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Hello!

My name is Meagan, I'm 34 new! I've struggled with my weight since...well...pretty much as long as I can remember. I've always been plus size but was an athlete in high school so I was really fit and toned at 150lbs, but would still dread going clothes shopping because 9/10 times it resulted in me crying in the dressing room. Since HS, its been a non-stop struggle to lose weight. I've tried every diet there is to try, gym memberships, work outs, trainers, medical fitness programs, supplements. You name it, I've tried it. Not only am I dealing with genetics (my paternal side of the family is very much overweight and has a host of medical problems because of it) but I also was diagnosed with depression and anxiety about 10 years ago. My current weight is the largest I've been at 265. I'm tired, y'all. I'm tired of working so hard, of following the meal plans and doing the work outs and seeing zero results. I've always struggled with my self esteem because of my weight and this past year it hit an all time low.

I started to research bariatric surgery options a few weeks ago and am ready to start the process. However, I just found out that surgery is not covered by my insurance (through my job) and the bariatric program I want to go through, requires insurance before I can start the program. What insurance company have you all seen that covers surgery? Supplemental plans? Help.

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a lot of insurance companies do cover it, but unfortunately, some employers don't want that coverage for the policies they offer their employees because the rider for bariatric surgery is pretty expensive. In other words, even if we had the exact same insurance company, if we worked for different employers, my employer might not have included that coverage to their employees' plans - whereas yours might have. So it's often more an issue of the employer not wanting that rider than it is the insurance company not offering it, if that makes sense.

some people who are self-pay end up going abroad for it since it's often much cheaper outside of the US. Mexico is a pretty popular destination for it. If you decide to go abroad, though, be sure to really research surgeons - there are some excellent ones and some not-so-great ones...

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    • 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.
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    • 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! 🤣
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    • 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 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
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