have met by then) She also said that there's a woman down there in Delano who rents out rooms to Dr. K's patients and will even help you with things like food and possibly even getting to the airport. I'm going to find out more about this since I'll probably be by myself for my post-hospital time (husband has to go home to care for babies). Even better news: she said my goal of surgery by the end of December is reasonable and do-able!! YAY! More good news: I have my surgical consult on October 12!! YAY YAY YAY! Dee said I'm doing all the right stuff by getting my prescription records (showing proof of having taken Phen/Fen) and other doctors' records. Now how do I break the news to my husband that this is going to cost $3-4k (instead of the $1k I had anticipated) and that I have to go to Delano??? Suggestions?? ~alyssa...happy camper!! ---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2001 Report Share Posted August 22, 2001 alyssa...happy camper!!>>>>> Yahooooooooo! See, Alyssa? I told ya things have a way of working out. SOunds like they are working for you now! As for the hubby....play it by ear. If hes in a good mood play it for all its worth! Hugs, Judie happy dance!! > I just got off the phone with Dee at Dr. K's office -- boy, is she NICE! > She was very patient with my nervous-about-the-insurance-company questions. > She said they've had 2 or 3 Cigna patients (at least one Cigna PPO) > approved, which was also good news! They're also working on getting > contracted with Cigna, which would reduce my out-of-pocket by another $1000, > which would be awesome. Currently, my out of pocket expenses break down as > follows: > > program fee: $2000 (not covered by ins, money due at time of surgery) > co-pay: $2000 (the max I have to pay in a year out-of-pocket for > out-of-network providers...this goes down to $1000 if they get networked > before surgery...at least a deposit on this amount due at time of surgery -- > more excellent news -- the hospital will allow a payment plan for this > money!!) > deductible: $250 (which I probably will have met by then) > > She also said that there's a woman down there in Delano who rents out rooms > to Dr. K's patients and will even help you with things like food and > possibly even getting to the airport. I'm going to find out more about this > since I'll probably be by myself for my post-hospital time (husband has to > go home to care for babies). > > Even better news: she said my goal of surgery by the end of December is > reasonable and do-able!! YAY! > > More good news: I have my surgical consult on October 12!! YAY YAY YAY! > Dee said I'm doing all the right stuff by getting my prescription records > (showing proof of having taken Phen/Fen) and other doctors' records. > > Now how do I break the news to my husband that this is going to cost $3-4k > (instead of the $1k I had anticipated) and that I have to go to Delano??? > Suggestions?? > > ~alyssa...happy camper!! > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2001 Report Share Posted August 22, 2001 alyssa...happy camper!!>>>>> Yahooooooooo! See, Alyssa? I told ya things have a way of working out. SOunds like they are working for you now! As for the hubby....play it by ear. If hes in a good mood play it for all its worth! Hugs, Judie happy dance!! > I just got off the phone with Dee at Dr. K's office -- boy, is she NICE! > She was very patient with my nervous-about-the-insurance-company questions. > She said they've had 2 or 3 Cigna patients (at least one Cigna PPO) > approved, which was also good news! They're also working on getting > contracted with Cigna, which would reduce my out-of-pocket by another $1000, > which would be awesome. Currently, my out of pocket expenses break down as > follows: > > program fee: $2000 (not covered by ins, money due at time of surgery) > co-pay: $2000 (the max I have to pay in a year out-of-pocket for > out-of-network providers...this goes down to $1000 if they get networked > before surgery...at least a deposit on this amount due at time of surgery -- > more excellent news -- the hospital will allow a payment plan for this > money!!) > deductible: $250 (which I probably will have met by then) > > She also said that there's a woman down there in Delano who rents out rooms > to Dr. K's patients and will even help you with things like food and > possibly even getting to the airport. I'm going to find out more about this > since I'll probably be by myself for my post-hospital time (husband has to > go home to care for babies). > > Even better news: she said my goal of surgery by the end of December is > reasonable and do-able!! YAY! > > More good news: I have my surgical consult on October 12!! YAY YAY YAY! > Dee said I'm doing all the right stuff by getting my prescription records > (showing proof of having taken Phen/Fen) and other doctors' records. > > Now how do I break the news to my husband that this is going to cost $3-4k > (instead of the $1k I had anticipated) and that I have to go to Delano??? > Suggestions?? > > ~alyssa...happy camper!! > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2001 Report Share Posted August 23, 2001 In a message dated 8/23/2001 7:12:11 AM Pacific Daylight Time, truelyus@... writes: << Deanna 300lbs day of surgery 02-15-01 200lbs TODAY! >> Deanna, Wow! That is so fantastic! Tell me you are going out clothes shopping to celebrate. Congrats! Dawna Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2001 Report Share Posted August 23, 2001 In a message dated 8/23/2001 7:12:11 AM Pacific Daylight Time, truelyus@... writes: << Deanna 300lbs day of surgery 02-15-01 200lbs TODAY! >> Deanna, Wow! That is so fantastic! Tell me you are going out clothes shopping to celebrate. Congrats! Dawna Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2001 Report Share Posted August 23, 2001 Hi Alyssa, I was one of Dr.K's CIGNA/PPO patients! Approval went very quick for me but I really stayed on thier butts!! Dee is wonderful as is everyone in Delano! And of course I must throw in that Dr. K rocks!!! LOL Deanna 300lbs day of surgery 02-15-01 200lbs TODAY! happy dance!! > I just got off the phone with Dee at Dr. K's office -- boy, is she NICE! > She was very patient with my nervous-about-the-insurance-company questions. > She said they've had 2 or 3 Cigna patients (at least one Cigna PPO) > approved, which was also good news! They're also working on getting > contracted with Cigna, which would reduce my out-of-pocket by another $1000, > which would be awesome. Currently, my out of pocket expenses break down as > follows: > > program fee: $2000 (not covered by ins, money due at time of surgery) > co-pay: $2000 (the max I have to pay in a year out-of-pocket for > out-of-network providers...this goes down to $1000 if they get networked > before surgery...at least a deposit on this amount due at time of surgery -- > more excellent news -- the hospital will allow a payment plan for this > money!!) > deductible: $250 (which I probably will have met by then) > > She also said that there's a woman down there in Delano who rents out rooms > to Dr. K's patients and will even help you with things like food and > possibly even getting to the airport. I'm going to find out more about this > since I'll probably be by myself for my post-hospital time (husband has to > go home to care for babies). > > Even better news: she said my goal of surgery by the end of December is > reasonable and do-able!! YAY! > > More good news: I have my surgical consult on October 12!! YAY YAY YAY! > Dee said I'm doing all the right stuff by getting my prescription records > (showing proof of having taken Phen/Fen) and other doctors' records. > > Now how do I break the news to my husband that this is going to cost $3-4k > (instead of the $1k I had anticipated) and that I have to go to Delano??? > Suggestions?? > > ~alyssa...happy camper!! > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2001 Report Share Posted August 23, 2001 Hi Alyssa, I was one of Dr.K's CIGNA/PPO patients! Approval went very quick for me but I really stayed on thier butts!! Dee is wonderful as is everyone in Delano! And of course I must throw in that Dr. K rocks!!! LOL Deanna 300lbs day of surgery 02-15-01 200lbs TODAY! happy dance!! > I just got off the phone with Dee at Dr. K's office -- boy, is she NICE! > She was very patient with my nervous-about-the-insurance-company questions. > She said they've had 2 or 3 Cigna patients (at least one Cigna PPO) > approved, which was also good news! They're also working on getting > contracted with Cigna, which would reduce my out-of-pocket by another $1000, > which would be awesome. Currently, my out of pocket expenses break down as > follows: > > program fee: $2000 (not covered by ins, money due at time of surgery) > co-pay: $2000 (the max I have to pay in a year out-of-pocket for > out-of-network providers...this goes down to $1000 if they get networked > before surgery...at least a deposit on this amount due at time of surgery -- > more excellent news -- the hospital will allow a payment plan for this > money!!) > deductible: $250 (which I probably will have met by then) > > She also said that there's a woman down there in Delano who rents out rooms > to Dr. K's patients and will even help you with things like food and > possibly even getting to the airport. I'm going to find out more about this > since I'll probably be by myself for my post-hospital time (husband has to > go home to care for babies). > > Even better news: she said my goal of surgery by the end of December is > reasonable and do-able!! YAY! > > More good news: I have my surgical consult on October 12!! YAY YAY YAY! > Dee said I'm doing all the right stuff by getting my prescription records > (showing proof of having taken Phen/Fen) and other doctors' records. > > Now how do I break the news to my husband that this is going to cost $3-4k > (instead of the $1k I had anticipated) and that I have to go to Delano??? > Suggestions?? > > ~alyssa...happy camper!! > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2001 Report Share Posted August 23, 2001 Very cool, Deanna! How did you " stay on their butts " ? (Whose butts?? Also, what was your BMI and co-morbidities? I'm trying to draw as many parallels as possible. Thanks! alyssa Re: happy dance!! > Hi Alyssa, > I was one of Dr.K's CIGNA/PPO patients! Approval went very quick for me but > I really stayed on thier butts!! Dee is wonderful as is everyone in Delano! > And of course I must throw in that Dr. K rocks!!! LOL > Deanna > 300lbs day of surgery 02-15-01 > 200lbs TODAY! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2001 Report Share Posted August 23, 2001 Very cool, Deanna! How did you " stay on their butts " ? (Whose butts?? Also, what was your BMI and co-morbidities? I'm trying to draw as many parallels as possible. Thanks! alyssa Re: happy dance!! > Hi Alyssa, > I was one of Dr.K's CIGNA/PPO patients! Approval went very quick for me but > I really stayed on thier butts!! Dee is wonderful as is everyone in Delano! > And of course I must throw in that Dr. K rocks!!! LOL > Deanna > 300lbs day of surgery 02-15-01 > 200lbs TODAY! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2001 Report Share Posted August 23, 2001 Thanks Dawna! YES I reward myself with a few new clothes every few weeks. Mostly at the consignment resale shop where i am selling all my old clothes. (it is a great way to go) As a matter of fact I am going to do another clothet cleaning this morning! They make me feel so good !!!!! Deanna 300lbs day of surgery 02-15-01 200lbs. TODAY Re: happy dance!! > In a message dated 8/23/2001 7:12:11 AM Pacific Daylight Time, > truelyus@... writes: > > << Deanna > 300lbs day of surgery 02-15-01 > 200lbs TODAY! >> > > Deanna, > > Wow! That is so fantastic! Tell me you are going out clothes shopping to > celebrate. > > Congrats! > > Dawna > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2001 Report Share Posted August 23, 2001 Thanks Dawna! YES I reward myself with a few new clothes every few weeks. Mostly at the consignment resale shop where i am selling all my old clothes. (it is a great way to go) As a matter of fact I am going to do another clothet cleaning this morning! They make me feel so good !!!!! Deanna 300lbs day of surgery 02-15-01 200lbs. TODAY Re: happy dance!! > In a message dated 8/23/2001 7:12:11 AM Pacific Daylight Time, > truelyus@... writes: > > << Deanna > 300lbs day of surgery 02-15-01 > 200lbs TODAY! >> > > Deanna, > > Wow! That is so fantastic! Tell me you are going out clothes shopping to > celebrate. > > Congrats! > > Dawna > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2001 Report Share Posted August 23, 2001 Hello all who are in the bay area - I wanted to tell you all that in the web site for Dr Rabkin www.pacificsurgery.com there is a place called the clothes closet. I think this is an excellent idea. There is a person in San Francisco, I believe a patient of Dr Rabkin's that trades your big size clothing with nice smaller size clothing. All she askes for is clothing in clean and in good condition. She does not ask for money, but I'm sure would take donations. Theis is for women and men. Tami __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2001 Report Share Posted August 23, 2001 Did they say if it was cigna ppo or hmo that had been approved? Ann > I just got off the phone with Dee at Dr. K's office -- boy, is she NICE! > She was very patient with my nervous-about-the-insurance-company questions. > She said they've had 2 or 3 Cigna patients (at least one Cigna PPO) > approved, which was also good news! They're also working on getting > contracted with Cigna, which would reduce my out-of-pocket by another $1000, > which would be awesome. Currently, my out of pocket expenses break down as > follows: > > program fee: $2000 (not covered by ins, money due at time of surgery) > co-pay: $2000 (the max I have to pay in a year out-of-pocket for > out-of-network providers...this goes down to $1000 if they get networked > before surgery...at least a deposit on this amount due at time of surgery -- > more excellent news -- the hospital will allow a payment plan for this > money!!) > deductible: $250 (which I probably will have met by then) > > She also said that there's a woman down there in Delano who rents out rooms > to Dr. K's patients and will even help you with things like food and > possibly even getting to the airport. I'm going to find out more about this > since I'll probably be by myself for my post-hospital time (husband has to > go home to care for babies). > > Even better news: she said my goal of surgery by the end of December is > reasonable and do-able!! YAY! > > More good news: I have my surgical consult on October 12!! YAY YAY YAY! > Dee said I'm doing all the right stuff by getting my prescription records > (showing proof of having taken Phen/Fen) and other doctors' records. > > Now how do I break the news to my husband that this is going to cost $3-4k > (instead of the $1k I had anticipated) and that I have to go to Delano??? > Suggestions?? > > ~alyssa...happy camper!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2001 Report Share Posted August 24, 2001 Re: happy dance!! > Did they say if it was cigna ppo or hmo that had been approved? I think it was PPO. alyssa Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2001 Report Share Posted August 24, 2001 Re: happy dance!! > Did they say if it was cigna ppo or hmo that had been approved? I think it was PPO. alyssa Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2001 Report Share Posted August 26, 2001 Alyssa, I stayed on the insurance companies butt! By calling daily and such. I even threatened to show up in person if need be! I was approved very quickly. I am a credentialed medical claims mediator. I do it part time now for a living to help others. I guess I am getting pretty good at it! LOL My BMI was 50 when I started. I was 5'6 " and 300 pounds. I had a long list of co-morbidities which are all but gone now!! I had high blood pressure, diabetic, incontinence, heartburn, and I am sure I am forgetting some. On the DS web page under " Deanna " on ,my patient page I list them all. Deanna 300lbs bmi 50 day of surgery 02-15-01 200lbs. bmi 32 as I sit here now !!! THANKS GOD !!!! Re: happy dance!! > > > > Hi Alyssa, > > I was one of Dr.K's CIGNA/PPO patients! Approval went very quick for me > but > > I really stayed on thier butts!! Dee is wonderful as is everyone in > Delano! > > And of course I must throw in that Dr. K rocks!!! LOL > > Deanna > > 300lbs day of surgery 02-15-01 > > 200lbs TODAY! > > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.