Last week, my doctor referred me to a Gastric Sleeve Surgeon. I attended his open house and I have a consultation reserved later this month. I contacted my insurance agency because part of their requirements is for me to work with a Bariatric Case Manager. I spoke with her today and she informed me of a few new wrinkles. My insurance company only covers surgeries through a Bariatric Center of Excellence. That doctor is not part of any centers that have that certification.

A few days ago, I stumbled across this forum (and another). I realize that going to Mexico and paying for my own surgery is an actual option. I wrote my doctor and she is discouraging me from this route. She made it clear that my insurance will not pay for any additional surgeries that rise out of complications.

I could go with my insurance but it will take anywhere between 7-12 months before I can have the surgery. Whereas, if I paid, I could probably do it in September or October.

I really, really want to self-pay and do it in September. But, I am also afraid of not being covered for any after-care treatment.

Did anyone else have a similar choice?

So item 1 - you don't have another plan. You're paying cash. Second piece of this - you don't know if it will be covered because you're not following the prior requirements. The requirements are the 6 month diet plan/or nutritional monitoring

I think you are putting yourself at risk

Edited June 13, 201412 yr by Jersrose43