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Cash pay?

  • Replies 92
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The BLIS coverage is right around $1,400 according to the information provided by my surgery center.

@@kristenskuddles I had surgery in Federal Way with Dr. Srikanth. His office is beyond great! The aftercare thus far has been more than I could have ever dreamed of.

Can you explain a little more about the different lower hernia pricing? I have been diagnosed with a hiatal hernia but my surgeon didn't say anything about offering a different price because of it. My insurance covers the bypass but not the sleeve and I am moving forward with the sleeve so will be cash pay. If there's a way to have insurance cover a portion of it that would be so much better! Any info would be helpful. Thank you!

If you have a hiatal hernia, there are some doctors who will repair the hernia at the same time they perform the sleeve surgery. Then, the insurance will be billed for the hernia part of the surgery and you only pay out of pocket for the bariatric surgery. I have only found 3 surgeons that do this (all in Dallas, TX area): Clayton Frenzel, Nick Nicholson and Dr. Kim. Their fellow doctors that work in their clinics might also offer this option. I just spoke to Dr. Frenzel's office yesterday. If my insurance approves the hernia surgery, my out of pocket cost for the sleeve is $3500. Hope this helps!

So is it $3500 total out of pocket or are you also responsible for any co insurance amounts not covered on the hernia repair?

I am waiting on a call to schedule my EGD but didn't think to ask. Wondering if I will be responsible for the $3500 + my $2k deductible, which is still better than completely out of pocket or waiting for insurance approval, just curious.

@@ready2bmenow

I believe you would be responsible for your deductible and then the out of pocket cost for the surgery. I have met my deductible this year, so that is why my cost is just the sleeve part.

I paid 3500.00 for everything in Tijuana. I flew into San Diego one day and had my surgery and flew out the next day. I had the lap band. I would do it again. I didn't have a single problem.

@@ready2bmenow

I believe you would be responsible for your deductible and then the out of pocket cost for the surgery. I have met my deductible this year, so that is why my cost is just the sleeve part.

Thank you so much! That is still better than having to jump through insurance hoops in my opinion :)

I was quoted 26,000 in Central CT. I also have heard horror stories about surgeries in Mexico so I am happy to USA prices with a local surgeon who will do my follow ups. Also, the hospital is a trauma center and teaching hospital so I feel very safe in the event that there are any complications whatsoever. The one thing I've always been told is that there is nothing more worth $ than your healthcare and its quality. I'd rather do this than buy a new car. My surgery date is Monday Sept 14

Hello Jane did you pay up front or In payment?

Cash pay in Texas. $14,500 total. Included hospital, one-night stay, surgeon fees, anesthesiologist, and all post-op appts for one year.

  • 4 weeks later...

I was recently denied due to my insurance policy has WLS excluded so I'm paying out of pocket ... Any tips ????

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