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

Kaiser Question



Recommended Posts

So I called my insurance (Kaiser ***) to find out what my copay will be when I have the surgery, if it can be done outpatient, it would be $200. Or it will be $400 each day I’m in the hospital.

I have two questions:

  1. Has anyone had the sleeve done as outpatient surgery?
  2. Do you have to pay upfront or will hospitals bill you?

I have never had any type of surgery, so I’m new at this.

Share this post


Link to post
Share on other sites

I belong to Kaiser and I had the Sleeve done at the West Los Angeles facility. I stayed in the hospital overnight and I paid nothing for the surgery nor for the stay in the hospital.

Share this post


Link to post
Share on other sites

I have Kaiser as well, had surgery done at Kaiser West Los Angeles as well :-)

I didn't have to pay for anything but every plan is a little different. I stayed overnight, thats how long Kaiser keeps you unless you have complications. I would call the admitting department in regards to when and how payments are due and paid.

Share this post


Link to post
Share on other sites

I got my sleeve through Kaiser Orange County and I had to get a referral to Dr. LePort's office. My Hospital stay was 2 nights and I just paid my copay! Which was really cheap. ;)

Share this post


Link to post
Share on other sites

Kaiser has a gazillion different coverages so yours is going to be different than others. My Kaiser cost was just the $150.00 for one night in the hospital. I don't think I even paid a surgical co-pay. If I did, it wasn't much. Good luck!

Share this post


Link to post
Share on other sites

I had to stay two nights in the hospital because of pain management and nausea. My co-pay was $0 because I was in-patient. I don't think you can be outpatient if you are having vertical sleeve surgery. I think at least one night stay will be necessary.

Share this post


Link to post
Share on other sites

CAN SOMEONE WHO HAD SURGERY AT WEST LA TELL ME WHAT HAPPENS WHEN I SEE THE SURGEON AND WHEN IS THE INSURANCE APPROVED OR HAS IT BEEN APPROVED THATS WHY I CAN SEE THE SURGEON. MY CO PAY IS 3500 THANKS MARRIOTT :(

Share this post


Link to post
Share on other sites

I had surgery at West LA. Did you go to Options already? If you have been to Options already. Then at the Surgeon appointment. He/She will see if you have reached the 10% goal or are very close to it, if you are then they will set up a surgery date. Kaiser has approved as long as the surgeon says it a go! They usually will have the surgical coordinator call you to set up a surgical date and pre surgery appointment. On the pre surgery appointment you follow up with the surgeon once more, draw labs (if need be), see anesthesia, fill out paper work, apply for short term disability (if you plan to be off work). They are pretty good.

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

    • 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!
      · 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.
      · 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • 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!!
      · 0 replies
      1. This update has no replies.
  • 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

    ×