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

Hidden Costs for self-pay?



Recommended Posts

My insurance denied me after I went through the entire process with my Florida surgeon. (FYI: I don't even feel comfortable going back to the surgeon here in Florida who did all my pre-op stuff because I know they are cheating people....long story).

Now I am looking for cash pay options and I am wondering if I should go to Mexico. Are the prices posted all inclusive prices? I don't want to be get bills for "this and that" AFTER the surgery? Also, I would prefer to do surgery in US but I will do what I have to...... My BMI is 37.7 and 2 or 3 comorbidities, if that helps.

Share this post


Link to post
Share on other sites

My surgery was done in Overland Park, KS. I private paid, it was all inclusive through Weight Loss Surgical Center. If I remember right it was $18,500 or very close to that. I had some bills come to me after the fact but I sent them to WLSC and they paid it. That was for outside blood work during recovery.

Share this post


Link to post
Share on other sites

Thanks so much. I just can't pay almost 20K. I am thinking of Dr. Alvarez? His YouTube channel he seems so knowledgeable....

Share this post


Link to post
Share on other sites

Mine was done in Dallas. $12,200 all inclusive. Have not paid a penny more.

There are folks here that have had it done at centers of excellence for under 10k all inclusive.

Share this post


Link to post
Share on other sites

I'm $11K with Dr. Umbach in Las Vegas just for the surgery and one follow up visit. Lodging and travel to and from not included, obviously.

Also, one thing to think about is the post-op appointments you will have with your local team. My visits to my local bariatric doctor will not be covered - those are $185 each. At 2 weeks, one month, monthly up to 6 months, that gets to be pretty spendy.

Good luck!

Share this post


Link to post
Share on other sites

You are welcome to read my blog....your story is basically the same as mine. Denied by insurance, roughly the same BMI, etc. I self paid in Mexico. The price was all inclusive - no extra bills after surgery. And I too looked at Dr. Alverez too - he is a great surgeon. There are several very good surgeons in Mexico. Do your research and be 100% sold on your choice of surgeon. Good luck! www.hoosierfatty.wordpress.com

Share this post


Link to post
Share on other sites

(FYI: I don't even feel comfortable going back to the surgeon here in Florida who did all my pre-op stuff because I know they are cheating people....long story).

By the way, inquiring minds want to know what happened with the "cheating" original surgeon's office!! If you care to share.

Share this post


Link to post
Share on other sites

I had more hidden costs with insurance....Drs taking advantage...IM up to 2400 and haven't gotten hospital bill yet or Dr. bills... 1125 up front for Dr deposited and rinkydink program I won't use...month out could not even get follow up appt within 2 months of surgery....Utah...go figure

Share this post


Link to post
Share on other sites

By the way' date=' inquiring minds want to know what happened with the "cheating" original surgeon's office!! If you care to share.[/quote']

My Dr office is office for cattle . Feel scammed by them...they could careless about you, just your money

Share this post


Link to post
Share on other sites

I love Dr. A's youtube channel too!

I went with valenzuela/cabrerra in Tj Mexico. I paid 4,500... That covered everything except: airfare, acid reducer prescription ($20.00 for a 3 month supply) Tips for roomservice/maidservice/drivers...

What it did cover: surgery, anesthesiology, hospital, preop testing such as blood tests and ekg, telephone nutrition counseling, hotel, all ground transportation, roomservice of 2 bowls of broth and 2 popcicles a day.. Maidservice also brought 2 bottles of Water daily which were not charged.

Also for many doctors they have a high bmi charge of 500-750 dollars if your bmi is over 45 or 50 depending on the doctor. Also if the doctor has to fix a hiatal hernia there may be an extra charge depending on how extensive the repair is.. you should discuss with doctor about the possiblity of an extra charge should it happen.

Share this post


Link to post
Share on other sites

Mine was $10,500 and completely all inclusive. It includes all tests and a 2 day hospital stay and 1 year of care. It was in Boca Raton with Dr. Shillingford.

Share this post


Link to post
Share on other sites

cash pay is 12000 here in louisiana.

Share this post


Link to post
Share on other sites

Thanks so much. I just can't pay almost 20K. I am thinking of Dr. Alvarez? His YouTube channel he seems so knowledgeable....

I was sleeved by Dr. Alvarez on Sept 27, 2013. Excellent doctor. Any questions let me know.

Share this post


Link to post
Share on other sites

Wow! Thanks for all the responses. I appreciate each and every one of you. Looks like a lot of options.

I am just curious as to why there is such a large gap in what different surgeons charge, if anyone cares to comment. Also, do you guys think I will be able to simply transfer all my pre-surgery stuff since I've had it all done, but am not going to have the surgeon I've seen do it ?

(For inquiring minds, and without going into all the details because I don't have the strength...the bariatric surgery center I've been to are just herding people through the doors....gimmicky stuff to get the upfront fees then not helping with a damn thing---I may post something further at another date but it has just taken too much out of me).

Share this post


Link to post
Share on other sites

I am strictly guessing but most of these quotes would be as stated an all inclusive price. My guess is the price would be the same even if you can bring test results with you. You might be able to find a doctor that will ala carte your procedure. If you already paid for the test results then they are yours and you would make a records request. You might pay a service fee for them but you should be able to get them. Good luck on your journey. By the way a lot of people have flown in to have surgery with my surgeon. :)

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

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • 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

      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
      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

    ×