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Gastric Sleeve insurance coverage in TX?



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Hi everyone! I'm in Houston TX and looking for an insurance that will cover my sleeve. Which insurance company did you go through or did most everyone in TX have to self pay? Can't wait to hear from you!

Edited by NewKri1227

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I am also in Houston, Tx! Howdy! :) I used Blue Cross Blue Shield, I paid about $2300 out of pocket and had to stay three days in the hospital.

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I am also in Houston, Tx! Howdy! :) I used Blue Cross Blue Shield, I paid about $2300 out of pocket and had to stay three days in the hospital.

Oh i'm so happy to hear this! I'm deff going to look into it ???????? thank you!

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I am also in Houston, Tx! Howdy! :) I used Blue Cross Blue Shield, I paid about $2300 out of pocket and had to stay three days in the hospital.

Hi there! Quick question, what year did you have your sleeve done? I just called blue cross blue shield and they said they do not cover weight loss surgery... I've called several others and they say the same. I don't get it are almost everyone in texas paying for it themselves?

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I'm trying to get my process started and i keep hitting a road block in finding an insurance company that covers it. ????

Edited by NewKri1227

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Each plan is different. I have BCBS and had surgery Dec. 2015

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I have UHC through my employer and it does cover weightloss surgery. I did not use insurance though as I didn't want to wait through the six months supervised diet. My cash pay price in the Dallas/Ft Worth area was less than 5K. Best decision of my life!

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Hi I'm also in Houston. I had BCBS through my employer. I had already met my out of pocket for the year so I did not have to pay any additional amount for the surgery. My surgery was Oct 2015. I know employers can choose to include or exclude bariatric surgery. When purchasing insurance I'm guessing that they don't want you to just pay a couple of premiums and get the surgery so maybe they require a time limit before they will cover it.

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Thank you for all your replies! Yeah i guess my first road block is insurance coverage. I work as a nanny so i am self insured and there aren't any policies i can buy that will cover it unless next year things change or i begin working with a company. I deff want & need the surgery and know i wouldn't regret it either.

I have UHC through my employer and it does cover weightloss surgery. I did not use insurance though as I didn't want to wait through the six months supervised diet. My cash pay price in the Dallas/Ft Worth area was less than 5K. Best decision of my life!

Question, how were you able to get it less than 5k? I was told at the clinic in houston that it was 13k.. Please share!

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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.
      · 0 replies
      1. This update has no replies.
    • 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.

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    • KimBaxleyWilson

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