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Old 11-28-2007, 07:37 PM   #1 (permalink)
dees
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Question Sticker Shock

I have been looking into GBS for awhile now and I am a self-pay (no insurance). I called the nearest place to me here in NC. And the cost was $60.000.00 for the RNY and $24.000.00 for the Lapband I was shocked. I knew it was expensive but do self-pay people get charged more for the lack of insureance? Has anyone had any experience with this? Thanks.
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Alt Weight Loss Surgery Insurance
Yes, you can often get insurance cover for your Weight Loss Surgery.
Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.

   
Old 11-28-2007, 07:43 PM   #2 (permalink)
BOOTS
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Join Date: Aug 2006
Location: WADING RIVER (Long Island), NY
Posts: 4,860

Weight Statistics

7/16/07
Start Date:
7/16/07
Surgery Date:
4' 11"
Height:
230 lb
Start Weight:
139 lb
Current Weight:
115 lb
Goal Weight:
91 lb
Weight Loss:
24 lb
Lb Left to Lose:
39.5652173913 %
% Lost:
12/31/08
Goal Date:

Body Mass Index
46.4492961793
BMI Start:
28.0715311692
BMI Current:
23.2246480896
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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And Get This If You Have Any Complications That Price Will Be Jacked Up Even More. My Bills Were Waaaaaaaaaaaaaaaaaaaaaaayyyyyyyyyy Over $100,000. And I Havent Even Seen All The Bills Yet. Thank God I Had My Ins Otherwise Id Be In Trouble.

Good Luck Hun And I Know They Have Loans That You Can Take On This Also
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3/2008 PREG. START WT 144LBS.
GOAL WILL HAVE TO WAIT TILL AFTER BABY
230 lbs 7/2007 & 142 lbs 4/2008

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Old 11-28-2007, 07:49 PM   #3 (permalink)
Trulykath
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Location: North Texas
Posts: 3,534
Blog Entries: 1

Weight Statistics

I've lost/gained my whole life!!!
Start Date:
Aug 1, 2007
Surgery Date:
5' 8"
Height:
280 lb
Start Weight:
142 lb
Current Weight:
150 lb
Goal Weight:
138 lb
Weight Loss:
-8 lb
Lb Left to Lose:
49.2857142857 %
% Lost:
Summer 2008
Goal Date:

Body Mass Index
42.5692041522
BMI Start:
21.5886678201
BMI Current:
22.8049307958
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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I actually paid less as a self pay.....LAP RNY for me was under $20k.
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Old 11-28-2007, 08:13 PM   #4 (permalink)
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Less then 20k jeeeez. sounds great I thought something was fishy here, I have been getting info for a year now and this just sounds outrageous to me. thanks for the info
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Old 11-28-2007, 08:40 PM   #5 (permalink)
mlg78
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Location: North Royalton, Ohio
Posts: 182

Weight Statistics

June 4, 2008
Surgery Date:
5' 1"
Height:
214 lb
Start Weight:
188 lb
Current Weight:
125 lb
Goal Weight:
26 lb
Weight Loss:
63 lb
Lb Left to Lose:
12.1495327103 %
% Lost:

Body Mass Index
40.4305294276
BMI Start:
35.5184090298
BMI Current:
23.6159634507
BMI Goal:
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Those costs sound about right. You'll be inpatient for at least two days, having a very major surgery, that lasts a couple of hours, etc. I just grabbed one of my insurance payment summaries...for a small little 10 minute office visit with my allergy doctor my insurance company was billed $131. Think of how much that is vs. weight loss surgery? Doesn't sound quite as drastic considering the magnitude of what is happening. You have, at a minimum, two doctors in the room (surgeon and anesthesiologist) and god knows how many nurses and techs. The $60K vs. $24K does sound kind of strange... I was thinking more like $40K for the gastric bypass... Also, does this amount cover before & after care?

This place says that self-payers get a 20% discount:
No Insurance Coverage or Self-pay

An article from '02 says gastric bypass cost $24K:
USATODAY.com - Weighing the cost of obesity

$9,900 for lapband? Interesting...but worth looking into. Even with travel costs, you'd save a bundle:
Colorado Bariatric Surgery Institute - Morbid Obesity,

The Cleveland Clinic (where I'm going to have my surgery done...Dr. Schauer is well known in the world of bariatric surgery) offers financing through MBNA Bank:
Mini Gastric Bypass Surgery, Surgical Weight Loss
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Old 11-28-2007, 08:48 PM   #6 (permalink)
BOOTS
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Join Date: Aug 2006
Location: WADING RIVER (Long Island), NY
Posts: 4,860

Weight Statistics

7/16/07
Start Date:
7/16/07
Surgery Date:
4' 11"
Height:
230 lb
Start Weight:
139 lb
Current Weight:
115 lb
Goal Weight:
91 lb
Weight Loss:
24 lb
Lb Left to Lose:
39.5652173913 %
% Lost:
12/31/08
Goal Date:

Body Mass Index
46.4492961793
BMI Start:
28.0715311692
BMI Current:
23.2246480896
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Yeah You Should Shop Around Even If It Means You Go To An Other State Close By Because I Have Seen It For Much Less
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3/2008 PREG. START WT 144LBS.
GOAL WILL HAVE TO WAIT TILL AFTER BABY
230 lbs 7/2007 & 142 lbs 4/2008

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Old 11-29-2007, 01:08 AM   #7 (permalink)
traciflud
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Join Date: Sep 2007
Location: coarsegold california
Posts: 1,399

Weight Statistics

8/23/07
Start Date:
8/22/07
Surgery Date:
5' 7"
Height:
315 lb
Start Weight:
194 lb
Current Weight:
170 lb
Goal Weight:
121 lb
Weight Loss:
24 lb
Lb Left to Lose:
38.4126984127 %
% Lost:
I have no idea
Goal Date:

Body Mass Index
49.3305858766
BMI Start:
30.3813766986
BMI Current:
26.6228558699
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Just looking at my insurance statements after surgery, the bill was 20,970.63, my responsibility was 3,414.80 and they covered 11,659.20, insurance companies never pay the full amount, I figure they get a deal or something. But the total was only 21K so 60K does sound high.
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Old 11-29-2007, 06:56 AM   #8 (permalink)
MsVickie
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Location: Floyd County Virginia
Posts: 3,609
Blog Entries: 1

Weight Statistics

September 19th 2007
Start Date:
September 19th 2007
Surgery Date:
5' 10"
Height:
363 lb
Start Weight:
211 lb
Current Weight:
165 lb
Goal Weight:
152 lb
Weight Loss:
46 lb
Lb Left to Lose:
41.8732782369 %
% Lost:
12/31/09
Goal Date:

Body Mass Index
52.0793877551
BMI Start:
30.2720408163
BMI Current:
23.6724489796
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Here in Virginia and the physicans I know along with the Hosptials will give a self pay patient a break on the cost. More than likely you were quoted a price with insurance. You need to remember even though they charge that much the insurance never pays that price. They are lucky if they get 1/4 of it. You may need to talk to the surgeon first..... let them know your self pay...... then........speak to the hosptial. I think Kathy could help you with this if she can and let you know how she went about it all.
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Old 11-29-2007, 08:33 AM   #9 (permalink)
fr1endly2
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Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,756

Weight Statistics

June 1, 2005
Start Date:
Height:
310 lb
Start Weight:
167 lb
Current Weight:
159 lb
Goal Weight:
143 lb
Weight Loss:
8 lb
Lb Left to Lose:
46.1290322581 %
% Lost:

Body Mass Index
51
BMI Start:
27
BMI Current:

Weight Loss Method
Roux en Y Gastric Bypass
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i strongly suggest that you meet with a surgeon.
AND when you say you dont have insurance
the prices will come down as self pay.
BUT you must meet with a surgeon first.
BUT i think you need to consider the what
if a complication is to arise how would you handle
it. I wouldnt want see
loose ur home. good luck and there are me
members that went out of country for it to save money.
hugs
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LAP RNY Gastric Bypass

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Old 11-29-2007, 09:10 AM   #10 (permalink)
Trulykath
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Join Date: Jun 2007
Location: North Texas
Posts: 3,534
Blog Entries: 1

Weight Statistics

I've lost/gained my whole life!!!
Start Date:
Aug 1, 2007
Surgery Date:
5' 8"
Height:
280 lb
Start Weight:
142 lb
Current Weight:
150 lb
Goal Weight:
138 lb
Weight Loss:
-8 lb
Lb Left to Lose:
49.2857142857 %
% Lost:
Summer 2008
Goal Date:

Body Mass Index
42.5692041522
BMI Start:
21.5886678201
BMI Current:
22.8049307958
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Good point Lisa....I was VERY fortunate there were no complications...my total bill was $18,836....that included the hospital 3 days, the surgeon and the anesthesia.

I also had to pay the psych $300 for the evaluation, another $400 for the doc's 1st visit (included labs/ekg). They bypassed the sonogram of my gall bladder, as I've never had problems with it, but did put me on acti-gall to keep me from developing stones....(acti-gall is costing nearly $100 a month...but I only take it for 6 months).

My surgeon's office know SEVERAL finance companies that will work with you on the financing for self pay, but I paid cash up front....and at this point, it's been worth EVERY cent!!
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