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I do have insurance coverage..... I just don't qualify for the VGB (Vertical Gastric Band) procedure based on their criteria. By the way.... I had a friend that went to Dr. Kim for the RNY. She did well, but had been in remission from Cancer and her cancer came back. She passed away last year. She looked amazing, and had no probs from the bariatric surgery.
I went to Dr Sauceda in Monterrey Mexico and had the works, including a full neck and face lift and upper and lower lids.
Dr Sauceda will be in Orlando on the 28th and 29th of this month and is available for consults. There will be several post ops there too so you can see his work. If you click on Dr Sauceda in my siggy line, it'll take you to our group here on OH. Click on Events on the right hand side to see more. We have 200 pages of information from folks that have had surgery with Dr Sauceda. Pictures in the photo section too, most have passwords, but you can contact the folks...
Chris
HW/225 - 5'1" ~ SW/205/after surgery 215 ~ CW/145~ BMI-25.8~Normal BMI 132 ~DS Dr Rabkin 4/17/08
Plastics in Monterrey - See Group on OH Dr Sauceda Jan 13, 2011
LBL, BL, small thigh lift, arms & a full facelift on 1/17/11 UBL 1/21/13
Love my Body by Sauceda
I am half way thru Dr Kim's process on the way to r-n-y His program has lots of post op followup needed after the inital surgery.
Lots of rules to follow else you gain the weight back over time.
Good luck to you whichever way you go.
Hopefully they'll have to treat post op complications... they'll treat symptomatically I would think. I guess I should call the insurance company, but I'm still going to go to Mexico. I really have no significant medical problems, so hopefully I'll be OK.
no, because I haven't been working there 24 consecutive months. Can't argue that, it's their policy.
Can you appeal the decision for the reasons you stated?
Mexico - what if you have complications post op?
I want to have the gastric sleeve procedure. I'm a RN, and the insurance company won't pay for my surgery because I haven't been with the hospital for 24 consecutive months. I work for Orlando Health and have HealthChoice Insurance. I worked there for over 10 years, left to take another job, and came back a little over a year ago. They want me to wait another year. I've lost weight (>100 pounds) at least 3 times and always gained it back. I don't want to be 200 pounds for another year, and if I lose 20 pounds I will no longer meet the BMI criteria. My highest weight was 272, my lowest adult weight was 127 after losing almost 150 pounds. My weight this morning was 198. I'm considering going to Mexico to have the surgery. I've been researching Dr's and facilities there. Most of what I read is very positive, but I can't help but think you can't always believe what you read on line. I'm considering Dr. Ortiz, Dr. Aceves and Dr. Alvarez. I would appreciate any advice you can give me.
After I saw the nutritionist on 6/17 I stopped by the pulmonologist Dr Alabi to see if they could squeeze me in a day early. I got to see Dr Umeh and do the tests. All nice people. They had me take home a sleep study monitor. I returned it today. I have significant sleep apnea events (many years). I am CPAP and BIPAP intolerant. They decided to order me a BIPAP and have me use it for 3 weeks. They want a BIPAP on standby in case I need it after the surgery. After the 3 weeks they will check it for compliance and give me the clearance.
The portable monitoring device measures oxygen saturation, heart rate, air flow and effort. It will also records snoring and position. It can provide a baseline needed to setup the BIPAP.
I am wondering about Dr. Jacquline Royce. Anyone know about her?
