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Gastric Sleeve insurance coverage in TX?



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Hi everyone! I'm in Houston TX and looking for an insurance that will cover my sleeve. Which insurance company did you go through or did most everyone in TX have to self pay? Can't wait to hear from you!

Edited by NewKri1227

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I am also in Houston, Tx! Howdy! :) I used Blue Cross Blue Shield, I paid about $2300 out of pocket and had to stay three days in the hospital.

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I am also in Houston, Tx! Howdy! :) I used Blue Cross Blue Shield, I paid about $2300 out of pocket and had to stay three days in the hospital.

Oh i'm so happy to hear this! I'm deff going to look into it ???????? thank you!

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I am also in Houston, Tx! Howdy! :) I used Blue Cross Blue Shield, I paid about $2300 out of pocket and had to stay three days in the hospital.

Hi there! Quick question, what year did you have your sleeve done? I just called blue cross blue shield and they said they do not cover weight loss surgery... I've called several others and they say the same. I don't get it are almost everyone in texas paying for it themselves?

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I'm trying to get my process started and i keep hitting a road block in finding an insurance company that covers it. ????

Edited by NewKri1227

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Each plan is different. I have BCBS and had surgery Dec. 2015

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I have UHC through my employer and it does cover weightloss surgery. I did not use insurance though as I didn't want to wait through the six months supervised diet. My cash pay price in the Dallas/Ft Worth area was less than 5K. Best decision of my life!

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Hi I'm also in Houston. I had BCBS through my employer. I had already met my out of pocket for the year so I did not have to pay any additional amount for the surgery. My surgery was Oct 2015. I know employers can choose to include or exclude bariatric surgery. When purchasing insurance I'm guessing that they don't want you to just pay a couple of premiums and get the surgery so maybe they require a time limit before they will cover it.

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Thank you for all your replies! Yeah i guess my first road block is insurance coverage. I work as a nanny so i am self insured and there aren't any policies i can buy that will cover it unless next year things change or i begin working with a company. I deff want & need the surgery and know i wouldn't regret it either.

I have UHC through my employer and it does cover weightloss surgery. I did not use insurance though as I didn't want to wait through the six months supervised diet. My cash pay price in the Dallas/Ft Worth area was less than 5K. Best decision of my life!

Question, how were you able to get it less than 5k? I was told at the clinic in houston that it was 13k.. Please share!

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