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

Recommended Posts

So I have to pay 25% of the cost of my surgery with no out-of-pocket limit (there is an OOP limit for all surgeries EXCEPT bariatric - discrimination). So I called to find out what the cost would be knowing that the national average is $19,000 and ranges are $10,000 to $30,000. She quoted me $37,500!!!!!!! That is outrageous. I have called and left messages asking why the cost is so darn high compared to national averages but have not received a call back.

I will wait until my surgery is approved by insurance and call them to ask if they put a limit on how much can be charged but basically - I can not afford 25% of that amount. PLUS, there will be the cost of the surgeon and the anesthesiologist. After a year of planning and finally getting close to actually doing this thing, I am devastated by this set-back. I weight 397 pounds and have not had success losing weight on my own in the last 25 years. I have almost no hope in my heart if the surgery can't go through.

Oh, and I can't go to a different hospital because I work at a hospital and our insurance will only pay if we have the surgery at one of our hospitals.

Any ideas out there? So very despondent today...

Share this post


Link to post
Share on other sites

Mexico??? there are several threads and a section on just mexico. Good luck... I hope it can happen for you.

Share this post


Link to post
Share on other sites

i am sorry you having issues with this, i was blessed with isurance that only required me to pay 3-4 thousand out of pocket and was able to actually payroll deduct it so it was easier, i did have to pay the surgeon an additional 1275 though out of pocket. i had to cancel mine before to just save money for those things!

some clinics offer affordable programs to make payments while you are doing your preop weight loss....maybe call around?

see if there is anyway to find a place that may help....

i wish you luck!

Share this post


Link to post
Share on other sites

When I decided to have surgery (I haven't had it yet - July 16 is my date) I assumed my ins covered it so I made the initial appointment to start the process etc had my mind already set.

I found out that my ins didn't cover so I was bummed, looked into Mexico but I ended up finding a different option. of coarse its too late for this this year but I was early enough that I signed up for the affordable healthcare ins plan. its still expensive as I have a monthly payment (and I didn't qualify for a discount) and I will have a 5k deductible (800 has to be paid up front before surgery)

I figured this would cost me about the same as a trip to mexico but I like the idea of having a doctor intown that I can just make an appointment if I need/want to be seen for something.

Share this post


Link to post
Share on other sites

That's outrageous. So is $12,000 and so is $10,000. Go to Mexico. Less than $5000 plane ticket and all

Share this post


Link to post
Share on other sites

That's nuts!

Definitely shop around.

I'm self pay and am being sleeved at the OCC in Mexico on the 22nd.

Good luck!

Share this post


Link to post
Share on other sites

My self-pay was 20K and I know that they jack up the price significantly for insurance patients. Your price is not actually that unrealistic at a decent American hospital with a good surgeon when it is partly covered by insurance. Then we wonder why our healthcare is so ungodly expensive.

Good luck to you! :)

Share this post


Link to post
Share on other sites

I think that price is way too high. Fortunately, I have insurance coverage, but if I didn't, self-pay cost would be $17,500, and that is with a very reputable surgeon at a center of excellence. I can't imagine why the cost would be double!

Share this post


Link to post
Share on other sites

I'm planning to do mine in Mexico in late July; I was quoted a price of $4600. Another doctor in Mexico was $8500. I personally know people that have used both of these facilities & received excellent care!!! I would definitely check into it!!

Share this post


Link to post
Share on other sites

@KarenLoh What did you end up doing? Just curious.

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

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
      · 0 replies
      1. This update has no replies.
    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 1 reply
      1. BabySpoons

        Amazing! Congrats!!! Watch out for the sharks. 🦈

  • 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

    ×