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

Self-pay sleeve along with insurance paid hernia



Recommended Posts

Well I can give you my surgeon's name if you are interested. He's the one that suggested to me I buy the eggs and milk together. But he's in the Houston area

Who is your surgeon? I'm also having my surgery in Houston.
I'm actually in The Woodlands area. I used Dr Balette. Below is his website. Since I was self pay it went very quickly. I had my surgery at the end of March. Dr Balette is awesome.

http://www.sgotw.com

Oh, nice! I'm scheduled to have surgery on the 19th. Closer to SW houston, though.
Good luck! I hope your surgery goes well. I had no problems with recovery. Maybe one day of feeling gross. No issues with food. Only the Vitamins make me nauseous so I have to take them with yogurt. I'm so happy I had the surgery.

Share this post


Link to post
Share on other sites

I'm no attorney and I certainly understand your desire to have as small an out of pocket expense as possible but I think charging the operating room expense to one surgery while actually doing two borders on insurance fraud. I expect most surgeons are leery of this. They live or die by the insurance companies. I had to change jobs to get mine covered by insurance (not the ideal situation for everyone, I understand).

Nope. Perfectly legal and not at all uncommon. Search these boards and you will find many who have done this when WLS was specifically excluded by their insurance. It is a "self pay" option that some doctors make available as an adjunct to hernia repair.

Nothing illegal about it at all. The insurance is not billed for the WLS. The surgeon and hospital bill the patient directly at a vastly reduced rate.

Some doctors in the U.S. actually advertise this as an option. Whether a person can take advantage depends on whether their insurance will cover the hernia repair, whether the surgeon is considered in network, etc.

I paid full price for the WLS then my surgeon billed insurance for the hiatal hernia on top of that. Wish I would have visited this site prior to surgery, I would have shopped around a bit more.

Share this post


Link to post
Share on other sites

Has anyone been able to find a surgeon to do this in Michigan? So far my search has yielded no result.

Share this post


Link to post
Share on other sites

I'm looking in Colorado or Wyoming for the hernia repair-sleeve surgery too. Anyone know of a surgeon that wouldn't turn their nose up at me for mentioning it?

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

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
  • 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

    ×