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Would you have paid without insurance coverage?



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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! :)

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

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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.

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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.

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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....

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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

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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.

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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.

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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.

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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.

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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.

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Thanks again for the great feedback!

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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.

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

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    • 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. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.
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