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Just Went To My Preop Appt And This Is What Happened...

NenaLinda

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NenaLinda    20

NenaLinda
Posted

My preop appt consisted of weight 269, height 5-6.5", urine sample, blood work, EKG, and a chest X-ray. Anesthesia woman came in and asked a bunch of questions from what medications do i currentlytake, when was the last time i took them. She asked if i took any drugs or marijuana. They ask because smoking cigarettes effects healing and so can marijuana use. She asked if i bruised easily or have been sick recently. Everything took maybe a couple hours. I was told the estimated amount of this vsg surgery is $65k and the insurance allowable portion is 10% so out of pocket I have paid to the hospital $2,142.00 (not including meds and prep foods) not bad considering the surgery is so expensive. I just hope no other bills are sent to me... Now on to patiently waiting for surgery day.

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Webchickadee    716

Webchickadee
Posted

It's so crazy that they book the cost at $65K, when I was able to have my surgery done by an excellent surgeon in Mexico for $6000. And that included a 10% premium for my high BMI (>50), all meds, tests, private hospital room, 2 nights in hospital and 2 nights in a 4 star hotel!

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Jlewis229    191

Jlewis229
Posted

Congratulations on getting ready for surgery! It's so exciting!!

Just wanted to say, I can't believe that they bill 65K to insurance! That just seems insane to me!

Good luck!

Johnathan

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aliandrews    98

aliandrews
Posted

My surgery was 42,000 and I had to pay 1333 out of pocket. I am on a payment plan because I couldn't pay it all at once.

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SML1997    308

SML1997
Posted

Congratulations...youre just that much closer to a new you. :)

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Dooter    1,457

Dooter
Posted

Holy cow!!! I'd have to say I got one of the best surgeons in the U.S., and he only charged me $12,300 self pay. It must be different when they're billing insurance? I don't know. That seems like a lot. The hospital I was in was nicer than a luxury hotel!! Well, at least you didn't have to pay very much of it, which is good.

Congratulations on getting one step further!

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NenaLinda    20

NenaLinda
Posted

Yes, it's different Billing INS they always try to get.more. Self pay would.have been $14,400.00 but you know that's how it is in the USofA lol. I am happy to being this much closer. July 5th is my morning!!!! Just thought I would share what happened bc I was curious of what to expect.

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NenaLinda    20

NenaLinda
Posted

Oh and I have UHC choice plus pop plan

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NenaLinda    20

NenaLinda
Posted

Ppo lol my phone is nuts!

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mesaucedo    207

mesaucedo
Posted

My stats were very similar! I was 260 and I am 5'6"

You better not lose faster than me :P

My preop appt consisted of weight 269, height 5-6.5", urine sample, blood work, EKG, and a chest X-ray. Anesthesia woman came in and asked a bunch of questions from what medications do i currentlytake, when was the last time i took them. She asked if i took any drugs or marijuana. They ask because smoking cigarettes effects healing and so can marijuana use. She asked if i bruised easily or have been sick recently. Everything took maybe a couple hours. I was told the estimated amount of this vsg surgery is $65k and the insurance allowable portion is 10% so out of pocket I have paid to the hospital $2,142.00 (not including meds and prep foods) not bad considering the surgery is so expensive. I just hope no other bills are sent to me... Now on to patiently waiting for surgery day.

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TinkerToyz    45

TinkerToyz
Posted

Amazing, I know that what they bill the insurance for is no where near what that actually get paid. I also have a UHC PPO and they will pay my surgeon only $1770.72 for the actual sleeve procedure. My co pay for the procedure was only $301 and change.

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NenaLinda    20

NenaLinda
Posted

Geez I wish all I had to pay was $301!!!! I had to pay 10% but it will Be worth it on the long run. :-)

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aznurse4u    17

aznurse4u
Posted

I have my pre op appointment July 12. I have BCBS of Alabama. I'm not sure yet what I will have to pay for out of pocket. But this year I signed up for the flex card for $2000. I've used it for my payments for my supervised weight loss, mine and my hubby's RX, and his glasses. I need to check and see how much I have left on it. I hope just enough to cover whatever I will owe out of pocket for my surgery!

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NenaLinda    20

NenaLinda
Posted

I have my pre op appointment July 12. I have BCBS of Alabama. I'm not sure yet what I will have to pay for out of pocket. But this year I signed up for the flex card for $2000. I've used it for my payments for my supervised weight loss, mine and my hubby's RX, and his glasses. I need to check and see how much I have left on it. I hope just enough to cover whatever I will owe out of pocket for my surgery!

Good luck to you!

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NenaLinda    20

NenaLinda
Posted

My stats were very similar! I was 260 and I am 5'6"

You better not lose faster than me :P

Haha I just hope to be on the losers bench w you!

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.

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