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

Would you have paid without insurance coverage?



Recommended Posts

Mactrio and Woman in me, even though I go by Houston on the board, I don't live in Houston. I am in Iowa but originally from the South (LA/MS). Any idea how the doctor would handle someone this far away from him? I've done the nutritional visits and the psych exam here since I was planning to have the surgery locally. Do you think that I could get the blood work, EKG, and gi work done locally? Do you think that I would have to fly down first for a consultation and then again for the surgery? Thanks! :)

Share this post


Link to post
Share on other sites

Wouldn't hurt to call him tomorrow & ask! Look at me...Im getting excitied for you!! Lol

Share this post


Link to post
Share on other sites

Give him a call and talk to Him or his staff. His staff are nice & friendly. His initial consult was $200 so when I paid for the surgery my checks totaled $9600.

You would need someone with you after surgery. The first night you have to get up every 2 hours and with those leg sleeves & those wires it is difficult.

We stayed at the candlewood suites it was right at $100 a night and had full size refrigerator w/ ice maker, a dishwasher & soap, stove, microwave, toaster, coffee pot, dishes, silverware, pots, pans...(so hubby could eat and heat my Soup broth)

There was a desk, recliner, tv, we had 2 queen beds so I could sleep alone and not worry about him flipping & moving in the bed.

Share this post


Link to post
Share on other sites

Mactrio and Woman in me, even though I go by Houston on the board, I don't live in Houston. I am in Iowa but originally from the South (LA/MS). Any idea how the doctor would handle someone this far away from him? I've done the nutritional visits and the psych exam here since I was planning to have the surgery locally. Do you think that I could get the blood work, EKG, and gi work done locally? Do you think that I would have to fly down first for a consultation and then again for the surgery? Thanks! :)

I went to my family dr for my labs & had him write the order for the EKG & X-rays (that way my ins would pay for it) then his office just faxed everything to Dr Borland's office.

My initial consult was 1/21/13, my testing was 1/29/13 & my surgery was 2/25/13 and it was a week late due to Mardi Gras and the dr was closed for 2 days.

Share this post


Link to post
Share on other sites

i was lucky my insurance covered the sleeve...has always covered gastric bypass but the sleeve was picked up June 2011, i don't think care in Mexico isany lesssthan the u s ...it's getting there and back home again. i felt terrible for a good 10days....flying to SCOTLAND in 3weeks and still concerned about that....

Share this post


Link to post
Share on other sites

My insurance did not cover the surgery. I paid $13,200 and have no regrets.

My advice is to take your time to make your decison. It's a big one. Good luck

Share this post


Link to post
Share on other sites

I was self pay and had surgery in Mexico. I realize this is not an option for everyone and had it not been an option for me I would have paid out of pocket to have the surgery in the US.

Share this post


Link to post
Share on other sites

My insurance did not cover any sort of WLS at all. I was self-pay in the US (approx $12k) and it's been worth every penny.

Share this post


Link to post
Share on other sites

here's a question that I haven't seen addressed on the boards yet... My husband was laid off in Jan. 2013. We took Cobra so I could be sleeved on3.25.13' date=' Everything went fine, we are going to cancel our Cobra coverage now because we can't afford 1667.00 for Cobra, plus pay the mortgage, buy food, utilities.... My doctor's admin. assistant told me that everything after the surgery is covered for 90 days. Fellow sleevers, didi you have many blood tests, nutritional visits etc...

Thanks,

Carol[/quote']

Actually, I have had blood test at 6 months and will have another at 9 months. Many support group visits, but not sure if those actually cost anything. I have had the occasional clinic and ER visit when things got hairy. And then there will be the costs of plastics in the future. Hoping UHC will cover it since I am on the premium plus.

Share this post


Link to post
Share on other sites

Mactrio and Woman in me, even though I go by Houston on the board, I don't live in Houston. I am in Iowa but originally from the South (LA/MS). Any idea how the doctor would handle someone this far away from him? I've done the nutritional visits and the psych exam here since I was planning to have the surgery locally. Do you think that I could get the blood work, EKG, and gi work done locally? Do you think that I would have to fly down first for a consultation and then again for the surgery? Thanks! :)

You might want to talk with Dr Stowers (http://www.mybariatricsolutions.com/). He is doing my surgery and I know a few people that have used him in the past. The cash price is $10,900 this includes 2-3 nights stay at the hospital plus check ups for a year. The only other out of pocket cost for cash payers is for your blood work for the 3 month checkups. Which they will take your blood in the office for free and all you have to pay is $300 to the lab. So $10,900 + $900 = $11,800.

Share this post


Link to post
Share on other sites

Was denied by insurance on all levels of appeals. Had the same requirements and there was no wiggle room in my plan. I did self pay in the states for 17k. Had surgery five days ago and would pay again. Best decision I ever made. Only you can decide if self pay will work for you and where the the best place for you to have it done. Just remember to do a lot of research.

Share this post


Link to post
Share on other sites

Thanks again for the great feedback!

Share this post


Link to post
Share on other sites

My insurance covers 50%, but I did not want to jump through all the hoops they required, and didn't want to wait for months while I did those things, so I paid cash, about $14K. It has been worth every penny and I have never been sorry I didn't use insurance.

Share this post


Link to post
Share on other sites

I did. 17k and 2 years of included follow up

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

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
      · 0 replies
      1. This update has no replies.
    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 1 reply
      1. BabySpoons

        Amazing! Congrats!!! Watch out for the sharks. 🦈

  • 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

    ×