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  1. #1
    Gastric Sleeve Member Karla Lynece's Avatar
    I have had a gastric sleeve.
    Surgery date
    10/27/2012
    Surgeon
    Dr. Almanza
    Join Date
    Sep 2012
    Last Activity
    06-09-2013 06:22 PM
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    United States
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    Default US cost is so much

    I should not have to leave the US for a better out of pocket price
    Why is that



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  3. #2
    Banned
    I have had a gastric sleeve.
    Name
    Christy
    Surgery date
    09/08/2011
    Surgeon
    Dr. Mario Almanza
    Join Date
    Jul 2011
    Last Activity
    02-16-2014 05:35 PM
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    Richmond, VA
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    Default Re: US cost is so much

    FDA approval costs, facility charges, high cost of medications but most of all high costs of malpractice insurance. The docs really arent left with much after everything they pay out-not to mention the hospitals charging high rates in order to make up for the deadbeats who dont pay their bill and the medicaid patient reinburement which is very low. Of course, this is only my opinion.

  4. #3
    Gastric Sleeve Member niamh's Avatar
    I have had a gastric sleeve.
    Surgery date
    09/22/2012
    Surgeon
    Mr Chris Sutton
    Join Date
    Sep 2012
    Last Activity
    11-10-2015 06:02 PM
    Location
    United Kingdom
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    Default Re: US cost is so much

    If there is a difference in cost of wages, this would figure into the difference. However, I would make the observation that probably the amount of care and follow up provided may well be different. I've just self-paid to have surgery here in the UK - I had four hospital nights' stay, and I get a follow up package for 1 year of four or five consultations as standard with my surgeon and any additional needed if problems arise, as well as monthly dietitian appointments. I know many people here have had very successful experience in Mexico, but on the occasions it doesn't go well I have heard it's difficult to get satisfactory response. So some of the difference in cost is about paying for a more intensive level of treatment and aftercare. For me, it was worth the peace of mind because I could similarly have gone for a cheaper Health Tourism option in Eastern Europe.



  5. #4
    Gastric Sleeve Member mike1's Avatar
    I have had a gastric sleeve.
    Name
    Mike
    Surgery date
    10/30/2012
    Surgeon
    Dr. Daniel Smith
    Join Date
    Jul 2012
    Last Activity
    12-13-2015 10:39 AM
    Location
    Minnesota
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    177
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    Default Re: US cost is so much

    It's sad this great country of ours has boiled down to the all mighty dollar. Corporate greed has consumed us, it is sad you have to travel to get affordable health care, but I don't see any change in the near future.



  6. #5
    Gastric Sleeve Member Trustin Sleever's Avatar
    I have had a gastric sleeve.
    Surgery date
    08/01/2012
    Join Date
    Sep 2011
    Posts
    596
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    Default Re: US cost is so much

    This could turn into a long and heated debate about healthcare costs and who is to blame.
    :::runs out of post, screaming:::
    Day of surgery: 248 lbs


  7. Gastric Sleeve Surgery With Weight Loss Agents
  8. #6
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    08/29/2012
    Surgeon
    Dr.George Furzli
    Join Date
    Aug 2012
    Last Activity
    11-16-2015 02:48 PM
    Location
    NY
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    Default Re: US cost is so much

    I am assuming that the sleevers who have gone to Mexico did not have insurance. I have medical insurance which covered my procedure. Ten years ago I was going for the lap band and had gotten all the way to the pre-op stage and was told my health was too good and they would not cover the hospital ($28,000) ..so here I was ten years later getting the sleeve through my insurance. Health was still great other than being high BMI ... But I have to tell you all the pre-op blood work, 6 month visits for general doctors monitoring diet, cardio clearance, gastro clearance, mental clearance, pulminary clearance, support groups (manditory) dietician visits ..all of these were manditory prior to even signing for my surgery. I haven't even gotten all of the insurance bills back yet to see what the costs were.. but I can tell you between prior and during/hospital 3 nights I can imagine the cost has been over $125,000..... I am a chicken, I like my specialty doctors, peice of mind that I was going under in the best possible care, and condition/health.. I don't think I could have ever gone to Mexico, I would never have been that daring.. I get sick everytime I vacation there.. I give the sleevers who go there all the credit in the world...they are determined... and much braver than myself. I have read only positive feedback. AND YES.. IT IS A DAMN SHAME THAT WE LIVE IN THE GREATEST COUNTRY IN THE WORLD...AND PEOPLE STILL HAVE TO GO OUT OF THE COUNTRY TO GET THE PROCEDURE DONE !!



  9. #7
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    11/17/2011
    Surgeon
    Dr. Mario Almanza
    Join Date
    Oct 2011
    Last Activity
    07-21-2013 11:02 AM
    Location
    New Mexico
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    Default Re: US cost is so much

    I went to Mexico but have health insurance. Wife is a Dr. and we didn't want to go through the bullshit that I would have been put through - besides the cost of my co-pay which probably would have been more than I paid in Mexico. I used to manage a medical practice - bottom line: Capitalism run amuck!



  10. #8
    Gastric Sleeve Member lisa2job's Avatar
    I have had a gastric sleeve.
    Surgery date
    09/06/2012
    Surgeon
    Dr Chock
    Join Date
    Aug 2012
    Last Activity
    09-08-2013 07:29 PM
    Location
    Tacoma Wa
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    231
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    12

    Default Re: US cost is so much

    I totally agree with you that its a shame that we cant get affordable health care here.... but it will be a long while before things change ....
    My insurance also didnt cover WLS . I put off surgery for a year to save up some money and then financed the rest. Best thing I could of ever done. I dont mind making my payments !! Even though my surgury cost 3x as much as going outside of the US I am totally happy with my decision.
    Where ever you do decide to go make sure that they are a great surgeon, low complication rate, do your research on them , ask others on here for referrels, ask others on here about complications bad expeiences ect, does the place have supplimental coverage for self pays in case of post op problems , what are their policies on problems, is pre op / post op care included, if you go out side of the US is there a local WL place that will see you in case problems arise & for your follow up care...... these are some of the questions that I asked my self and led me to my surgeon. There are a lot of things to consider this is a major surgery and things can go wrong any where you have surgery be it in the US , Mexico, Canada or Overseas, not to any fault of the doctor.... choose wisely and best of luck on your decision. dont give up things have a way of working out


  11. #9
    Gastric Sleeve Member Fran71's Avatar
    I have had a gastric sleeve.
    Name
    Francesca
    Surgery date
    09/28/2012
    Surgeon
    Dr Simon Dexter
    Join Date
    Aug 2012
    Last Activity
    09-20-2013 01:34 PM
    Location
    West Yorkshire England
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    493
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    Blog Entries
    41

    Default Re: US cost is so much

    I think that it's a shame that the self pay costs are high in the US, they are not cheap in the UK either, and yes it comes done to money & after care package. I admire anyone who goes out of their home country for surgery. Never the less be it distance or cold hard cash we are all determined & make the choices based on our personalities & circumstances.

    Whatever the cost , be that money or distance , we do it & we should be very proud of ourself for travelling this road.



    Twitter - @GoldieLookinF

  12. #10
    Gastric Sleeve Member SECRETSLEEVE's Avatar
    I have had a gastric sleeve.
    Surgery date
    07/07/2012
    Surgeon
    Dr. Hector Perez
    Join Date
    Jun 2012
    Location
    Boynton Beach Florida
    Posts
    1,260
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    Default Re: US cost is so much

    I have insurance, yet to go through the process would have taken a looong time, paying out of pocket, I was able to get my surgery date 2 weeks after I made up my mind to do it.

  13. #11
    Gastric Sleeve Member Trustin Sleever's Avatar
    I have had a gastric sleeve.
    Surgery date
    08/01/2012
    Join Date
    Sep 2011
    Posts
    596
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    Default Re: US cost is so much

    Quote Originally Posted by SECRETSLEEVE View Post
    I have insurance, yet to go through the process would have taken a looong time, paying out of pocket, I was able to get my surgery date 2 weeks after I made up my mind to do it.
    THIS is the biggest advantage in south-of-the-border VSG. No hoops to jump through. The amount of TIME saved is often worth the (very small) increase in out-of-pocket cost. For me it will probably be around $4000 out of pocket, WITH insurance.

    My biggest issue is that the relationship between the insurance company and the insured is ALWAYS adversarial.
    I had to endure a YEAR of extremely aggravating back-and-forth with the insurance company. Representatives gave me conflicting information, or none at all. There was never a time when I felt compassion for the fact that I had a very serious health problem, nor any acknowledgement that I was a paying customer who'd already given them thousands and thousands of dollars to cover things like this.
    Day of surgery: 248 lbs


  14. #12
    Gastric Sleeve Member Grace's Avatar
    I have had a gastric sleeve.
    Name
    Grace
    Surgery date
    08/22/2011
    Surgeon
    Portsmouth Regional Hosp
    Join Date
    Apr 2011
    Location
    New England
    Posts
    4,264
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    Blog Entries
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    Default Re: US cost is so much

    In the US we are so overburdened by the costs of regulating and malpractice, etc. Had I had my sleeve done here in the same Center of Excellence (all that preop stuff, psych, nutrition, etc included) it would have cost me about 23k. The bill from all the above to the ins company came to about $95k, but the ins companies do not pay that. They work out a flat rate for each surgery and care with the hospital and it's about the same as I'd have paid, so some of it is just paper inflation.
    I have to wonder though, if we are comparing apples and oranges. No offense to the good doctors doing the surgeries at all but the facilities, pre op care and psych/nutrition/pt help, post op care (specifically things like anti-embolism boots, blood thinners, blood tests, etc, etc and continuing support (I see my surgeon at 2,4 weeks then at 3,6,12 months and then every 6 mo or a year for 4 more years, 5 yrs total all included. That's a lot of support and emotional help as well.
    So while I'm not knocking MX...after being here nearly 18 mo I couldn't, too many successes! I am saying, when you compare costs....compare like to like... Honestly at 53 yrs old, 200 lbs overweight, having had 8 other surgeries on my torso starting at age 9... I would not have gone to MX. But for lots of folks it's a good option and from what we see here anyway I'd say the complication rates about match up for like patients.
    Best NSV - fitting on a kid's amusement park ride with my 4 yr old grandson!
    CFIDS =Chronic Fatigue Syndrome) Also dx with post-bariatric reactive hypoglycemia; and chronic gastritis (both sleeve complications). Permanently disabled.
    Start weight 335, down to 218, up during gastritis. Have accepted there is no way to lose it with my hypoglycemia. Current weight 260. Currently doing 10 day sleeve reset and determined to get back down to my post surgical weight or close to it.

  15. #13
    Gastric Sleeve Member
    I have not had a gastric sleeve.
    Name
    Dorian DeBose
    Join Date
    Feb 2013
    Last Activity
    02-23-2014 06:00 PM
    Location
    Olathe Kansas
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    Default Re: US cost is so much

    I'm just looking for an insurance company that will cover the surgery. I meet 3 out of for of the criteria. Out of pocket in the US is just crazy, and I don't know about going out of the country.

  16. #14
    Gastric Sleeve Member christine53's Avatar
    I have had a gastric sleeve.
    Surgery date
    03/15/2013
    Surgeon
    Alejandro Lopez
    Join Date
    Jan 2013
    Last Activity
    03-01-2015 10:24 PM
    Location
    Nc-Sc
    Posts
    1,350
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    Blog Entries
    1

    Default Re: US cost is so much

    you don't know about going out of the country, look around in this forum, 90% went to Mexico



  17. #15
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Surgery date
    12/27/2012
    Surgeon
    Allison
    Join Date
    Feb 2013
    Last Activity
    07-23-2014 06:42 AM
    Posts
    141
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    Was Thanked 25 Times in 24 Posts
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    Default Re: US cost is so much

    i had my surgery in the USA, i feel i got the best care i could possibly get before and after the surgery as well. so when you leave mexico who takes care of you? how do you do follow up?


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