Not getting a clear answer

[Laura Lopez 20]

My guess is if the surgeon says you don't or do need something, the insurance has to go with it. The surgeon is suppose to be the medical expert

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I hope so. I asked him if this doesn't work ( insurance approval) how much does the procedure cost he said 18,000. I immediately thought Mexico, I will go to Mexico. Then he added but don't worry I don't see a reason why you won't get approved just wait till next visit! why do they make it so hard to get approved!

Edited May 18, 2016 by Laura Lopez

[Read2016 658]

This journey of getting approved is more complex than I could have imagined. When I began thinking about this I never consider the first step should have been to look at my insurance policy. I just figured if they covered it, it would be handled like they do with any other health issues.

I wonder if the surgeon spaces out these "approval" based on their schedule. I know the one I'm using said he is booked for two months.

I love Mexico but am too chicken to have my surgery there.

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Edited May 18, 2016 by nyteacher125

[kaitlynm 335]

I think they are just looking for a weight record, not supervised weight loss attempts. Have you been to see your PCP for a couple of years? That is who I had to get 5 years of records from for BCBS TX.

[Laura Lopez 20]

This journey of getting approved is more complex than I could have imagined. When I began thinking about this I never consider the first step should have been to look at my insurance policy. I just figured if they covered it, it would be handled like they do with any other health issues.

I wonder if the surgeon spaces out these "approval" based on their schedule. I know the one I'm using said he is booked for two months.

I love Mexico but am too chicken to have my surgery there.

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I am too! At the beginning of my journey Mexico was my only option. But then I was told that medical also covers this procedure I was excited and decided that I rather wait 6 months. I feel more comfortable having surgery here in the states than going to Mexico.

Edited May 18, 2016 by Laura Lopez

[Read2016 658]

I do love vacationing in Mexico, it's so relaxing

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Keep me posted on your journey. I'm going on May 25th, hopefully I'll have some answers than.

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[Laura Lopez 20]

I think they are just looking for a weight record, not supervised weight loss attempts. Have you been to see your PCP for a couple of years? That is who I had to get 5 years of records from for BCBS TX.

I've had different pcps. I have turned in 2013, 2014, 2015. All different doctors.

[Laura Lopez 20]

I do love vacationing in Mexico, it's so relaxing

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Keep me posted on your journey. I'm going on May 25th, hopefully I'll have some answers than.

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Will do, please keep in touch! Keep me updated! Good luck

[Read2016 658]

Ty????

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[Laura Lopez 20]

I was told something similar by BCBS - Told me my Dr would need to determine requirements for prior authorization. I could not get anything in writing other than coverage info.

Isn't it frustrating. [emoji16][emoji16][emoji16]