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It still seems to me, that those non payers and the ridiculous amount of overbilling is what is causing my insurance premiums to go up, and them to cover less.

There are people in my husbands company who choose not to buy the insurance that the company offers, and when they need a Dr. they hit the county hospital ER, where they cannot be sent away----and those of us who opt to pay the outreageous premiums each paycheck, just pay their way too!

Not sure what the "right" way is, but our insurance and medical system is in shambles!!!

BCBS and I went round and round until I finally opted to self pay----and I spent just over $7K in Mexico, by the time I spent my out of pocket maximum, which they would have required, I was only out about 4 thousand bucks--was well worth not waiting another year-----but that is what they wanted me to do! Pay it myself, and continue to pay my monthly premiums!!!

Kat

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Angelica,

That's why I'm going to Juarez next month to get my band. Self-pay and it's affordable!

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Wow, I cant imagine cost like this. I live in the middle east and medical is free here if you have residency and my surgery was free, all I had to pay for was the band itself. My surgeon is a bariatric specialist who is on conference in the US regularily and gave me his cell number if I need anything or have any questions both pre and post op. I had a private suite for my surgery and my cost was $2, 082 all inclusive. Any follow up appointments are free as well, and I think I will pay about $14 for each fill. I dont think I would have ever had the surgery had I been self pay living in the US. I had my first consultation with the surgeon on Dec 31, 2007 and was referred on to the dietician, general and psych the next week. I got the OK for surgery on January 18th and was booked for surgery on February 10th. It was great, no months and months of waiting and I must say the medical care was first class. I am so happy with my band and my surgeon. I am booked for a follow up on March 31st and hopefully getting my first fill :thumbup:

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I wish we had free medical!!! It's rediculous that I have to go out of the country to be able afford this. I had to save for months and use every penny of my income tax return. Not to mention all the fills I will have to pay for. Even the travel is an added expense. I have to travel about an hour away to get to the closest fill doc. What's the point of even having health insurance???????

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BCBS and I went round and round until I finally opted to self pay----and I spent just over $7K in Mexico, by the time I spent my out of pocket maximum, which they would have required, I was only out about 4 thousand bucks--was well worth not waiting another year-----but that is what they wanted me to do! Pay it myself, and continue to pay my monthly premiums!!!

Kat

I had the SAME issue w/BCBS - by month 4 I was done. I knew I would not qualify (by my policy) with a BMI of 36 and no comorbids - but my husband was a different story. He met their criteria, but they seem to change their guidelines along the way. Fed up and wanting it RIGHT now we went self pay. I had not done enough research to know that going to Mexico was an option for us & being in TX, we can get there pretty easy.

When DH's Open Enrollment came around this past NOV, I made sure to get out from BCBS...We had already had our surgery, and I was fed up w/how they handled us..So we went to a different carrier, one that would have approved us...BUT whats done is done.

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my dr billed my insuranse over 80k, and got pd about 22k. i had 4 previos surguries last year, so my out-of-pocket maximum left was 480 bucks. alas, when my wife has it we will not have met the max, i expect to pay about 2k.

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................& being in TX, we can get there pretty easy.

Where at in Tx? Also great job on your weight loss!!!!!

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Where at in Tx? Also great job on your weight loss!!!!!

Thanks!!! I'm in the DFW area...

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I just got banded Thursday by Dr. Ortiz in Mexico. My entire experience was five stars!! Dr. Ortiz and his staff are excellent. I paid $7500.00: direct deposit to his account. This included everything from transportation from San Diego airport to hotel accomodations for my husband. The staff even had food delivered for my husband while we did the pre ops.

Kim

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My Hospital bill was $23,000 and my portion after insurance was $1,000. Anesthesia was $94.00 out of pocket and My Surgeon was $150 after insurance. I'm so glad that my insurance covered this. Out of pocket, I'm probably at $4,000 to $5,000.00 for the program, testing, hospital and associated costs. But it was well worth it.

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My hospital billed my insurance just under $50k. The insurance discounted it down to around $18k, and I was responsible for about $8k, overall.

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    • LeighaTR

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

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

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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.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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