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  1. #1
    Gastric Sleeve Member
    I have not had a gastric sleeve.
    Name
    Shelby
    Surgery date
    08/15/2016
    Surgeon
    Dr. Frenzel
    Join Date
    Jul 2016
    Last Activity
    11-24-2016 09:33 PM
    Location
    Ft. Worth, TX
    Posts
    66
    Said "Thanks" 120 Times
    Was Thanked 25 Times in 21 Posts
    Said "Welcome to Gastric Sleeve" 0 Times

    Question pre-op appointments and insurance

    Hi Everyone!

    This is my first post, tomorrow I have my last three appointments before I can schedule my surgery (Nutrition, Stress Test and Sleep Study) and I'm so excited! I am having a hiatal hernia repair that will be billed to insurance at the same time as my gastric sleeve surgery which I will pay cash for. I am wondering if anyone has experience with a similar situation and can tell me how much they had to pay out of pocket after insurance was billed?

    Also any advice for someone going through the pre-op process and about to start the pre-op diet any day now??

    I love this forum and you all are giving me so much hope for the future so thank you!


    HW: 321
    SW: 310
    W1: 306
    W2: 301
    W3: 298
    W4: 295
    W5: 291
    W6:291
    W7:290
    W8:289
    W9:286
    W10:


  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    Gastric Sleeve Member Catt's Avatar
    I have not had a gastric sleeve.
    Name
    Catt
    Surgery date
    08/10/2016
    Surgeon
    Hernandez
    Join Date
    Jun 2016
    Last Activity
    09-28-2016 01:24 AM
    Location
    Utah
    Posts
    46
    Said "Thanks" 29 Times
    Was Thanked 18 Times in 13 Posts
    Said "Welcome to Gastric Sleeve" 0 Times

    Default Re: pre-op appointments and insurance

    I start my pre op diet in 6 days....i have been working on cutting back already and it is hard... but worth it...I have no insurance covering anything so no advice there....but Congratulations!!!!



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  5. #3
    Gastric Sleeve Member RehabNurse's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/20/2015
    Surgeon
    Dr. Smith
    Join Date
    Jan 2015
    Last Activity
    02-08-2020 09:38 PM
    Location
    Texas
    Posts
    1,147
    Said "Thanks" 695 Times
    Was Thanked 1,491 Times in 728 Posts
    Said "Welcome to Gastric Sleeve" 905 Times
    Blog Entries
    4

    Default Re: pre-op appointments and insurance

    I had a 90/10 coinsurance plan with Blue Cross/Blue Shield of Texas when I was sleeved last year...here is a list of what I paid out of pocket.

    1. Hospital fee: $24,000 (my portion was 10 percent = $2,400)
    2. Anesthesiologist's copay: $170
    3. Cardiac clearance: $6,000 (my portion was 10 percent = $600)
    4. Upper GI series copay: $111
    5. Pre-op appointment: $400
    6. Sleep study: $500
    7. Nutritionist appointment: $40
    8. Psychological evaluation: $30
    9. Initial consultation: $30
    10. Two follow-up consultations: $60 (two visits x $30)
    11. Cardiology visit copay: $30
    -------------------------------------------
    GRAND TOTAL. . . . . . . . . . . . . . .$4371.00


    10/23/14 Initial Consult 200 lb, 5'1 tall
    4/6/15 Highest Wt 225 (yes: 25 lb gain)
    4/20/15 Surgery Wt 218, BMI 41

    1 mo 203.0 -15
    2 mo 190.5 -12.5
    3 mo 184.5 -6
    4 mo 177.0 -7.5
    5 mo 171.0 -6
    6 mo 164.5 -6.5
    7 mo 157.5 -7
    8 mo 152.5 -5
    9 mo 149 -3.5
    10 m 143 -6
    11 m 142 -1
    1 yr 138.5 -3.5
    13 m 133 -5.5
    14 m 128 -5
    15 m 125 -3
    16 m 121 -4
    17 m 120 -1
    18 m 118 -2

    Dec '17: BMI 23.5; consumes 2000+ kcal/day

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