self-pay & insurance
Hi..I'm new to all of this, but I've been considering WLS for quite some time now. The problem is once I graduated from college and was no longer eligible to be covered under my parents' health insurance plan I just never got around to getting a new insurance company. I haven't been fortunate enough to land a job with insurance benefits. I wasn't thinking about WLS as an option and I avoided doctors at all cost. But now I realize that I need to have this surgery to help improve my life.
At first I considered saving up and just going the self pay route. Does anyone have any experience with this process? I assume you have to still have to pick a doctor and get a referral to a bariatric specialist/surgeon and then get on a waiting list.
I was thinking that waiting until I saved up the money to pay for all of the pre-approval and pre-op appointments and the surgery itself would take just as long as if I went and found independent health insurance. I'm sure the premium I would pay for the 6 months - year of background doctor prescribed dieting before approval and the co-pay/surgeons fees would still be less than self-paying the whole procedure.
Has anyone had independent health insurance and could recommend a good provider? I don't mind paying what seems like an outrageous premium when it will save me a lot of money in the long-run.
I'm working 50-80 hours a week and putting everything else in my life on hold to save up for this surgery. I've started protein-loading, avoiding carbs, and exercising and keeping a diet journal to potentially help the future approval process.
Is there anything more than I can do? Everything I read on here seems to speak to those fortunate enough to have medical coverage through work or by other means..I have to totally start from the ground-up to get this ball rolling, and this is my first step.
Thank you so much for any help you can possibly give me!
-- Ashley
pre-pre-pre-op
24 years old, 375+ lbs (last time I was weighed was over 3 years ago)
Ashley,
Hey there. I just wanted to let you know that I am self pay and will be having the surgery on Jan. 19, 2005. I had to get a home equity loan to pay for it, but if you do not own a home there are other ways. The Wish Center offers financing and the payments are supposed to be less than a car payment would be. I am sure that other surgeon's offer some sort of plan as well, you would just have to call and research a bit. I do know from experience that I cannot get independent health insurance. I am 23 years old, 5'4", and weigh 286. I called over 26 health insurance companies, and they all said that I "exceed their weight limit for coverage". Even when I said I didn't care about the premium cost, they refused to cover me. I hope you have better luck finding insurance than I did, and if you do, I'd be curious to know who you went through? Just don't forget what I said about the Wish Center. They have been incredible. All you have to do is go to a seminar, they hand you a packet, and then when you have about 2,000 dollars on hand, schedule your first appt. and have all the financing papers filled out. I know that they take it from there. If you do not qualify for the financing, they do allow someone else to apply for you (i.e. mom, dad, generous friend...
)
Again, Good luck and keep us updated!!
-Phoenix
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