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Did your doctor charge an "administration" fee?? If you had insurance that covered your care did you have to pay it??

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I had to pay a $150 fee that covers lifetime access to the nutritionists and the pre-op nutrition class I took. My insurance didn't cover that but they covered everything else.

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I have to pay $600 out of pocket. It covers the pre-op shakes, the fee for the office submitting my info to the insurance company, and some other stuff that I can't remember right now (sorry). The surgeon's office lets you break it up into 3 payments. With hubby and I both pursuing WLS, we've got to come up with double the moo-lah.

:angry:

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Hi!! My surgeon requires $500.00 upfront before surgery and I have insurance.;) Hope this helps!!

Did your doctor charge an "administration" fee?? If you had insurance that covered your care did you have to pay it??

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I had to pay a $500 administration fee out of pocket as well. It was due on my initial consult with the Surgeon.

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Thanks. I'm just pissed cuz my ins pays 100% for everything and the ofc staff described the fee as "administrative" I was like break that down for me- You know she says all the books, papers, literature, dietician, scale etc.. I was like the dietician is 70 buck- paid by insurance, scale is 35 on ebay (could have gotten 1 cheaper on my own) PLUS they collect a copay each visit- So all in all he is making MORE on me with insurance then someone without insurance- Don't get me wrong I'm totally grateful and all but still- being an employee IN the medical field it sounds like double dipping which is why i'm not paying a DIME until I talk personally to him. Not that I want special treatment or anything but there are exceptions to the rules and I think this should be 1 of them. Thanks.. I feel better gettin that out :angry:

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My doc doesn't charge a program or admin fee, but he also doesn't supply any hardware - scales, Protein powders, etc. His initial consult was $300, covered by insurance. The cost of his support group program is buried in his surgeon's fee and as a result, he doesn't generally participate in insurance networks (though he does do DS's for Kaiser, so he probably does have some kind of deal with them) so we pay somewhat more than a network doc. There are some docs that charge a "program" fee of some $5k or more, covering the support groups and follow-up appointments - not the most financially patient friendly practice as the follow-up is generally covered by insurance if it were billed separately. I guess it does inspire patient compliance though - incentive to get your money's worth.

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You are right to be upset about their "administrative fee". Most Dr.'s call it a program fee. To be honest, all it is is a way for the docs to collect more $ for their time. They are allowed to charge it because they will say it covers all kinds of STUPID JUNK that they aren't allowed to bill the insurance company.

By contract, they are required to bill the insurance company for any charges they know they are contracted to perform. So, they come up with silly things like support groups, access to their NUT, processing insurance, etc, etc... I had to pay $325. I did it under protest but felt I had know choice. There is a Dr. out in southern CA that charges a $2,000 program fee. It's INSANE!!! It should be illegal IMO.

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I called around and had person references for a few wls surgeons in my area. One surgeon was $5,700 for their program fee and another was around $4,500. I called one more office and spoke to the receptionist at length and found out this surgeon did not charge a program fee. I couldn't believe how different it was from surgeon to surgeon. The surgeon I went with was the one who did not charge a program fee of course and they follow us for life with on staff nutritionists.

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I have..

-- attended the information seminar

-- had 6 months of supervised dieting

-- had a consult with my surgeon

-- gotten all my bloodwork and medical clearance w/ my primary

-- had my paperwork submitted to insurance

I got some paperwork in the mail today about attending a full-day seminar where they will discuss the surgery, the hospital stay, the diet after surgery, etc etc... On my paperwork it says to bring a mandatory CASH ONLY payment of $300 for their "Administrative Fee."

I'm annoyed because 1) I've never heard of this and wish they would have mentioned it earlier... and 2) Why "CASH ONLY"?? I'm used to people saying cash only when they don't want to have to claim monies for sneaky tax purposes.

I have cash, I'll pay it -- it just seems a little shady to me...

Thoughts?

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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