mz.newlife54 103 Posted July 24, 2014 Hello all. Just in case im denied by bcbs fed because i dont have history of bmi of 40 for two years im looking to go to Mexico. Question, where do you go for care after surgery? Share this post Link to post Share on other sites
mrshawk92 20 Posted July 27, 2014 i am too looking at mexico. as for after care, you just need to talk to pcp's and bariatric dr.'s and ask if they will be willing to do any follow up. with vsg there is not really much follow up, if any, to my knowledge. however, be prepared to hit a lot of opposition from the american medical field in regards to going out of country. my pcp told me flat out he would drop me like a hot stone if i did it. my answer to that......scr$w him! Share this post Link to post Share on other sites
chasingpolaris321 214 Posted July 27, 2014 I have BCBS Fed and was approved without a two year history of 40 bmi. as far as I can tell, they want documentation of morbid obesity which is 35 and above. So if you are now 40 but you weren't consistently that until now, you should be fine. My bmi was in the 30s and I just submitted one record from each year showing a bmi of 35 ish and didn't have any trouble. You should definitely give the insurance a shot! 1 peteyrulz reacted to this Share this post Link to post Share on other sites
Susysleever 265 Posted August 15, 2014 I brought up vsg to my psych np. She then asked, 'Mexico'? First, she doesnt believe in surgery, just diet and exercise. Second, she said I should gain wt (im 35 bmi). Now if I had a cancerous tumor, they would slap my ass into an operating room. But no, I get told to gain weight. When are they going to treat this aggressively? So I thoought I would go to a surgery info this weekend. I bet if got a sleep study, I could qualify. But screw that six months waiting period. I wonder if I can do it retroactively. Share this post Link to post Share on other sites
Kindle 8,667 Posted August 15, 2014 (edited) I had my surgery at Obesity Control Center in Tijuana. I have been able to consult with my doctor there via phone and email when I had questions. I had a smooth recovery and no surgical complications, so the only followup I've needed is 6 month bloodwork. I simply called my PCP and he gave me an order for the lab work. If I did have complications, he would have referred me to an appropriate specialist. My OB/Gyn was so excited about my decision and impressed with my results, she also offered to take care of any bloodwork or followup care I needed. She actually took down my surgeon's contact info to pass on to her other clients who's insurance didn't cover WLS. Edited August 15, 2014 by Kindle 1 slvrsax reacted to this Share this post Link to post Share on other sites
LadyPullings 94 Posted August 15, 2014 Dr. Quinones!!!! Share this post Link to post Share on other sites
slvrsax 301 Posted August 15, 2014 I'm with Kindle, I'm also an Ariel Ortiz/OCC patient. My primary care doc did bloodwork in April, and had an upper GI in May. My insurance has covered all, even though there is a specific exclusion for weight loss surgery or anything having to do with WLS. I've had no problems getting follow up care. I've been met with some judgment in the medical community (or I think anyway), but not been chastised or denied care. Not. One. Single. Regret. Go for it! Share this post Link to post Share on other sites