Jump to content
×
Are you looking for the BariatricPal Store? Go now!

How long of a wait?



Recommended Posts

Just now, Mrsa said:

I'm in the Panhandle of Florida. I checked and there are only 2 insurance approved doctors in my area and they are both in the same practice. Maybe I'll look into other areas that are just a few hours away. I did message my PCM about a sleep study. Thanks for the help. I am so hopeful.

Ok! I hope that works out.

Keep in mind too, that some insurance requires 6 months of weigh ins. Maybe keep up with that through your primary doctor so that doesn't hold you up.

If your insurance covers a nutritionist, see if you can get an appointment with one that will go over the pre and post bariatric diet requirements. That will knock on thing out that the bariatric group will likely need you to do. Plus it is very informative and educating. And maybe find a psych doctor/therapist ahead of time too so you can set it up more easily.

My practice DID have everything in house, but many of them were not covered by insurance and I'd have to pay out of pocket a couple of hundred for each. Also, they were very backed up and appointments were tough to schedule for me.

I'm excited for you. I was you just last week. 😀

Share this post


Link to post
Share on other sites

35 minutes ago, VSG4Mag said:

I had read and watched many videos on Mexico and was totally ready to go. Before persuing that, I figured why not give it a go with insurance? That way at least I can say I tried, and obviously it will be no money out of pocket

I really thought Mexico was where I'd end up. I've heard a lot of good things.

23 minutes ago, Candigal said:

I have tricare south prime and was one month from consultation to surgery. I did not have to do a psych consult or a nutritionist (the docs office had one and so did the hospital). My BMI was 40 and it fluctuated.

Hi, can I ask where you are located? I am in the Panhandle of Florida so I have tricare south as well. I'm wondering if I should seek out another location for approval. There are only 2 tricare approved surgeons and they are in the same group. I am just perplexed as to why their office wouldn't even see me. The insurance rep/receptionist told me tricare wouldn't approve the surgery so there was no reason to be seen. She also stated that once seen (if I put on 20 lbs!) tricare still requires 4 months of nutrition classes. Wonder why you had a different experience. She told me, again, if I was seen, it would take a minimum of 6 months to complete process before submitting for surgery approval; so looking at year from now.

Thank you endlessly for your help and navigation.

Share this post


Link to post
Share on other sites

1 minute ago, VSG4Mag said:

Ok! I hope that works out.

Keep in mind too, that some insurance requires 6 months of weigh ins. Maybe keep up with that through your primary doctor so that doesn't hold you up.

If your insurance covers a nutritionist, see if you can get an appointment with one that will go over the pre and post bariatric diet requirements. That will knock on thing out that the bariatric group will likely need you to do. Plus it is very informative and educating. And maybe find a psych doctor/therapist ahead of time too so you can set it up more easily.

My practice DID have everything in house, but many of them were not covered by insurance and I'd have to pay out of pocket a couple of hundred for each. Also, they were very backed up and appointments were tough to schedule for me.

I'm excited for you. I was you just last week. 😀

I'm so thankful for the hope you've given me. I also appreciate the advice. I am going to take it and be as proactive as possible. Thank you!

Share this post


Link to post
Share on other sites

I used Cahaba Valley Surgical, Dr Christopher in Birmingham, AL. It may be worth the drive. He was very direct and my process was straight forward. I didn't have to jump through hoops.

Share this post


Link to post
Share on other sites

52 minutes ago, VSG4Mag said:

I had read and watched many videos on Mexico and was totally ready to go. Before persuing that, I figured why not give it a go with insurance? That way at least I can say I tried, and obviously it will be no money out of pocket

I really thought Mexico was where I'd end up. I've heard a lot of good things.

40 minutes ago, Candigal said:

I have tricare south prime and was one month from consultation to surgery. I did not have to do a psych consult or a nutritionist (the docs office had one and so did the hospital). My BMI was 40 and it fluctuated.

Hi, can I ask where you are located? I am in the Panhandle of Florida so I have tricare south as well.

Share this post


Link to post
Share on other sites

Thank you so, so much for the info. I'm going to call his office tomorrow. Ahhhh! I'm so hopeful; thank you!

Share this post


Link to post
Share on other sites

I had sleep apnea too, the blood pressure no diabetes, after loosing 60 lbs, I still snore like a bear , and still have to take blood pressure meds. (hereditary per dr. ) still no diabetes.

With insurance, normal wait time is 6 months. Cash, come right on in.

Good Luck !

Share this post


Link to post
Share on other sites

I have Tricare Prime North. Would have been a minimum of 6 months, and more likely a year. Went to Mexico with Dr. Illan, and couldn't be happier.

I am a military man's wife... not military myself. Those actually in the Army can NOT get the surgery, as they will be fired. I don't know about the other branches of service.

Share this post


Link to post
Share on other sites

On 3/28/2017 at 0:45 AM, Mrsa said:

I do not qualify for GS because I don't have a major co-morbidity but do have a BMI of 36. I am desperate for help so am looking at Mexico as an option. How long does it take to have surgery scheduled? Do they have as many hoops to jump through as in the states? Is it a faster process in Mexico? Thank you for any insight you can provide.

I soooo recommend Mexico... NO HOOPS!

Once I decided that Dr. Illan at Bariatric Pal was who I wanted to do my surgery (I researched surgery in Mexico for 6-9 months, maybe more).

I spoke with Bill@Bariatricpal.com and he sent me the Medical application (I filled out my paperwork, which took me a few days) I was approved for surgery in less then 1 week!

I had the option of 3 to 4 different dates that were around 8-12 weeks out!

The next step was finding a flight that coordinated with my dates and Bariatric Pal's pick up schedule. I found one and contacted Bill to confirm it. (Bill stayed on the phone with me while I booked it). 2-3 days!

My surgery was 3/28/17 and that's my awesome experience... hope this helps!

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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

      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

      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

      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.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 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

    ×