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

Self Pay Surgery Requirements



Recommended Posts

Hi everyone! I’m in the early stages of deciding to get a gastric sleeve and I have my first appointment scheduled for 9/21 but I’m really curious what other people had to do to be approved by your surgeon for surgery while being self pay. My insurance won’t cover the surgery so I won’t have to deal with insurance company requirements. I’m just curious what surgeons typically want you to do (follow a special diet, take classes, see a nutritionist, etc). Thanks!:)

Share this post


Link to post
Share on other sites

Hi Kmartin6168, I am self pay and my insurance wouldn't cover me either because my BMI was 35.2 and I do not have any Comorbodities so I paid $16,45.00 Upstate NY, although I am self pay my doctor still wanted clearance from my PCP, he required a EGD to check heart, Endoscopy (due to past Reflux issues) because I have in the past suffered from Acid Reflux, and a mini physical and labs. I just finished the last part today and I go visit my doctor again on the 22nd of September to go over everything which, I already know was party good because most of the physicians and others I did see was able to let me know right away all was well, even my labs came back today however, I don't know how to read that stuff meaning the percentages or levels rather, I guess I could call my sister and ask her since she's a doctor but, I know its all good I'm in pretty good health other then my weight issues.

My 1st visit with the Surgeon was July 25th and at that time the doctor told me his only concern was my Endoscopy and labs which I know already the Endo was good the doctor that did that told me and I could compare my labs from past labs I've had I guess but I think the labs will be fine everything else I know was good. My surgery is scheduled for September 7th.

I was not required to see a Psychiatrist, nor was I put on a extended wait or diet only have a 3 day pre-op diet. But to me he required a lot of the things they insurance would require, but overall he feel I'm a good candidate and said he would do it as long as those main two things were good along with my EGD which was.

Share this post


Link to post
Share on other sites

Hi everyone! I’m in the early stages of deciding to get a gastric sleeve and I have my first appointment scheduled for 9/21 but I’m really curious what other people had to do to be approved by your surgeon for surgery while being self pay. My insurance won’t cover the surgery so I won’t have to deal with insurance company requirements. I’m just curious what surgeons typically want you to do (follow a special diet, take classes, see a nutritionist, etc). Thanks!:)

I had to do an upper endoscopy and a stress test and that was it.

Sent from my SM-N950U using BariatricPal mobile app

Share this post


Link to post
Share on other sites

I have to do blood work, a class on what to expect after surgery and how to eat for the first few weeks, etc. (called a “binder class”), and there’s a three day Clear Liquids diet before the surgery. I’m about a 40.5 BMI, and I have slightly elevated BP and cholesterol.

Edited by Heifzilla

Share this post


Link to post
Share on other sites

Have money, stress test and blood work. Did I mention have money? Lol

Depends on on your doctor, I tend not to beat around the bush when talking so I found the doctor that fit my needs and gave me a great cash price.

Share this post


Link to post
Share on other sites

💰 Money does seem to keep The 🌏World spinning, glad you and your surgeon were able to agree on terms for,your upcoming surgery.🙏Praying his hands are steady, his art is perfect and that you obtain a wonderful smooth surgery.

Share this post


Link to post
Share on other sites

Stress test, sleep study, blood work, egd

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

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • 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!

  • 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

    ×