I am having my lapband removed and revision to sleeve. Insurance deemed lapband removal was medically necessary so they are covering that but wont cover the sleeve revision. Surgeons ofc is charging me the usual amt for sleeve which is 14500. Surgery is being dine at the same time. Shouldnt some of the self pay be reduced since they cant double charge? I understand sleeve requires two night stay in hospital so i totally inderstand that. But anesthesiologist cant double charge right? And some of the same instruments, equiptment etc, surgery room, portion of facility charge shouldnt that be discounted on self pay and ins pick up some of it? My surgeons ofc acts like they have never run into this issue and cant understand why i wont just do 100% self pay for sleeve and they not charge for lapband removal and that it would be cheaper. I cant wrap my head around it. HELP. someone give me some ammunition. And something concrete to argue so i can save some of my cash. We pay so much a month in ins premiums i want ins to pay for as much as possible. My defuctible is already met and ins covers 80% so im responsible for 20%.

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Edited July 12, 201610 yr by kgarrettsatx

If I were in your situation, I would get the insurance funded lapband removal, wait 6 - 8 weeks, then head to Mexico for my sleeve. You can get sleeved by a reputable Mexican surgeon for $4500 - 6000.

I do think it's shady that your surgeon isn't giving any discount on the surgery. I've never heard of that before.

If you don't want to go to Mexico, maybe shop around with local bariatric surgeons who take your insurance and see if you can get a better deal with someone you are comfortable with.