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

Self Pay Banding



Recommended Posts

Hi all,

I have a question for those of you who self paid for the procedure. I have Cigna and submitted all my documents to the 10/11/07. We have still not heard from them (they said something about taking 30days).

Anyway, my BMI is 41, I weigh 235 and I am 5'2 with no co-ormobidities. I am a size 16 (comfortably) with most of it around my hips, thighs and butt.

O.K, my question...I am so anxious to get this done (my surgery date is Oct. 29th). At this point in my life, I am 29 and have been overweight all my life, and I cannot afford to do another six months of anything- although I don't think that will be the basis of denial from Cigna. I won't be fat at my 30th birthday.

No matter what, I am getting the surgery done even if I have to pay for it. So, I'd like to know how much it costs, for those of you who had to pay out of pocket? In addition, do the fills cost extra?

I can't imagine living another day of being fat and since I have made the decision to let this body go, I am ready to pay no matter what.

Any information regarding self paying would be great.

Thanks

Share this post


Link to post
Share on other sites

I checked in Danbury CT and lapband procedure is $18,500 for self-pay. Fills are $250. Hope this helps. Prices differ from state to state from what I understand

Share this post


Link to post
Share on other sites

Here in Arizona there are at least two doctors offering the procedure for $16000 self pay. That $16000 includes lab work, the procedure and the first year of fills.

Call a few doctors in your area and see what they offer.

Share this post


Link to post
Share on other sites

I have CIGNA, but was denied by them 3 times, and thus I am now scheduled to for surgery in Mexico this week. My BMI is 36 and I don't have co-mobities that CIGNA recognizes. (I do have asthma and arthritis in hips and knees.) First denial took over 30 days after I called and bugged them about the 30 day time frame. The next denial took 15 days after I submitted additional info, and then final denial took 15 days. They say I am "too healthy" to have the surgery.

CIGNA will likely ask for you to show documentation that your BMI has been 40+ for the past 5 years. It would be a good idea to contact all doctors (even OB/GYN) and get copies of your medical records to prove your weight history.

Also, CIGNA is SUPER STRICT about the doctor supervised diet. It has to run for at least 6 months, and you MUST visit the doctor every 30 days to document your progress. Commercial programs such as Weight Watchers and Jenny Craig don't count as supervised programs. You doc meeds to diagnose you with "Morbid Obesity" (not just Obesity) and put you on a diet plan. You will then need to submit all those doc records of the diet plan.

Good luck!

Share this post


Link to post
Share on other sites

Thanks everyone. Mexico is simply not an option for me...

It's not that I don't trust their great doctors, but once you buy a ticket and make all the extra trips, when iy's all said and done, you will have most likely spent all the money you would have paid if you would have done it here.

My fee is $2745 for the surgeon, $1217 for the anesthecia and $9000 for the hospital. It come up to a total of $13000. And it's been done in one of the best hospitals in the country, GW- George Washington Hospital in DC.

Can't beat that...

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 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

    ×