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Insurance Hoops? or just finance the thing and go to Mexico



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I was thinking the same thin as the first post. I think that with all the pre-op meeting, X-rays, Nutritionist, psych. Eval, doctor consultation, BMI criteria, blood work, EKG, and initial seminar you have to go to the insurance company should be satisfied. You shouldn't have to wait 6 months to a year. Then some people have to have a referral from their primary doctor before trying to enroll in the weight loss surgery program. Mexico would be faster!!

Edited by DPH

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Another thing you might want to consider, as a self-pay if you have complications then your insurance can deny payment for any costs related to them. I am not trying to be a downer, but complications do sometimes happen. If you would have any, are you prepared to pay for those potential expenses?

The wait may seem to be long, but you can learn a lot during the process. You can also start stocking up on Protein, recipes, making small changes in your diet and lifestyle to make the adjustment easier post surgery. Make the most out of this time and learn things about your self in the process.

Good luck.

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I'm totally agree with the 1st post. I originally had planned to go to Mexico! but my husband wanted me to at least try the insurance route 1st. Hopefully I will be approved soon if not I will be spending my Christmas break in TJ. If I had to do it over again I would had just went to Mexico in the 1st place and stayed myself a lot of frustration and time off work for pre-op visits.

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I like the insurance hoops. As much of a pain as they can be, one of the benefits to me was that it gave me time to really, really consider the decision I was making, go to some support groups, browse these forums, etc. Just my $0.02.

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I'm just curious if I'm the only one who has considered this. We all know what the insurance companies make you go through to get this surgery' date=' and not that I don't think it is necessary because I do think that the insurance companies have every right to qualify people for this surgery. But my thought is that why wait to get through the 6-12 months of insurance hoops when theoretically you could go to Mexico and finance the surgery and get your life started in a quicker fashion. I'm in no way swimming in cash, but I am anxious to get to the next level and when you are waiting 2-4 weeks at a time just for the next appointment, I kind of feel like I'm just waiting to live. Maybe this seems somewhat logical to me because I wouldn't have to fly anywhere to get to Mexico because I'm in San Diego....maybe I'm crazy?? Just curious if anyone thought the same way I do??[/quote']

I too live in San Diego and would love to begin my journey right now but I want to see if my insurance will approve me first. It is a lot offend and I would rather not have to finance it or wait for income tax refund next year. There are a lot of hoops to go thought; however, I at least want to say I tried. Totally think the same way you do!

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I am scheduled to go to Mexico. November the 8th is the date. I was so ready to have this done after all research I had done. Tired of being tired. I have four children who depend on there momma and also knew healthcare insurance would be affected after first of year. We decided this was worth the extra a month to put towards my life. Happy to start life as soon as I can.

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I am looking into to Mexico as well. I already had a band put in in the States 2009. It needs to be removed. My insurance will removed but wont do a sleeve until my BMI is high enough to qualify. I am trying to find out what I have in my flex spending account on health and apply to surgery in Mexico. Two of my friends have done it, swear by it. They loved the entire process, the hospital everything and are really pushing me to go this route. Dr. Lopez did their surgery. I am sure there a million Dr. Lopezs', it was in TJ. But that is all I know.

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I guess what Im really afraid of is getting through the whole program and getting denied...does anyone know if that happens a lot?

I'm not sure, my friend went through kaiser in San Diego. They actually send the patients to one of the top notch, best surgeons in the country for this procedure. (Also in San Diego) She was about 220 and 5'7, no problems getting approved for her. Personally, I even considered the same thing about Mexico but I chose to stick it out with my insurance and my surgeon here in sd because u would have to finance the procedure if I went to Mexico. I don't want to do that. I started back in June and before I know it, surgery is 11/26.

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Wow, congrats on the up-coming surgery. I too am in San Diego and just starting the process with kaiser. I would like to hear more about your experience. Having the surgery done in Mexico was actually my first thought but after researching it I changed my mind and opted to go through the insurance process. It is a but long but I want to be fully prepared plus like you I would rather not finance it. Good luck to you !

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    • 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.
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