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

Recommended Posts

I will not wait till i have med issues for ins co to make up their minds.

Share this post


Link to post
Share on other sites

Amen..its your life!

Share this post


Link to post
Share on other sites

Lol... Me neither! I have decided to do this and I'm confident with my choice to go to Mexico. Kaiser says they will do it, but I have to go thru their hoops... 6 months to 1 year. No thanks. I want to be well on my way by this time next year...

Share this post


Link to post
Share on other sites

I feel the same way and that is also why I decided to go to Mexico.I could have waited until I had other health issues or could have gained another 40 lbs but then I would be 40 lbs heavier. I also figured out that with my 3k deductible and then a 20% co pay, I would pay at least what I am paying to travel to Mexico.

Share this post


Link to post
Share on other sites

My insurance covers it too but I would have been devastated if they rejected me after doing 6 months of their pre op crap! Plus it was still cheaper going to MX! Best decision I ever made!

Share this post


Link to post
Share on other sites

Bariatric surgery is covered by my health insurance. (Blue Cross Blue Shield of PA). I met all the insurance requirements. Completed the bariatric program. BMI over 35 with one co-morbidity. I was denied because my hyper-tension is controlled with two meds. Very disappointing. And took 8 months to be declined

So, I decided the insurance company is simply a business. They don't know me. And I am going to make decisions about me and my health. Thus, I am going to Tijuana for surgery on Feburary 4. (Up yours Blue Cross!)

Good for you and your decision and being pro-active!!! All the best as you start the process!

Share this post


Link to post
Share on other sites

Our insurance covers it too but we just got it with my husbands new job and need to be on it 3 years before even applying for it so I have decided now is the time and paying for it is totally worth it! I will be sleeved with Garcia in March!

Share this post


Link to post
Share on other sites

My insurance doesn't cover any bariatric services. Even if they did, my deductible is so high and the co-pay is too, that it is worth it to go to MX. It's a great deal and I get to be in the care of one of the best surgeons in the country.

Share this post


Link to post
Share on other sites

I could have had the gastric bypass and ins would have paid for it but I didn't want that.

Share this post


Link to post
Share on other sites

I agree with bee13. My deductible and out of pocket is so high that I would be paying the same as going to Mexico. And...my insurance would never approve me. I'm about 5'8" and 225 with a BMI of 34 and no co-morbidities.

I am approved with Dr. F Garcia in TJ with r4ac. I'm still doing research on the post-op and the depression some people say they get.

But I'll be in TJ hopefully sometime the end of March or April. I'm guess the timeframe of the surgery depends on when I can pay.

Share this post


Link to post
Share on other sites

I am in the same boat because my timeframe depends on when I can pay. :rolleyes:

Share this post


Link to post
Share on other sites

Bariatric surgery is covered by my health insurance. (Blue Cross Blue Shield of PA). I met all the insurance requirements. Completed the bariatric program. BMI over 35 with one co-morbidity. I was denied because my hyper-tension is controlled with two meds. Very disappointing. And took 8 months to be declined

So, I decided the insurance company is simply a business. They don't know me. And I am going to make decisions about me and my health. Thus, I am going to Tijuana for surgery on Feburary 4. (Up yours Blue Cross!)

Good for you and your decision and being pro-active!!! All the best as you start the process!

WOW! I am so sorry about your insurance. Man that would make me mad too! I have a bmi of 35 and one comorbidity, and I was super schocked that I got approved. But, like a lot of people said, after my deductible, and the percentage I have to pay, it will probably come out to be the same out of pocket as going to Mexico would cost. So, either way it's about the same. Best wishes!!!!

Share this post


Link to post
Share on other sites

Yep.. We pay $700+ in monthly premiums and hat doesn't include what our employer contributes. They refuse to pay for anything related to WLS including to save my life. I HATE INSURANCE COMPANIES.... THEY SUCK!

Share this post


Link to post
Share on other sites

Yep.. We pay 700+ in monthly premiums and hat doesn't include what our employer contributes. They refuse to pay for anything related to WLS including to save my life. I HATE INSURANCE COMPANIES.... THEY SUCK!

Insurance and pharmaceutical companies.

Amanda Rae

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

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • 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.
  • 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

    ×