nerdmom

Just got my surgery date! April 6th!!!!

I'm in El Paso Texas with a bariatric center of excellence. Dr. Lara with Del Sol. I'm cash paying at $10,500. There is a Mexico option that is like 30 miles from my house in Juarez Mexico that they said their price is $6,800. Even though I have checked out all the credentials with the doc in Jtown, I'm staying state side because it's 3 days in Jtown and I would have no one to watch my kiddos. I'm also insanely picky about doctors and I have already met Dr. Lara and really liked him.

My doctor, dr. Lara here in El Paso Texas is $10,500. It is a bariatric center of excellence. Del Sol bariatric center if you want to Google him. I'm self pay and get my surgery date on Wednesday. You can email me at dilligaf1983@gmail.com if you want.

Self pay in El Paso Texas with Dr. Lara, he's wonderful. $10,500 including follow ups for 18 months.

Thanks @@Teebaby I hope all goes smoothly with your approval. My situation is unfortunate but I am fortunate to be able to pay on my own for the most part. My same surgeon's rate is $10,500 flat rate. If I were to head to Mexico theirs was like $6,800 and their hospital is like 30 miles from my house. I'm staying with my surgeon because I'm really insanely picky about doctors and I'm comfortable with him. If I were to head to Mexico I also would not have anyone to watch my kids while I was there. So that also played a factor.

We are self employed with the gold standard policy.

We spoke to bcbstx and they will not approve me under any circumstances bc it is not a covered benefit. Went through the psych eval UGI and all my clearances and got denied. Even though the surgeons office called to confirm it was a benefit in feb. Can't appeal as bcbs told us the won't accept an appeal at all. Soooo here I go self pay. Taking my down payment tomorrow. This sucks. What the heck am I paying $800 a month to bcbs for then?

El paso here. Looking for people to text and maybe get together with! We travel to Dallas frequently but live in EP. Dilligaf1983@gmail.com

It states yes on the Internet on our policy and excludes it on our explanation of benefits.

Yup we called bcbs ourselves. I don't know if it has to do with the fact that we have a ppo. We are self employed and pay everything on out of our own pocket. This just sucks. Thanks though. Luckily I can still get it but it sucks to have to pay it all out of pocket.

I should add we are self employed and our insurance is bcbs but private. Ppo. $800 a month for the highest package they offer and it's excluded. :/

I have bcbstx and after doing everything required I was denied and they told me it not only wasn't on my specific policy but it doesn't get approved in the state of texas. I am now self pay. I'm so pissed. My bmi is over 40 with co-morbidities and they told me too bad so sad. Bcbs can't find of course any of the calls from when my surgeon's office called to verify.

I'm self pay in Texas. I'm choosing state side even though the Mexico hospital is maybe 30 miles from my house. The difference in price is about 4k. It's $10,500 for my doctor including checkups for the next year and a half. I'm going to take my deposit tomorrow.

Welcome! Good luck on this journey. I'm always up to chatting. It seems to be the only thing I want to talk about lately! Lol. I'm still pre-op.

My letter of medical necessity was sent just yesterday. I'm waiting on approval from the insurance now. I have a tonsillectomy next week and I was hoping to do my 2 week liquid diet at that time. Kinda cheat the system you know? Lol.

How do you feel?

I need two things for my approval, 1 being an upper GI and 2 being a psych eval. Upper GI done and results in, psych eval done Feb 10 and they said 10 days at max before results. keep calling on nothing back on the psych eval. I mean these are literally the only 2 things I need before insurance can approve me for surgery. I don't want to be annoying, I just don't want to get lost in the mix. :/

Well guys, it seems to be falling in place more now. The surgeons office is sending my letter of medical necessity this week and I have to get a tonsillectomy on the 19th. If all goes well I am praying for April 6th to be my surgery date so my mom can watch the kids, otherwise I have no idea as to what to do with them. My kids are 1 and 5 and I'm a SAHM. Once I'm cleared from the bypass I'm going to need someone to watch my kids while I go have a hysterectomy. Wow. This is crazy. Oh well. Life is good just need that letter sent then I can be on my liquid diet while healing from the tonsillectomy. That really couldn't be more perfect.

Finally at least some answers! I called again today and the one guy who has been super helpful couldn't find my chart. He hunted it down and found that the psychiatrist still hasn't brought my report back. He called the psychiatrist and the psychiatrist said that I am cleared but he is bringing the report in on Tuesday. My surgeon's office said that the letter to the insurance should be sent out on tuesday too since they will have everything. Then I get to call and bug the insurance! Lol. Thank you all for all your help and encouragement. I hoping we can all get this done soon! Keep in touch let me know how everything is going for you all!

You guys are great encouragement! Thank you! I hope all goes well with you guys!

I don't know what the surgeon wants to do but both he and my gyno agree for me to rny before.

I am not scheduled for surgery yet but I have to get a hysterectomy after my bypass. I don't know how long it'll be in between but soon I'm sure. I have cysts the size of tennis balls on my ovaries but both gyno and bypass surgeon it's better for me to wait until after bypass. I'm in tons of pain. I don't know what to do or who to ask.

I'm still waiting on my psych eval before they send my letter. I'm so happy to hear all these good stories though!

Oh oops! @@losttexan I was thinking it was this past monday. My days are off. I'm still waiting for my surgeon to send the letter of medical necessity And I think I have fog brain. I hope all goes well! Keep us updated!

@@losttexan how did it go? How are you feeling?