Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Gov Grants???


southernbanded
Sign in to follow this  

Recommended Posts

Hi all I have BCBS Louisiana (office of group benifets) and it is not covered on the Plan. I have contacted the doctor that I want to do my surgary and filled out all the paper work, but since my insurance will not cover the surgary i would have to appeal. I hear they do not approve any appeals eaither. I have not applied for an appeal yet, I was told to try and get a loan but my credit score is not high enough for the loan : ( I am in the process of rebuilding my credit, was wondering if there were and Government grants available the medical loans? I am 34 and in general good health but weigh 301 and i am 5'5 my family history is bad lost both of my parents at an early age my mother was 38 was over weight and had breast cancer my father had a bad heart and passed away from a massive heart attack at the age of 46. Doctors have told me I have to lose this weight to lower my chances of getting breast cancer since I lost my mother and grandmother to it

and extend my life and be here for my children and not die at an early age like my parents and grandparents. How can I get help with financing this surgary. if anyone has any feedback I would greatly appreciate it thanks!

Share this post


Link to post
Share on other sites

Can you switch your health insurance ? Unfortunately I don't think there are any government grants for this type of thing. There should be.

You will have to keep fighting for it with your insurance company. If your doctor feels this is going to save your life in the long run - then he/she should help you fight for it as well.

Best of luck

Share this post


Link to post
Share on other sites

Can you switch your health insurance ? Unfortunately I don't think there are any government grants for this type of thing. There should be.

You will have to keep fighting for it with your insurance company. If your doctor feels this is going to save your life in the long run - then he/she should help you fight for it as well.

Best of luck

thanks! I spoke to my doctor yesterday and they said my insurance will not cover the surgery and you are right I have not seen anything that offers grants. Open enrollment for insurance is in april unless I want to pay for it myself, but I do not know of any insurance through the state of louisiana that offers this surgery. I am really sad about this, I guess I will need to pay off some bills and be able to barrow the money to get the surgery, I do not see any other way ; ( Thanks so much for your comments I will have this surgery one day.

Share this post


Link to post
Share on other sites

It is important to know if the denial is due to your company opting out of it or if it is the insurance denying due to the sleeve being "experimental". If it is due to your company's choices on coverage. There is not much you can do. If it is due to it being "experimental" then you can appeal. I won my appeal with bcbs CA. If you lose the appeal you can apply for an IMR ( I think that is right) internal medical review for a second appeal. That works for many people. You also can look into having the surgery in mexico. Good luck.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Sign in to follow this  

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×