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Will Surgery Make Me Uninsurable?

I'm considering having surgery in Mexico... I'm self employed and carry our family's insurance policy. I'm finding that most individual plans don't cover weight loss surgery... so I have to self pay. I can afford Mexico rates no problem but not US a 3x that. ha ha.

I'm wondering though if having the surgery will now be seen as a "preexisting condition" that will make me uninsurable in the future? anyone have experience with this?

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  • WLJourneyJ
    WLJourneyJ

    okay... i'll keep with my same insurance company for a while... and i'm sure i'll be fine.. i'll maybe call them and check anyway.. (anonymously)

  • Territravel
    Territravel

    Call from someone elses phone....LOL

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I shouldn't think so, but that's just a hunch. You'd think the insurance company would be thrilled that you're losing weight and have fewer co-morbidities. Anyway, didn't that new health law make it illegal to deny coverage due to pre-existing conditions?

even pre-existing conditions are usually insured after 12 months.

  • Author

okay... i'll keep with my same insurance company for a while... and i'm sure i'll be fine.. i'll maybe call them and check anyway.. (anonymously)

I am a contractor and have a really crappy policy thru my contracting agency (although I otherwise love the company); however, I called around to several insurances, trying to find a better policy if possible. Blue Cross Blue Shield, automatically with sleeve will deny you. Many of the other companies are the same way OR after 5 years post sleeve (Cigna) will they give you the option to buy a plan from them. The same is true for RnY, I asked. Do your homework first and make sure that you can find insurance pls. Because many US insurance companies, the underwriters will deny you once that history is filled out.

I decided to stay on the crappy plan. Since it's a group plan, I upped the coverage to the one with higher premiums (very high but I think that's what's going on in the States healthcare system right now). I don't have to fill out a health history since I'm on the group plan and "don't ask, don't tell" is my policy going forward.

In relation to "pre-existing condition" it sometimes depends on how they write your medical records. I was a self pay sleever and I got pneumonia after surgery, then a leak as my body rejected one staple and the tummy opened, spilling contents for a few weeks. It was found as I kept spiking temperatures and suddenly had a terrible pain in my side and shallow breathing. The body is wonderfully created - my body tried to protect itself by taking the leaked contents and isolating them elsewhere to protect the rest of me. The area? My diaphragm. Remember I had pneumonia? Can you say painful?

Sorry I digress.... the point was my pneumonia was coded from the ER visit as "aspiration pneumonia"... there is no way to prove it was a complication of surgery and the dr's notes were written with that in mind. Same ended to be true of the other hospitalization. But I did voice my concern from the get go regarding my records and the ICD 9 codes that they utilized.

If you need to buy health insurance on the open market, I recomend joining your farm bureau. They have group policies available. To their members.

okay... i'll keep with my same insurance company for a while... and i'm sure i'll be fine.. i'll maybe call them and check anyway.. (anonymously)

Call from someone elses phone....LOL

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