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everyone paying for this themselves?



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Hi all,

I was just curious because im having the hardest time getting anywhere. I can't get approved by my insurance and i haven't able to finance my surgery. Is everyone paying out of their pockets for this? I know im not the only one with bad credit, and there are so many people getting the lap band. How are you guys doing it?????? :cry

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Fortunately I have good insurance that will pay for it. Otherwise I would'nt be able to do it either. Keep bugging your insurance company, have your doctors write them and tell them you need this done. Show proof, medical related problems to your weight ( blood pressure, diabetes, sleep apnea, etc.) Document your efforts over the years to loose the weight. Best of luck.

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Thanks for your reply, the only bad things is that i have a written exclusion so i can't get past it even with a referral of medial necessity. What insurance co do you have?

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Mel, you are FAR from the only person who can't pay for this expensive surgery out of pocket. I fought with my insurance carrier for 9 months before winning on external appeal. I was totally prepared to wait and switch carriers if I had to, or even look for a new job. Thankfully none of that was necessary, and I was able to win even though Aetna excluded the band across the board at the time.

If your employer has a written exclusion that can be the hardest thing to fight, but I know it's been done. Are you talking with your human resources dept about it? If they're on your side the exclusion can be changed. IF they're on your side, which is a big IF, I'm sad to say.

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I have Dakota Care Design through my husband's work and I have Wellmark Blue Cross and Blue Shield through my employer.

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I paid for my band by using credit cards. I'm still trying to pay them all off. I used the 'courtesy' checks they send. Be careful - some credit cards treat those like a cash advance and you get charged MUCH higher rates. Read the checks and your terms and conditions carefully.

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I went to Mexico for my band. Many people here go to other countries to get their bands because the self pay is more expensive here. The costs vary somewhere between $7,000-$10,000 in a different country. A LOT of us have gone to Mexico. I saved and paid 1/2 of my band cash and the other 1/2 my mom paid/ i borrowed. I have 2 years to pay it back. :( Much cheaper than the credit card rate. :) It was scary going to another country at first, but I do have a happy healthy band so it was all worth it.

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My work had given me some (very very few) stock options like six years ago and they have been underwater all that time. Our company is finally doing well and the stock options were worth something so I sold them and that covered a little more than half. The rest I scraped up from savings. I have no savings now....but that's okay, it was worth it.

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For my daughter's band, I borrowed a majority against my 401 plan at work at a 6.3% interest rate and I'm actually paying back myself on each paycheck. The rest I cashed in stock that my company gives each employee each year. I checked into the finance company that my doctor suggested but they wanted to charge a 19% interest rate. I couldn't do that.

Good luck.

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I used our Home Equity line of credit. The rate went up last month to 7.25%, it was 6.5% a few short months ago. Even less a few months before that! sigh. But I'm chipping away at it. The rate is much less than a credit card and, of course, it's a tax deduction. But it's the rate that chose the way we went. I'm planning to go back to work in the fall? so the bulk of my paycheck will go towards getting that monkey off my back. In the meantime, I'm shrinking slowly. It will be worth it!

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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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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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