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

How much did you pay as a self-pay?



Recommended Posts

Just wondering how much you payed as a self-pay?

Where did you have it done?

My mom is looking to get the sleeve and just found out her insurance has an EXCLUSION for all WLS. I'm sooo sad for her. So we are going to try to appeal but I'm not sure if that will work if there is an exclusion... If anyone has any input on this we'd really really appreciate it.

Thanks :)

Share this post


Link to post
Share on other sites

If her policy has a complete exclusion for all WLS, then it's very unlikely that an appeal would do any good. You can certainly try but I work in insurance and this is usually the case. Sorry. :(

Share this post


Link to post
Share on other sites

I paid $5500 in Tijuana MX with Dr Kelly. This included everything except airline fare to San Diego. I had a great experience. I have a detailed day by day experience on my profile in the "about me" section if you'd like to know more.

:)

Share this post


Link to post
Share on other sites

My surgeon charges $11,000 for everything except pre surgery tests. Surgeon has my PCP order labs and tests so they'll be covered by insurance. I haven't been sleeved yet, so I don't know if any surprise charges might show up. Good luck to your mom.

Share this post


Link to post
Share on other sites

Unfortunately, I'm in South Florida and paid around $17,000. I was contemplating going to Michigan and paying $11,000 to a surgeon for the same procedure but opted to have it done locally.

Share this post


Link to post
Share on other sites

Dr. Almanza in Tiajuana charges $4500 for the sleeve - everything included except airfare and hotel if you fly into San Diego the day before. I am 56 and will have surgery in the morning (I'm in the hotel now).... Yea!!!! Reb

Share this post


Link to post
Share on other sites

Good luck Gardendiva!

Share this post


Link to post
Share on other sites

Dr. Almanza in Tiajuana charges $4500 for the sleeve - everything included except airfare and hotel if you fly into San Diego the day before. I am 56 and will have surgery in the morning (I'm in the hotel now).... Yea!!!! Reb

Yeaaa!! Good Luck! My mom is your age and is thinking about going to Mex for the surgery. Please let us know how your experience is! Congrats, and welcome to the "losers bench"

~Kelli

Share this post


Link to post
Share on other sites

I went to Mexico as well - Dr Ramos Kelly and paid $5300. I think it is now $5600 or so. Wonderful experience here. I am 48 and feel the best I have felt since my 20's! Surgery day was Jan 6, 2011 - today I am almost 8 month out and I am 9.6lbs from my final goal! Went from size 16 to an 8 and feel I have been blessed by having this surgery! If you have questions send me a message - I highly recommend Dr Kelly. I was well taken care of from the minute my plane landed in San Diego!

Best wishes!

Share this post


Link to post
Share on other sites

I went to Michigan for surgery with Dr. Pleatmen. It was $11,000 and my preop testing was covered in my PCP office with my insurance. My parents were skeptical about Mexico and FL was way out of my budget. I had a great experience. Feel free to read about it in my blog linked below. Good luck... alot of us have had to deal with the dreaded exclusion.

Share this post


Link to post
Share on other sites

My insurance also has a WLS exclusion, so I went to Dr Thomas Umbach in Las Vegas. Paid $10,400 and everything was great. I used miles for the flight and stayed at the Golden Nugget ($40 a night), rented a car for 4 days ($100) and my wife and I turned it into a little "vacation". And we stayed in America, which made my wife (and myself) a little more comfortable. If I had complications a week or so after surgery, how would my current insurance react to a procedure done in another country? Didn't want to take that risk. I would highly recommend him.

Share this post


Link to post
Share on other sites

I paid 5500 to Dr. Ramos Kelly in Mexico which included everything including 2 nights in very nice hotel after surgery. We turned it into a vacation also. I even took my 13 yr old with me. My surgery was Wed. my other half was there also and he & my daughter walked to the beach which is near the hospital. I went to hotel on Fri and we were walking, sight seeing and shopping until Sunday when we left. I had a great experience as well.

Share this post


Link to post
Share on other sites

Just wondering how much you payed as a self-pay?

Where did you have it done?

My mom is looking to get the sleeve and just found out her insurance has an EXCLUSION for all WLS. I'm sooo sad for her. So we are going to try to appeal but I'm not sure if that will work if there is an exclusion... If anyone has any input on this we'd really really appreciate it.

Thanks :)

I paid 14,200 for mine in San Antonio, where I live. I used my flexible benefits from work to cover part of it and I charged the rest on carecredit, interest fee for 18 months. So I have a payment for 1.5 years but its totally worth it to me... by the time I get to goal and have maintained for 6 months, I will have paid it off! My insurance only covered the sleeve if you had a bmi of 50 or greater and I didnt.

Share this post


Link to post
Share on other sites

I, too, have an exclusion for WLS. There is no way to fight that through your carrier, since it is excluded by your employer. I am paying $9800 by Dr. Thomas Borland in Louisiana. That does not include the few pre-op tests that he requires, but insurance should cover those tests.

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

    • vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

  • 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

    ×