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

Discouraged & Confused



Recommended Posts

I went to info session this evening. Super discouraged and wish I hadn't even gone. Found out today my employer has an "obesity exclusion" on our BCBS of AL policy. The surgeon's office where I attended the seminar advised me they have no financing options and they don't accept Care Credit. A clinic in neighboring state does. I'm still considering the Mexico option, even though my bf & bestie both have a fit when I mention it. I am terrified of the debt w/Care Credit but just as terrified of diabetes, heart trouble, joint replacement, etc (all of which would be covered by my policy). I have some savings, but definitely not anywhere near $15K. Ughhh.... Any suggestions? Thoughts? Encouragement? BMI is 39, I'm 40 & ready to live healthy! Help :(

Share this post


Link to post
Share on other sites

Is the exclusion just for your particular employer? I also have BCBS of AL but with PEEHIP. Have you checked around with other surgeon's offices to see if they offer financing options?

Share this post


Link to post
Share on other sites

I can definately relate, only I went through all of the pre-op tests BEFORE I was Informed that my BCBS also had an obesity clause!!! That was 6 years ago. Last year I decided to bite the bullet and just pay for it. UGH!!!! I'm also getting ready for a TT and breast Reduction that I'll also be paying! My only advise to you is figure it out, whatever it takes. I gained another 30 pounds and aged Nother six years into my fifties by waiting. So wish I had figured out a way to pay six years ago. Best wishes to you. Hope you can figure something out.

Share this post


Link to post
Share on other sites

Is the exclusion just for your particular employer? I also have BCBS of AL but with PEEHIP. Have you checked around with other surgeon's offices to see if they offer financing options?

There's a clinic in Mobile that I'm going to call tomorrow and register for yet another seminar. If all else fails, I could possibly look into refi on my home. :/ My employer set the exclusion - And I'm a nurse. Lol!

Share this post


Link to post
Share on other sites

Cheaper in Houston. Worth the drive. I was self pay in Houston. Put it on a zero interest credit card so worth it!

Cheri

Share this post


Link to post
Share on other sites

On this forum in the self pay section someone mentioned a doctor in Dearborn Michigan names Dr Ali Elhorr or something to that effect that does surgery for less than 10k.

Share this post


Link to post
Share on other sites

I went to info session this evening. Super discouraged and wish I hadn't even gone. Found out today my employer has an "obesity exclusion" on our BCBS of AL policy. The surgeon's office where I attended the seminar advised me they have no financing options and they don't accept Care Credit. A clinic in neighboring state does. I'm still considering the Mexico option, even though my bf & bestie both have a fit when I mention it. I am terrified of the debt w/Care Credit but just as terrified of diabetes, heart trouble, joint replacement, etc (all of which would be covered by my policy). I have some savings, but definitely not anywhere near $15K. Ughhh.... Any suggestions? Thoughts? Encouragement? BMI is 39, I'm 40 & ready to live healthy! Help :(

I am all for Mexico....there are alot of wonderful doctors there. Just do your research. I have a group of girls on Facebook that go to Clinica Jerusalem in Tijuana. I am going to Mexico for plastic surgery in June. I believe the clinic I am attending also does lapband. It is called cosmed clinic. Google them and do research...I was going to originally go to Mexico for my band...then finances happened and it was put off. Then I got insurance that covered it...but my surgeon from Oregon was trained in Tijuana. Also, Mexico has been doing the band alot longer than the U.S. good luck to you...

Share this post


Link to post
Share on other sites

I did it in Mexico with Dr. Pedro Kuri. The price was $5000 and the experience was way better than expected. Beautiful clinic and he has been doing lap band surgery longer than most US doctors. His website is lapbandsurgery.com.

I have no regrets. His staff picks you up at the San Diego airport and drives you into Tijuana. You stay the night in his clinic that actually looks lie a very nice hotel.

Share this post


Link to post
Share on other sites

I would look around the US a little- seems there's a guy in Colorado who does it for fairly cheap and it seems like true Results is usually around 10k. I have no idea about business practices, etc of these places but have read about other self-payers going to them.

If you go to Mexico, make sure to set up a fill doc before. I have heard that it can be hard to find someone.

Share this post


Link to post
Share on other sites

Well... Went to a different seminar today. I've decided to refinance my home (I'm only 2yrs into my mortgage) and self pay locally. I'm super excited! Start the refi process tomorrow and first dr appt is next week :)

Share this post


Link to post
Share on other sites

Well... Went to a different seminar today. I've decided to refinance my home (I'm only 2yrs into my mortgage) and self pay locally. I'm super excited! Start the refi process tomorrow and first dr appt is next week :)

Good for you! I find out tomorrow if my insurance will pay. If not, I'll take the money out of my 401k. I'm so determined to do this. I'm 61 and have been dieting since I was 12. This is my last-ditch effort. I've done a lot of research about lap band and talked to several people so I'm psyched. Good luck to you!

Share this post


Link to post
Share on other sites

True Results in Houston was $9000 with a year of follow care and fills. My insurance also had an exclusion...however True Results was able to go in and find a loop hole that allowed me to have a hernia repair (which insurance covered part of) and the lap band at the same time. It ended up being only $5500 out of pocket.

Share this post


Link to post
Share on other sites

$5500 would be bettern than $9888, for sure.

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

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • 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

    ×