Recent Posts
DS on 08/07/12
Topic: RE: Just joined
Hi there great job on 52 pounds loss. I will have DS done on August 7th. I am looking foward for my new live to start. I hope to meet you in support groups. Good luck and keep up the great work..
Topic: RE: Just joined
I had my DS on May 15, 2012. I am 55 days post-op and lost 52 pounds. I love the staff and Dr. Houston. He is good at what he does. I chose the DS for the success rates and for what I needed. I don't think enough people know about this option. It has been the best decision I have made. Best of luck. Maybe I will meet some of you at the support groups. Charles who leads on Thursday noon is fabulous.
Topic: RE: Frustration!!
Just a quick question? Does your company that parks you in a cube not offer insurance?
Also, I have heard of patients being approved by Americhoice , maybe check into a smaller and lesser known surgery group. Sometimes the larger outfits such as Centennial have so many patients that they can pick and choose which insurances to deal with. I have insurance that I pay out the yazoo for and it is and has always been an exclusion. So I opted to go to baptist and pay the 12K cash option and just get it done.
Have you tried calling the TnCare solutions number for help ?
Good luck.
Also, I have heard of patients being approved by Americhoice , maybe check into a smaller and lesser known surgery group. Sometimes the larger outfits such as Centennial have so many patients that they can pick and choose which insurances to deal with. I have insurance that I pay out the yazoo for and it is and has always been an exclusion. So I opted to go to baptist and pay the 12K cash option and just get it done.
Have you tried calling the TnCare solutions number for help ?
Good luck.
Topic: RE: Amerigroup / Middle Tennessee?
Baptist. Metabolic Surgery Center.
Vanderbilt Bariatrics.
Don't bother with Murfreesboro those docs do not take it
Clarksville does.
Vanderbilt Bariatrics.
Don't bother with Murfreesboro those docs do not take it
Clarksville does.
Topic: Dr. Houston (Nashville), DS, and Medicare.
I'm looking for input from post-op DS patients of Dr. Houston who are on Medicare. I'm trying to find out how much I'm looking at total for copays (including surgery) to Dr. Houston's office. The hospital files QMB, which covers all of my deductible and copays, but Dr. Houston's office does not. From first post-op through your initial one week follow-up, can you tell me how much you paid to his office?
After doing some research, I've found that most provider's offices are grossly misinformed regarding the QMB (Qualified Medicare Beneficiary) program, which is a cost-sharing program administered by Medicaid. A facitily does not have to accept Medicaid to file for payment of copays from the QMB program. I'm sincerely hoping for some advocacy and education of clinics soon to make this program more functional. My own PCP doesn't even file QMB, but they still take QMB clients and just write off the copay. It's a waste, because they could actually be collecting that if they understood it. Centennial is the first place I've encountered that knows what it is and accepts it. My hands feel tied at the moment, because I want to push this topic with providers, but I don't want to do it at risk to myself not being have this surgery. Dr. Houston is my third doctor choice because I've been fighting several different battles just to find a surgeon. Thankfully, knowing what I know now, Dr. Houston is also my first choice and I'd pick him over the others if I was just starting the process.
After doing some research, I've found that most provider's offices are grossly misinformed regarding the QMB (Qualified Medicare Beneficiary) program, which is a cost-sharing program administered by Medicaid. A facitily does not have to accept Medicaid to file for payment of copays from the QMB program. I'm sincerely hoping for some advocacy and education of clinics soon to make this program more functional. My own PCP doesn't even file QMB, but they still take QMB clients and just write off the copay. It's a waste, because they could actually be collecting that if they understood it. Centennial is the first place I've encountered that knows what it is and accepts it. My hands feel tied at the moment, because I want to push this topic with providers, but I don't want to do it at risk to myself not being have this surgery. Dr. Houston is my third doctor choice because I've been fighting several different battles just to find a surgeon. Thankfully, knowing what I know now, Dr. Houston is also my first choice and I'd pick him over the others if I was just starting the process.
Topic: RE: Frustration!!
Glad you are feeling better and just so you know it COULD be worse.
My insurance has a total exclusion for WLS and DH and I saved for months and sold an antique car and some relatives chipped in and I went to Mexico for my surgery.
There are ways to make it happen but I hope you are successful in your journey to WLS. It was the best money we ever spent.
GL
My insurance has a total exclusion for WLS and DH and I saved for months and sold an antique car and some relatives chipped in and I went to Mexico for my surgery.
There are ways to make it happen but I hope you are successful in your journey to WLS. It was the best money we ever spent.
GL
Topic: RE: 4 years after Bypass Surgery
THANKS , I ALSO HAVE GAINED ABOUT 30 LBS SO I WILL BE WORKING ALONG WITH YOU TO DO BETTER .GOOD LUCK JANET FROM CROSSVILLE TN,
Topic: RE: Amerigroup / Middle Tennessee?
Dr. Douglas Olsen did mine three years ago look in Nashville directory and find him.
Topic: RE: Pain Managment after WLS
Do you explain to them that you had gastric bypass and thats the reason you cant take NSAIDS? I can't imagine them ignoring a huge issue like that!
Have you asked Dr. Houston for any suggestions or any of the other clinicians at Centennial?
Have you asked Dr. Houston for any suggestions or any of the other clinicians at Centennial?
_____________________________________________________________________
160 lbs lost. Surgeons Goal Reached in 33 weeks. My Goal in 37 Weeks.
VSG: 11/2/2011; LBL+Thigh Lift+BL: 10/3/2012; Brach+Mastopexy: 7/22/2013
Topic: RE: Pain Managment after WLS
Thanks so much for your response. I already have 3 Epidural Steroid Injections every year. They really helped at 1st but not so much anymore. I will look into the Nerve blocks.
thanks
thanks