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

Switching Insurance?



Recommended Posts

My initial request was denied by my insurance (BMI lower than 50) & the peer2peer did nothing. My surgeon’s office suggested switching to an insurance that covers the sleeve. I’m not sure how I go about this or how it even would work. Anyone else ever hear or even attempt to do this. I’m fully aware the premium will be outrageous, but it’s better than paying $20k out of pocket.

Share this post


Link to post
Share on other sites

Getting other insurance can at any time be difficult and may be impossible. I know that when I lost my job several years ago and tried to get other insurance besides the cobra that was offered with the same company many would not take me as I was overweight, had hypertension, was borderline diabetic, sleep apnea. When you have medical problems and the more medical problems that you have the harder it will be to get an insurance carrier to take you as a patient. And when you do find someone to take you the premium will be very high.

Best of luck.....I know that I could not afford the cost of my surgery and they wanted close to $40,000. I started checking and ended up going to Mexico and have had not problems and my surgery was Dec 11, 2011

Share this post


Link to post
Share on other sites

I changed insurances at work during Open Enrollment period. I did my research and found out which one did cover WLS. The premiums were higher but overall it was around $350 more a year which wasn't anything compared to self pay even in Mexico. If you don't have insurance at work IowaAndy may be right about finding insurance on your own. If you don't want the Mexico route, which I see nothing wrong with as many people on this forum have done this and had magnificent results, but if it isn't for you I did notice a "Topic" in one of the forums titled "$8000 Self pay in the US" and someone had found a very reputable doctor in the US that was doing the surgery for less because they had moved their business to a different state. You may want to check that out and see if you could get financing.

Good luck on your journey!!

weight.png

Share this post


Link to post
Share on other sites

I changed insurances at work during Open Enrollment period. I did my research and found out which one did cover WLS. The premiums were higher but overall it was around $350 more a year which wasn't anything compared to self pay even in Mexico. If you don't have insurance at work IowaAndy may be right about finding insurance on your own. If you don't want the Mexico route, which I see nothing wrong with as many people on this forum have done this and had magnificent results, but if it isn't for you I did notice a "Topic" in one of the forums titled "$8000 Self pay in the US" and someone had found a very reputable doctor in the US that was doing the surgery for less because they had moved their business to a different state. You may want to check that out and see if you could get financing.

Good luck on your journey!!

You are lucky at all of the jobs that I have had only offer one insurance coverage policy and not a second to choose from.

weight.png

Share this post


Link to post
Share on other sites

You are lucky at all of the jobs that I have had only offer one insurance coverage policy and not a second to choose from.

Yes, I do feel very lucky. I work for a good company that does care about their employees and offers a few insurance options. I know alot of people out there are not quite so fortunate! :blink:

Share this post


Link to post
Share on other sites

I switched to a different insurance plan last year during open enrollment so I could get my surgery. One of my co-workers had just had LapBand, so I changed my policy to match his and it took exactly one full year, but I was finally sleeved on 2/20/12! Yay!

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 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

    ×