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

out of pocket with insurance



Recommended Posts

I know every insurance is different, but what were your out if pocket costs?

Share this post


Link to post
Share on other sites

$500 workshops not covered by insurance.

$250 deductible

$40 co-pay, only one so far

That's about it. :-)

Share this post


Link to post
Share on other sites

I signed up for a $2500 health care spending account. Do you think I'll spend it all

Share this post


Link to post
Share on other sites

Btw my deductible is 1200 co insurance 80%

Share this post


Link to post
Share on other sites

My WLS deductable was $5k, it was equally split between the hospital and doctor office.

Share this post


Link to post
Share on other sites

How long is your program? Mine was 6 months but has turned into 10 so co pays each month for that. Do you have Psych eval? Another co pay. Program fee was 395. Surgery fee is 2000. Dont remember my deduct at the moment its a family one but I have reached it between the above mentioned along with bloodwork, ultrasound, upper g i, ekg

Share this post


Link to post
Share on other sites

I had to pay $586 to surgeon. I'll have a hospital co pay of $17 a day. I'm not sure if I will have other costs.

Share this post


Link to post
Share on other sites

Your surgeon's office will give you the total fees due over the life of your program. Ask them who to contact at the hospital for their estimate of your in-patient cost and about any additional lab fees. Cross check with your insurance company. Your insurance deductible should cover everything, except perhaps some small co-pays.

I was able to pay 1/2 my $2500 deductible the day of surgery and spread the balance out over 6 months. Surgeon fees were covered by insurance, but I have a copay for each follow up visit with the surgeon. I've been reading other posts that indicate lab fees at 3, 6, 12 months and annually can run into a couple thousand dollars (depending where they are done) if you are not insured, so be sure to ask about those.

Good luck!

Share this post


Link to post
Share on other sites

I have to choose my insurance now but it didn't start until January so i can't see the doctor until January

Share this post


Link to post
Share on other sites

It's hard to get the right answer since we all have different insurances and doctors office with different fees. When I hasn't initial RNY in 2005 I paid $0. Nothing not a penny. Not even a co-pay!

Now this time (new insurance and new surgeon) I have a $25 co-pay each appt. $1500 surgeon fee, $240 fee for pre-op and post op nutrition classes and $15 for each supervised weight loss weigh in.

The safest thing you can do to be sure is call your surgeon directly. Ask for detailed breakdown for your records.

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

    • 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!
      · 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. 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.
  • 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

    ×