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I give up

Ahhh so my insurance just switched over to bibs of TX federal. I called today abs said my husband's employer has an exclusion to bariatric surgery !!!! I've been doing everything for 6 months all of my apts, Egd, Nutritional counseling, physic evaluation. Thousands of dollars out of pocket down the drain. What do I do now!!!!

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My insurance excludes any weight loss surgery as well. It was going to be $15,000 oop locally. No one in my family was thrilled with the idea of me going to Mexico either but I am pretty stubborn once I set my mind to something. I felt perfectly safe in Tijuana. I was on the 4th floor of a fancy Marriott in a big bed surrounded by feather pillows. They delivered broth and hot tea to my room. In the hospital I had a private room for my husband and I. I would do it all over again if I needed to.

Just a thought--would you consider another surgeon? Many will bill the insurance for the hiatal hernia and then you pay the difference which can be small, like a couple thousand or even less. You could probably call a few offices and check.

@krisrpaz. I have BCBS AL & I was denied because my BMI was only 40 or greater for two years, we appeal & they still denied. Then January 1, they no longer covered WLS.....so frustrated 7 months of OOP expenses down the drain. SP $15,300. PLEASE provide doctor's information for Tijuana. I'm desperate! Thanks

@krisrpaz. I have BCBS AL & I was denied because my BMI was only 40 or greater for two years, we appeal & they still denied. Then January 1, they no longer covered WLS.....so frustrated 7 months of OOP expenses down the drain. SP $15,300. PLEASE provide doctor's information for Tijuana. I'm desperate! Thanks

I have BCBS FL but there are lots of different plans. My employer chose a plan that doesn't cover it. I understand, there are only 30 employees and we have no monthly premium.

Anywho, I had Dr. Alejandro Lopez do my surgery. It cost $4,500. I did not have any other issues like hernia and I wasn't a revision surgery so there weren't any extra costs. While I was happy with the outcome, I believe it is very very important to do your own research and find a surgeon you feel most comfortable with. There are lots of excellent surgeons in Mexico, you just have to find one you are comfortable with. Hospital is also important. There's a brand new gorgeous hospital there, I can't remember what it's called but it is supposed to be a state of the art facility.

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