 |
|
09-08-2007, 10:52 AM
|
#1 (permalink)
|
|
Newbie
Join Date: Sep 2007 |
Age: 2 |
Posts: 6 |
|
Warning! You will never get insurance again!
So it seems.
I am a picture of success. Lost over 110 pounds, diabetes is completey gone for 2 yearas now, correct blood pressure - no meds at all!! I could not be more pleased
Except, anyone that has had bypass can no longer get insurance. It is on the blacklist. After 2 attempts to get insurance on my own, once with Aetna and again with Humanna, I was told both times that no known insurance company covers people that have had gastric bypass.
And no, none will write an exclusion. This is VERY disheartening.
The only, and I repeat ONLY chance I seem to have is if my employer will put me on a group plan. And with the increasing problems and rates employers have with insurance, many are flat out dropping covering of employees. In my case, I lose again. My employer is not an option.
So as a reslut of all of this, I am currently more healthy than I have ever been and completely un-insurable.
Does anyone have a insurance company, of any quality, that covers post-bypass patience? Or is bypass a real blacklist issue for people seeking insurance on their own?
Thanks for sharing 
CindyWho
|
|
|
09-08-2007, 10:58 AM
|
#2 (permalink)
|
|
Senior Member
Join Date: Nov 2005 |
Location: Small town TX |
Surgeon: Dr. Mueller |
Age: 36 |
Posts: 694 |
|
The good thing about a group plan is that they cannot exclude or omit you. That was my concern about going from an office of 3000 to an office of 3.
The new employer already had a health plan through Pacificare and he did some advance research before I accepted the position. They said they could **NOT** exclude me.
It might even be cheaper for you.
GL!
__________________
Tammy through the years...
The beginning, the middle and the GOAL!
Starbux free 74 days and counting!
10/27/2005 Dr. Mueller Lap and stuff
488 >> 230-ish. dropping!
"You can take the girl out of the East County but you can never take the East County out of the girl!"
|
|
|
09-08-2007, 11:07 AM
|
#3 (permalink)
|
|
Newbie
Join Date: Sep 2007 |
Age: 2 |
Posts: 6 |
|
Quote:
Originally Posted by Ruca
The good thing about a group plan is that they cannot exclude or omit you. That was my concern about going from an office of 3000 to an office of 3.
The new employer already had a health plan through Pacificare and he did some advance research before I accepted the position. They said they could **NOT** exclude me.
It might even be cheaper for you.
GL!
|
I wish. Unfortunately my employer no longer offers health group. And like thousands of single women I am forced to seek individual insurance for my self.
But yes, group plans more often than not, must allow bypass and can not exclude. That is a plus for anyone that is blessed with a company that provides insurance
CindyWho
|
|
|
09-08-2007, 05:50 PM
|
#4 (permalink)
|
|
TT Master
Join Date: Nov 2005 |
Location: Virginia Beach, VA |
Surgeon: Stanley Klein |
Posts: 7,812 |
|
Oye vey - yes insurance is an ugly and murky world. Seems if you so much as ever had the sniffles, they'll find a way to shut you out if you're going private. Yes, group coverage through an employer, or through Cobra after having left the employer or having a qualified event (such as reduction in hours) are everyones best bet. There are companies out there who will insure you, but unfortunately it is at a much higher rate. Ins Cos generally will start to reconsider you and reconsider you at lower rates after having been surgery free for 5 years.
Not much help, I know - I just wish you the very best of luck...
__________________
Blessings,
Whitney
272/243/ 123.5/135
Highest/Pre-op/ Current/Goal
GBS 3/7/06
Dr. Stanley Klein -Torrance, CA
Hernia Repair/Tummy Tuck 3/9/07!!!!
148.5 pounds and 64.5 inches gone forever!!
GOAL REACHED 2/6/07!!!
Ducksack Member#3! And TTBear Blondbear!!
www.myspace.com/horsegalwhit
|
|
|
09-08-2007, 06:00 PM
|
#5 (permalink)
|
|
TT Master
Join Date: Jul 2007 |
Location: Arizona |
Surgeon: (Ret.) Alan Newhoff, Phoenix, AZ |
Posts: 1,649 |
|
My new job this year covered me with no problem, so I'm surprised to hear this! We have a group plan, less than 100 employees, with United Healthcare. I'm sure I put my past surgeries on my application, but now I wonder! I must have.
Is this common for us post WLS people????
__________________
Open Roux-en-Y on October, 2002 - 7 year anniversary is right around the corner
Height: 5'8"
Highest weight: 300 lbs. with a BMI of 45.6 
Current weight: 140-145 lbs. and a size 6/8 with a BMI of 21.7 
Total weight lost after Roux-en-Y gastric bypass: 160 lbs. POUNDS!
|
|
|
09-08-2007, 06:05 PM
|
#6 (permalink)
|
|
Senior Member
Join Date: Nov 2005 |
Location: Small town TX |
Surgeon: Dr. Mueller |
Age: 36 |
Posts: 694 |
|
To be denied for self ins yes. Group plans cannot refuse to cover you based on past surgeries or conditions. However, they can out right deny your GBS surgery (unless you have a CA HMO) *especially* if the employer has excluded the procedure from its plan benefits in order to save $.
__________________
Tammy through the years...
The beginning, the middle and the GOAL!
Starbux free 74 days and counting!
10/27/2005 Dr. Mueller Lap and stuff
488 >> 230-ish. dropping!
"You can take the girl out of the East County but you can never take the East County out of the girl!"
|
|
|
09-08-2007, 07:11 PM
|
#7 (permalink)
|
|
TT Master
Join Date: Sep 2005 |
Posts: 3,147 |
|
Do you have a union?
or a professional organization you can join? It might even be worth switching jobs. 
__________________
TT Gym rat club member #5
|
|
|
09-08-2007, 08:51 PM
|
#8 (permalink)
|
|
Senior Member
Join Date: Jun 2007 |
Location: Michigan |
Surgeon: Dr. Keith N. Marshall, D.O., FACOS |
Age: 37 |
Posts: 420 |
|
Hi CindyWho,
Have you tried Blue Cross/Blue Shield??
Regards,
Cat_Lover
__________________
Regards,
Cat_Lover
^,,^
=^=
Century Club: April 6, 2008
ONE-derland: March 1, 2008
Open RNY May 15, 2007
296/189/130
107 pounds GONE forever and ever !!!!
TT Gym Rat 86 !!!!
AylaBear (the adopted one)
|
|
|
09-08-2007, 11:31 PM
|
#9 (permalink)
|
|
Newbie
Join Date: Sep 2004 |
Location: San Diego |
Surgeon: Dr. Callery |
Age: 40 |
Posts: 14 |
|
Cindy Who,
How long ago did you have the surgery? As I recall insurance apps only ask about surgeries done in the past 5 years, so once you've hit that mark, it's not an issue any more.
Peg
Quote:
Originally Posted by CindyWho
So it seems.
I am a picture of success. Lost over 110 pounds, diabetes is completey gone for 2 yearas now, correct blood pressure - no meds at all!! I could not be more pleased
Except, anyone that has had bypass can no longer get insurance. It is on the blacklist. After 2 attempts to get insurance on my own, once with Aetna and again with Humanna, I was told both times that no known insurance company covers people that have had gastric bypass.
And no, none will write an exclusion. This is VERY disheartening.
The only, and I repeat ONLY chance I seem to have is if my employer will put me on a group plan. And with the increasing problems and rates employers have with insurance, many are flat out dropping covering of employees. In my case, I lose again. My employer is not an option.
So as a reslut of all of this, I am currently more healthy than I have ever been and completely un-insurable.
Does anyone have a insurance company, of any quality, that covers post-bypass patience? Or is bypass a real blacklist issue for people seeking insurance on their own?
Thanks for sharing 
CindyWho
|
|
|
|
09-09-2007, 04:56 AM
|
#10 (permalink)
|
|
Member
Join Date: Jun 2006 |
Posts: 235 |
|
That is so odd because when I was MO and I was looking to get private insurance on my own, NO ONE would cover me BECAUSE I was MO! You can't win ha?
__________________
~Lisa
242/166/142 5'3"
pre-op/current/goal
Newton-Wellesley Hospital, MA
Dr. Gazmuri
RNY October 30, 2006
76 pounds gone and 24 pounds to go!
TT Gym Rat Club Member #10 (5 days a week)
|
|
|
 |
|
| Thread Tools |
Search this Thread |
|
|
|
| Display Modes |
Linear Mode
|
Similar Threads
|
| Thread |
Thread Starter |
Forum |
Replies |
Last Post |
|
Insurance after WLS
|
Christina |
Post-op Gastric Bypass |
13 |
04-15-2005 03:29 PM |
|
International Patient
|
Alma |
General Gastric Bypass Discussions |
32 |
10-20-2004 10:32 PM |
All times are GMT -7. The time now is 06:39 PM.
|