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

Texas Insurance



Recommended Posts

I've heard that if someone is self pay they buy an extra insurance policy. Anyone do this in Texas and did it pay also which insurances cover the complications from WLS?

Share this post


Link to post
Share on other sites

All I want to say is I did a 6 month program for my gastric sleeve scheduled 12.18 and Cigna sent a denial letter that I just literally opened because I was not home and it just denied me for the gastric sleeve. Will I not get the surgery now? How can this be? I'm crushed.

Share this post


Link to post
Share on other sites

All I want to say is I did a 6 month program for my gastric sleeve scheduled 12.18 and Cigna sent a denial letter that I just literally opened because I was not home and it just denied me for the gastric sleeve. Will I not get the surgery now? How can this be? I'm crushed.

Share this post


Link to post
Share on other sites

How crushing, Jaimy! I hope you can get things sorted! I had a similar situation, personally. I had been working with a bariatric surgeon for about 6 months, going through his program, talking with the NUT and doing the Psych evals, once I was cleared by him, I had to wait until my husbands insurance changed so i could apply to our new insurance for WLS. I applied, and found out that his insurance specifically EXCLUDED any type of WLS. It was a provision they had just put in that year. I was crushed! I had worked so hard! I had a talk with my surgeons scheduler, and she told me I could self pay, but the band (which is what I thought I wanted then) would be $12,000. I was blown away! I actually started doing more research and decided I wanted the sleeve and asked her how much that would be, $18,000!! I thought I would never have surgery. I accidentally ran across a thread about self pay in Mexico, and I did TONS of research. The end of my story is, I found ALighterMe, and was connected with Dr. Lopez. I had my surgery in Tijuana, Nov 3rd, a little over 2 years after I had started my journey. It was a wonderful experience and one I would not change for the world. My surgery was $4,750. That included 3 nights stay in a Marriott, transportation to and from the airport, and of course all of the medication, hospital stay, anesthesia, everything. It was the best decision I had made in my life, and one I would make over again in a heartbeat. Self pay in Mexico may not be for you, but if you think it might be, PLEASE contact me and ask me any questions, I would love to be a resource for you. Just know, where there's a will, there's a way!! Best of luck to you!

Share this post


Link to post
Share on other sites

I just wonder if others have been denied to to lack of info submitted but then get approved

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

    • 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.
      · 0 replies
      1. This update has no replies.
    • 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.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 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

    ×