u/Educational_Win_4046

Plunger

Guys I am on book 2 of DP and just listened to the scene where Sin convinces Ethan to take a crystal up the ass. I had to pull over because I spit my drink out when I heard plunger at the door with his “oh yeah, that’s the business” 😆😆😆😆

Dead I’m so dead 😭🤭😆

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u/Educational_Win_4046 — 19 hours ago

Looking for future sleeve friends

Hey guys. I’m am coming down to the last of my pre-op process and am looking for some friends who might be getting surgery around the same time or within a few months of me.

My surgeon said I should be getting sleeved around early September and would love to have people to talk to that are going through the same stuff at the same time. 😅

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u/Educational_Win_4046 — 20 hours ago

Hey guys! I have blue cross blue shield insurance through Washington teamsters (tmp). I have read through my insurance plan and found out my insurance covers bariatric surgery at a 80/20% as long as it gets prior authorization. In order to get that authorization I have to complete a psychological evaluation, 4 dietician appointments, and have blood work done.

The bloodwork and psychology appointment were both covered and my plan says I get 4 dietician appointments a year as long as it’s been prescribed by a physician. Which it was by my surgeon. My weight loss clinic says all my dietician appointments should be covered by my insurance for my prior authorization.

The dietician company that my surgery clinic works with says they called my insurance and they said it was not covered and I would have to pay out of pocket.

I called my insurance and they said they see that phone call but I should be covered. When I called the dietician back to let them know, they said I will have to pay but they will file the claim and if it goes through they will reimburse me, but tmp patients with my member and group number always get denied.

My appointment isn’t till next week and I’m just trying to get some answers. Anyone know if it will get approved or not?

reddit.com
u/Educational_Win_4046 — 7 days ago

Hey guys! I have blue cross blue shield insurance through Washington teamsters (tmp). I have read through my insurance plan and found out my insurance covers bariatric surgery at a 80/20% as long as it gets prior authorization. In order to get that authorization I have to complete a psychological evaluation, 4 dietician appointments, and have blood work done.

The bloodwork and psychology appointment were both covered and my plan says I get 4 dietician appointments a year as long as it’s been prescribed by a physician. Which it was by my surgeon. My weight loss clinic says all my dietician appointments should be covered by my insurance for my prior authorization.

The dietician company that my surgery clinic works with says they called my insurance and they said it was not covered and I would have to pay out of pocket.

I called my insurance and they said they see that phone call but I should be covered. When I called the dietician back to let them know, they said I will have to pay but they will file the claim and if it goes through they will reimburse me, but tmp patients with my member and group number always get denied.

My appointment isn’t till next week and I’m just trying to get some answers. Anyone know if it will get approved or not?

reddit.com
u/Educational_Win_4046 — 7 days ago

Hey guys! I have blue cross blue shield insurance through Washington teamsters (tmp). I have read through my insurance plan and found out my insurance covers bariatric surgery at a 80/20% as long as it gets prior authorization. In order to get that authorization I have to complete a psychological evaluation, 4 dietician appointments, and have blood work done.

The bloodwork and psychology appointment were both covered and my plan says I get 4 dietician appointments a year as long as it’s been prescribed by a physician. Which it was by my surgeon. My weight loss clinic says all my dietician appointments should be covered by my insurance for my prior authorization.

The dietician company that my surgery clinic works with says they called my insurance and they said it was not covered and I would have to pay out of pocket.

I called my insurance and they said they see that phone call but I should be covered. When I called the dietician back to let them know, they said I will have to pay but they will file the claim and if it goes through they will reimburse me, but tmp patients with my member and group number always get denied.

My appointment isn’t till next week and I’m just trying to get some answers. Anyone know if it will get approved or not?

reddit.com
u/Educational_Win_4046 — 7 days ago