Kenzee245

Hello, So I am currently in my 6 month diet classes in order to get the sleeve with United Healthcare in CA. I just found out that my dads insurance, which I am covered under till im 26, expires on Jan. 31st. I called my medical group which requires all of these steps and they said that they could not help me out and that these classes i am taking only count for their medical group not anyone else. I decided to change medical groups hoping that this other one does not require as much, but i cant get it till jan. 1st. I have thought about going to Mexicali to see Dr. Aceves and just pay for the surgery but i am not sure yet. if i do get my own insurance, then i have to pay my premium, plus my yearly max, plus my co pay for the surgery which pretty much eaquals surgery in Mexicali. I also thought about medi-cal (aka medicaid ) but then i would be starting all over again with finding a dr that would refer me. I already had trouble when i saw my first pcp and then had to search for a different pcp. I feel like i am running in place with this process and i am getting very discouraged. Anyone have tips on this or what i should do?

Can I ask both of you, what was the total for the whole procedure with the Doctors in Mexico ?

Hello, Right now I am in progress of taking my 18 weeks worth of nutriton classes for my health insurance. The only problem is, my health insurance runs out on October 31st and my classes end in Janurary. I have no other option then to get on Medi-cal to have health insurance. I am from southern California and wanted to know if anyone has had the surgery done with Medi-cal, which option and how did you go about the whole process. Please Please help.

The class was a requirement by my health group which is determining my approval for the weight loss surgery. I am required to take 18 classes once a week and 2 eval with a psychologist before I meet with the surgeon. Then I have to undergo any of his requirements. I need to call my Insurance plan again today and just double check that it is a covered benefit and that the approval is made by my medical group and not by them. ( kinda sounds off to me )

Oh wow, thank you that helped a lot. I am hoping they are like that and support the surgery and everything. Did you have loose a certain amount taking the class? what if you lost to much weight?

Hello, So today I go for my first time to a Weight Management Class which is a mandatory step in my process of the getting approved for the sleeve. I was just wondering if anyone had already been to the class or one like it. I wanted to know what kind of things they do or talk about. Do they try to talk to you out of the surgery or discourage it? Just wanted to see what I was going into tonight. Thanks

Awh isg thats a bummer! I made sure I researched and re-researched to make sure I did not have to do it twice. ebonisekim: Thats awesome. I only have to do 4.5 months and im hoping to not gain any as well

My first PCP told me he does not believe in WLS and was going to give me diet pills. I was so upset I switched PCPs becuase like your insurance I have to have my PCP refer me. My new PCP was amazing. First time to see him he gave me the referrel right then based on family history and my BMI. He is against diet pills and believes i am a great candidate. But if you read my other post you would see how scared i was to talk to him. I just went in there with my head high and told him straight forward. Best of Luck

yes same here! I start my classes next week on the 5th and I found out that my insurance company leaves the decision up to my Medical group. Have you started your classes or 6 month diet yet?

I will do that today !

Well I have an 18 Month weight class i have to take so i have time to choose. I was thinking Blue Shield

In my other post I was dreading talking to my PCP about weight loss surgery and actually worked myself up for nothing! He referred me to my supervised diet which is an 18 week program then I have 2 phsyc eval then I get the final referral to the surgeon. All I am hoping now is that I dont have to do a 6 month diet for my insurance company. The 18 week program is just for my medical group. hmm hope not!! Excited to start this journey and hoping next year will be a great new chapter (if everything goes well)

YAY!! Saw my PCP this morning and he gave me my referral. Now off to my 5 month class Thank You guys for all the support

Khromepixie, I am 21 almost 22 and I am employed full time

Hello, So I have stated this before but my insurance under my dad's policy is running out. I am trying to find an insurance plan to get so I can get the surgery done. Anyone in California that has worked with an insurance company that was easy and didnt require much for the pre-op phase? I would love opinions. I have Pacificare right now.