So...sad :(

[Happie 0]

My insurance considers VSG experimental/investigational...it specifically excluded it. My case manager says very very few people have got this surgery. I love my job but I'm considering a new job for new insurance. I asked if I paid my self if complications would be covered....they aren't...what a mess. I am giving up on surgery all together. I guess it's just not for me. My insurance company is small and only in the state of NM. I know I can appeal it and so forth but I don't even know if the surgeon would even submit it to my insurance being that they don't cover it.

[thinoneday 445]

now then, don't give up on self pay. . .i was self pay and here is the deal according to my physician. . . i asked him the question about what if problems happen after surgery, no they are not covered as a bariatric complication, however they are covered as a emergency basis. . . he said as long as you go to the ER they are covered under the insurance as an emergency. . . thank goodness i've not had complications in this past 2 years. . . my WLSurgeon is also the medical director of the hospital and as long as i request him all will be taken care of. . . soooooo this could be the case in your case. . . ask your doctor about complications if your self pay. . . i'm sure he'll tell you something simular. . . good luck and don't lose hope on this one. . .