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

Did anyone approved by insurance in the US get banded in Mexico?



Recommended Posts

I've been deliberately staying out of the recent thread about Mexico vs. US, but this thought just came to me. Is there anyone on this board who had approval from insurance to go to a US doctor but chose to go to Mexico instead? I suspect the answer may help newbies understand the main reason why Mexico is often chosen, but now that I ask it I'm really curious myself. Please post your experience!

Share this post


Link to post
Share on other sites

I'm not totally sure. But I think if you can get insurance to cover surgery after the fact, the surgeon would need to be "in network". So probably a Mexican doctor wouldn't be on that list. Although sometimes insurance will cover partial costs if you have a procedure out-of-network. But like I said, I'm not positive. You could certainly try submit a claim.

For me Cigna denied me twice and I could have used someone locally (and paid out of pocket). But the experience and price in Mexico totally surpassed what I could find here.

I have read about some bandsters having the procedure covered in the US but deciding to go to Mx. for more experienced surgeons.

Share this post


Link to post
Share on other sites

I'm not totally sure. But I think if you can get insurance to cover surgery after the fact, the surgeon would need to be "in network". So probably a Mexican doctor wouldn't be on that list. Although sometimes insurance will cover partial costs if you have a procedure out-of-network. But like I said, I'm not positive. You could certainly try submit a claim.

I was banded in the US. Insurance definitely wouldn't cover an elective surgery out of the country.

I have read about some bandsters having the procedure covered in the US but deciding to go to Mx. for more experienced surgeons.

I'd love to hear from some. Anyone?

Share this post


Link to post
Share on other sites

Unless I hear from anyone who was approved by insurance but chose Mexico due to surgeon/hospital issues, it seems to me the question of why people go to Mexico to get banded has been answered: it's financial.

Share this post


Link to post
Share on other sites

I think you have an agenda here and I'm not sure why. There is already a thread about why people go to Mexico. Sure it is partially financial, but not my only motivation. Honestly, when I first read about Drs. Sanchez and Rumbaut in Monterrey while I was still pursuing insurance coverage, I thought "wow, it's too bad I can't go to these guys, they are ten times more experienced than a local surgeon."

So yes, for me, money was a factor. Anyone who is self-pay will probably agree with that. But there is a doctor here in Denver who does the band for $9950 -- and I STILL opted to go to Mexico. That is the SAME price (with airfare) that my surgeon charges. I cared more about experience than location.

Share this post


Link to post
Share on other sites

I think you have an agenda here and I'm not sure why.

"Agenda" sounds a little sinsister. Clarification is more accurate. I am tired of watching people get beat up on other threads for saying they would not go to Mexico for surgery, and having everyone come back and say they went to Mexico because Mexico has the best surgeons. So I was asking for anyone who TRULY went to Mexico because of the quality of the surgeons. And I got my answer: people go to Mexico for financial reasons. They may be happy with the surgeons or hospitals after they've made that decision, but the ACTUAL reason for the decision is money, not quality.

Share this post


Link to post
Share on other sites

I have Aetna and could have waited for approval for surgery at another facility but A) Didn't want to wait and :) Was impressed by the surgerons experience in Mexico. I actually was approved for surgery but the Dr that I wanted to go to only operated at a hospital that did not renew it's contract with Aetna. "Clarification" I'm really not convinced of since you had your band done in the states what difference does it make? Are you considering getting another band? The actual reason is NOT money versus quality because I believe that I got better quality treatment and a higher quality surgeon than many people in the states. IMHO I do think there is some type of agenda here also, let it go everyone picks their own surgeon for whatever reason it may be. Good luck in your weight loss journey.

Share this post


Link to post
Share on other sites

If my insurance covered the procedure I would not be going to Mexico (because I'd only be paying the copay for the surgery in the US), that's true, but if I wasn't positive about the experience and training of the doctor I've chosen, I wouldn't be going to Mexico either.

Share this post


Link to post
Share on other sites

My insurance doesn't cover any wls, so I was self-pay. I'm blessed in the fact that I could afford to pay for surgery here, but I chose Dr. Ortiz in Mexico for all the right reasons. So, the answer to your question is, no, not everyone chooses a doctor from another country due to financial reasons. Sorry.

Share this post


Link to post
Share on other sites

post_old.gif 08-30-2006, 10:49 AM

no.name user_online.gif vbmenu_register("postmenu_288972", true);

Texas Toast

Join Date: Dec 2005

Posts: 23

im_aim.gif

He is the best of the best's best and there is no better.

This is on the Robert Raumbart sp? thread.

He is in Mexico, You dont recommed mexico, so have you used him?

Do you have a band- there is no signature information.

Share this post


Link to post
Share on other sites

Gonnabethin- I'm betting no.name is one of the banned users since she appears to be very negative and nasty in some posts.

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

    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 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

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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!

  • 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

    ×