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

How will this be different?



Recommended Posts

Find the good Mexico stories on here and read them aloud to him. Just, "Hey, listen to this....." And let him "learn about it" with you.

I wish it were as easy as that, but I can already hear the responses "Quit trying to sell me on this", "Are you trying to make me mad?", "You always take things too far", bla bla bla. I don't know why this is such a sore subject for him because it means so much to me, but it's just one of those (few) things that are nearly impossible to talk to him about. I think he sees me as a really strong and driven person, and to him this feels like I've given up. But it's the opposite...I'm trying. Really, really hard. I want to have the majority of a vital organ removed VOLUNTARILY. It hardly seems like giving up to me.

Share this post


Link to post
Share on other sites

If he'd rather spend double to stay in the US, then ok! Stop worrying about the $.

You are making a brave and courageous choice and, being who I am, I'd tell him so. I'd also tell him that I need his support and encouragement, and if he can't give me that, then I need his silence. Negativity is poison to the soul. You can't afford that while recovering.

Share this post


Link to post
Share on other sites

Oops, my bad. Brain fade.

Share this post


Link to post
Share on other sites

I think he'll be supportive once I get it done, but it's just getting there that's difficult. He's naturally a very skeptical and anxious person, and the idea of spending money on something and not having it work is just really overwhelming to him. I have a strong tendency to have a lot of ideas about life in general, and then quit when I lose interest. He's reasonably worried that I'll do that with this, too. I was so happy when I lost the 100 pounds--if I could kick my own butt for putting the weight back on, I would. I wish he realized how difficult it is to say "I need help", and that's exactly what I'm doing by wanting this surgery. I am strong-willed and I get what I want in life, but for some reason obesity is the one thing I can't get a hold on. I'm asking for help--I wish he saw it that way.

I'm attaching a collage of pics from before and after when I did Medifast. I'm pretty well back to the "before" again :( :(collage.jpg

Share this post


Link to post
Share on other sites

I would call your insurance company. Don't speak to member services, speak to a precertification department... They would be able to look at your plan specifically and let you know... Tell them your current weight and BMI and they can let you know whats covered (if anything at all) and what is required (again if anythign at all) for approval. I am only saying this because my plan looked like it excluded Bariatric Surgery but after calling and speaking directly to the precertification dept I found out they didnt... Whats the worst they can tell you..."Sorry It is not a covered service under your plan" Best case sererio "yes it is covered and by your BMI you are an eligable canidate... This is what you need to do..."

Also if you find a surgeon's office local to you their insurance coordinator maybe able to tell you if it is covered, they have experience calling the insurance company and know what questions to ask and who to ask them to.

I know my inital consultation with my surgeon was free...

Try, it can't hurt!

And as for convincing your Husband this is different then anything else, I would show him this site... We are all real people who have like you tried and failed at a million diets... I am sure you can find people who will share their story about how this surgery changed their lives with him directly... I would be willing to share for you!

Good Luck!

Share this post


Link to post
Share on other sites

Sorry, I just realized my spelling and grammar was AWFUL in my previous post, I typed quickly!

Share this post


Link to post
Share on other sites

I guess the lady who got her insurance to bend was lucky. My insurance has the same exclusions. No exceptions. Not covered. I even got 2 of "seen them on tv, we can get your insurance to pay" dr's and no go. Excluded.

I live and had my surgery in Dallas. There are lots of top bariatric surgeons in the area. The average price is $11-13k, all inscusive in this area. Mine was $12,200. Out the door, pre op testiing, hospital, OR, the whole shebang. It can be very affordable stateside if your husband is of that mindset. That was the choice my husband and I made. We are very happy with it. That said, you will find many folks here who have traveled to Mexico and paid far less. They seem very happy with their choice as well.

You say your hubby won't hear of Mexico but there are many good stateside options as well. Good luck, sounds like he will be a hard sell.

p.s. I've been married for well over 30 years to the same guy. Sometimes, it's easier to get forgiveness than permission. Just sayin.....

Share this post


Link to post
Share on other sites

At this point, I think the biggest thing is going to be getting financing. That's really the wildcard!

Share this post


Link to post
Share on other sites

I guess the lady who got her insurance to bend was lucky. My insurance has the same exclusions. No exceptions. Not covered. I even got 2 of "seen them on tv, we can get your insurance to pay" dr's and no go. Excluded.

p.s. I've been married for well over 30 years to the same guy. Sometimes, it's easier to get forgiveness than permission. Just sayin.....

I don't know if this was in reference to my post and I am just putting a disclaimer bc I know how things can be misread, I am not being sarcastic or snotty with my comment that I am about to make, and I didn't take your comment as snarky either... I am just going to clairify so maybe it will help someone else...

My insurance company did not "bend"... I did not convince someone at my insurance company to allow me to have surgery. It was just the way my plan was written... It looked to the member services dept that WLS was an exclusion to my plan, however I work in the insurance field and I know sometimes those reps dont know what to look for so I went directly to the precert dept...Those reps looked at my plan directly and the codes for the surgery and it was something that was covered bc of my BMI...

Also I agree with the last part of your post about sometimes it being easier to beg forgiveness rather then permisson! This is my mantra with my husband for shoe purchases lol!!!

Share this post


Link to post
Share on other sites

At this point, I think the biggest thing is going to be getting financing. That's really the wildcard!

What about borrowing from your 401K? I've seen many people on this site mention that they were able to borrow for medical purposes.

Share this post


Link to post
Share on other sites

What about borrowing from your 401K? I've seen many people on this site mention that they were able to borrow for medical purposes.

I don't have a 401k. I'm a government employee, so all my retirement is through the state retirement program. :(

Share this post


Link to post
Share on other sites

I don't have a 401k. I'm a government employee, so all my retirement is through the state retirement program. :(

:( Sorry!

Share this post


Link to post
Share on other sites

I know, it's like I have a roadblock at every turn! I'm determined to make this work, though!

Share this post


Link to post
Share on other sites

I know, it's like I have a roadblock at every turn! I'm determined to make this work, though!

Good Luck!

I know this sleeve was a lifesaver / life changer for me. I truly hope everything works out for you~

Fingers crossed!

Share this post


Link to post
Share on other sites

I don't know if this was in reference to my post and I am just putting a disclaimer bc I know how things can be misread, I am not being sarcastic or snotty with my comment that I am about to make, and I didn't take your comment as snarky either... I am just going to clairify so maybe it will help someone else...

My insurance company did not "bend"... I did not convince someone at my insurance company to allow me to have surgery. It was just the way my plan was written... It looked to the member services dept that WLS was an exclusion to my plan, however I work in the insurance field and I know sometimes those reps dont know what to look for so I went directly to the precert dept...Those reps looked at my plan directly and the codes for the surgery and it was something that was covered bc of my BMI...

Also I agree with the last part of your post about sometimes it being easier to beg forgiveness rather then permisson! This is my mantra with my husband for shoe purchases lol!!!

I was actually referring to squeakywheel and wasn't intending to it be snarky, I was genuine in my statement. Sorry if it came across that way. Was not my intention at all. You are right though, it's all in the way the policy is written. For most total exclusions they are inserted at the request of the employer to keep costs down, much in the way several other procedures can be excluded. Have a friend who needed breast reduction, for true medical reasons and it's excluded at the request of the employer, strictly to keep costs down, so it's really not the insurance companies, it's the cheap ass employers (ok, THAT last statement was meant to be snarky!)

@Hathery, most surgeon offices work with some companies that specialize in medical financing. You may want to check that out.

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

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • 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.
  • 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

    ×