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I am filling out my application packet for qualifying for bariatric surgery. My insurance covers 70 percent of the surgery leave me to pay between $6000 and $10,000. The office said the money was due before the surgery could be preformed. I am very surprised by amount that I will have to pay. I am in the medical field and a lot of my Pts who receive bariatric surgery are lower income. There is absolutely no way I can have that kind of money anytime soon. I assumed I would pay monthly payments after the surgery. So my question is did you all have to have thousands of dollars up front of was there some sort of financing that you found? I know there are medical credit cards but just don't know if that's the way to go.

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I am self-pay, my insurance specifically excludes bariatric treatment of any kind, I am required to pay in full before surgery, $18,000. Luckily most of the pre-op testing, blood work, endoscopy, sleep study, psych evaluation, etc. is covered or else the cost would be around $21,000.

One way to pay is to borrow from your 401K, the interest is really low, like 3 or 4 % compared to the health care credit cards which are around 19-21% or so I have heard. Another way is to charge it to a regular credit card, that might get you 8-15%... or borrow from family. .. Or a home equity line of credit. .. Just thinking out loud here.

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Most band surgeries cost around $10K total. However, the hospital will bill your insurance at least twice that and accept the normal per diem for this type of surgery.

Call your insurance company and ask them how to handle this? Or, change surgeons if they insist on you paying the $10K.

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I'm going to be self pay. $13000. Chicago. The clinic has a finance company that they work with if you can't pay in full. I will pay $1000 on pre-op day and the $12000 remaining on surgery day. All pre-op included and 12 months of follow ups and fills included. DayOne Health. My insurance won't cover any of it.

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My insurance also pays 70% and I have a 30% co insurance along with a $2000 deductible . Leaving me with about $4000 out of pocket after all is said and done. Luckily the hospital that I'm having my surgery performed at is willing to allow me to make payments monthly.

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My suggestion would be for the medical credit card. Sometimes they offer a grace period of no interest. Are you able to take a loan out - unsecured, against an asset (vehicle), against your house?

If I didn't have insurance, the surgeon had a $16,000 non insurance rate.

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In my pre-op yesterday I had to come up with $3400. CareCredit gives 24 months with no interest payments at this hospital. I only had one thousand dollars in cash, that's all I planned to put down on the surgery, as I thought I could make payments on the rest of the bill. The hospital said elective procedures must be paid in advance. So I gave them 1,400, and did 2,000 with Care Credit.

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Wow...that seems so expensive...

I would look in to it further... I was lucky...I only had to pay about $2500 all told with all the tests and surgery... but I didn't have to pay in advance... :( so sorry

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My grand total with all testing and other required visits was $5000. The sleep study cost me the most. The surgery ended up being 1270.40. But my hysterectomy in a few months will be free! ;)

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As we all know this is not a Easy Fix or a Cheap Fix.

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I paid self pay in cash in MX. My surgery cost $5500 and a little plane ticket.

Easy peasy, No insurance crap to go through, just pick a date and go!

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I only had a $350 co-pay.

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Insurance pisses me off! I was a self pay and paid only $9600 in the US. It's a damn shame hospitals & physicians jack up their prices so much just to get money from the insurance companies. It's ridiculous.

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    • 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. 
       
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    • 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

      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! 🤣
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    • 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 
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    • 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!
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