Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Request from employer

stpatty

Recommended Posts

stpatty    18

stpatty
Posted

So! Yesterday I submitted a formal request to HR asking them to either cover my procedure or at least allow me to purchase a rider to our insurance policy so I can get it done. We have BCBS of FL (we live/work in NC) and BCBS covers it but there's an exclusion in our policy.

Funny (not really) thing, we are in the clinical trials industry which means, we're working to make people healthier.

I'm praying for a miracle in that they'll cover it, otherwise I will get a loan and pay for it. I'm tired of not living the life I was meant to live. Additional prayers are also welcome and appreciated.

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

OutsideMatchInside    10,166

OutsideMatchInside
Posted

By the time most people pay all the copays for surgery, it is just cheaper to pay out of pocket.

I would just pay instead of stressing myself out with my employer. They picked BCBS of Florida for a reason.

Share this post

Link to post
Share on other sites

Hrhjules    0

Hrhjules
Posted

My insurance wouldn't cover the gastric sleeve, I heard about A Lighter Me and looked them up. Dr. Ortiz is a leading bariatric surgeon in Mexico. The cost was a total of $5400. A fraction of the cost in the US. It was a great experience. Husband and I flew into San Diego; was picked up and driven to Tijuana Mexico. Two days in hospital, 3 days in 4 star hotel with a 24 hour nurse, then flew home. Surgery was 7/19/2016. I've lost 27 pounds so far. No regrets, but certainly not the easy e's to lose weight!

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

highfunctioningfatman    2,675

highfunctioningfatman
Posted

So! Yesterday I submitted a formal request to HR asking them to either cover my procedure or at least allow me to purchase a rider to our insurance policy so I can get it done. We have BCBS of FL (we live/work in NC) and BCBS covers it but there's an exclusion in our policy.

Funny (not really) thing, we are in the clinical trials industry which means, we're working to make people healthier.

I'm praying for a miracle in that they'll cover it, otherwise I will get a loan and pay for it. I'm tired of not living the life I was meant to live. Additional prayers are also welcome and appreciated.

Sent from my iPhone using the BariatricPal App

I have blue cross of Florida as well. By the time that I jumped through the hoops and looked at the lost wages while jumping through those hoops it wasn't worth it. I go to Tijuana on the 29th for less out of pocket costs.

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
Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Clueless_girl

      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

      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.
    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×