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

UHC CRIMINALS.. 5 year BS.. considering Mexico



Recommended Posts

UHC has yet again denied me for surgery. Apparently my 5 year weight history is not documentented enough..

Any advice?

Considering surgery in Mexico at this point. I am so ready.

WHat do I do?

Share this post


Link to post
Share on other sites

If you aren't able to gain insurance approval, but know this is for you, then advice is to start looking into self pay or financing. Which you're indicating that you're already doing. You could continue the insurance battle, perhaps posting here to get more specific advice, but few things with insurance are fast and if you want it now, you're going to have to pay.

More patients are finding some stateside doctors to be cost-comparable to MX surgeons. I cringe -- not that people go to MX -- but that they do it just to save money. I'd think with something like this, it's best to go to whomever has the best numbers, whomever you feel most comfortable with, etc. For many people that heppens to be MX. I just cringe when people treat surgiery and a lifelong implant like a clearance sale, where the lowest price tag should be the driving factor.

Some options to look into include self-pay, medical loans, re-routing of existing bills, second mortgages, credit cards, etc. (just some of the many options I've seen people use).

Share this post


Link to post
Share on other sites

Well I don't own a home and I am already in debt, the doctor I was supposed to have surgery with will cost me $15,500.

SO far from what I see with Dr. Ortiz in MX the cost is about $8000 and so far I have read great things about him.

I take this very seriously, and my health and well being are important to me and if they wernt I would just hop on a plane and have it done without doing research, I already know I can go for aftercare to my Dr here.

Share this post


Link to post
Share on other sites

Dont give up on UHC! It took 3 appeals to get them to approve me. They hope you will give up & just go away, but dont let them do that to you! Write them a long letter, consult w/ an atty, do whatever it takes!

Share this post


Link to post
Share on other sites

Do you have a PCP that can go to bat for you with the insurance company? Does your primary care physician have anything that would help--his knowledge of your past obesity, even if it isn't reflected in your medical records? Lots of times a call from a PCP can push the insurance company along, once they realize there is a medical professional willing to help you fight them.

If you truly think there is nothing further to be done with your insurance, then Dr Ortiz or several other competent Mexican or American doctors are viable alternatives.

On the plus side, you will be saving money on your grocery bills after surgery. Not being smart, just stating a real fact. We spend much less on eating out and groceries since our surgery.

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

    • BabySpoons

      Sometimes reading the posts here make me wonder if some people just weren't mentally ready for WLS and needed more time with the bariatric team psychiatrist. Complaining about the limited drink/food choices early on... blah..blah...blah. The living to eat mentality really needs to go and be replaced with eating to live. JS
      · 1 reply
      1. Bypass2Freedom

        We have to remember that everyone moves at their own pace. For some it may be harder to adjust, people may have other factors at play that feed into the unhealthy relationship with food e.g. eating disorders, trauma. I'd hope those who you are referring to address this outside of this forum, with a professional.


        This is a place to feel safe to vent, seek advice, hopefully without judgement.


        Compassion goes a long way :)

    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 2 replies
      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

      2. Theweightisover2024🙌💪

        That sounds awesome. I'll have to check that out thanks!

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
      · 0 replies
      1. This update has no replies.
    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
  • 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

    ×