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How To Pay For Weight Loss Surgery

Can Getting Weight Loss Surgery In Mexico Save Me Money

YES! MEDICAID PAYS FOR WEIGHT LOSS SURGERY · HOW TO GET APPROVED

One option that some people consider is getting weight loss surgery done in Mexico. The cost savings could be significant. For example, a gastric sleeve procedure in Mexico might only cost $5,000 compared to $20,000 in the United States. And for this price, you get everything you need for your procedure, including transportation to and from the airport or land crossing and your hotel and food.

If you are worried about getting the surgery you need covered by your insurance or cannot afford the out-of-pocket costs, contact Hospital BC to learn about weight loss surgery in Mexico.

Aim To Reduce The Cost Of The Procedure Without Insurance

If you cant get your insurance company to cover your procedure, you can always opt to get the surgery without insurance. Your costs will of course be higher, but with the following methods of reducing costs, you may find it to be more affordable than you thought.

  • Go to a different location. As covered, areas with high costs of living generally result in higher costs for surgery. If you live in an expensive city, its worth exploring your options in suburban or rural areas where the cost of living is generally lower.
  • . Different surgeons and offices will bill differently for different types of surgery. If youre considering a specific type of weight loss surgery, its worth getting quotes from a variety of surgeons in your area. Remember, since youre not using insurance to help pay for the costs, you dont have to worry about staying in your health insurance plans network of approved medical providers.
  • . A major cost associated with your surgery is where it takes place. Talk with your preferred surgeon to see if they have any recommendations on where to get it done for the best combination of quality and price.
  • Get a different type of weight loss surgery. Some weight loss surgeries are more affordable than others, but at the same time, not every surgery is right for every patient. Talk with your primary care physician and surgeon to explore more affordable options that can achieve similar results.

How To Get Insurance To Pay For Weight Loss Surgery

Question Below Submitted By:

How do I qualify for weight loss surgery so that insurance will pay for it?

I am a 57 years old with a history of chronic back pain, depression and high blood pressure. I have a family history of diabetes, strokes and osteoarthritis with joint replacements.

My weight is 215 pounds and has been this way for the past 10 years. Physically I do walk, but after doing it I hurt, standing in one place for very long I hurt, and also after sitting I hurt. I do swim for exercise when I can get there which is 30 minutes away.

I eat a good diet and I am not a big eater. My downfall on eating is bread and sweets. So with no children in the house I do not bake. My husband and I eat the same foods and in a years time his cholesterol went down 25 points with no drugs except for dietary supplements.

I do believe if the weight is off I could maintain it and I would feel better. What do you think?

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Charity Support For Bariatric Surgery

The Weight Loss Surgery Foundation of America is the premier nonprofit dedicated to helping people afford their procedure. The foundation raises funds to provide surgery assistance that will cover up to 90% of a qualified weight loss procedure. Below are some of the requirements to apply:

  • You must have a referral from your surgeon.
  • You are either uninsured or denied coverage, or the procedure is not covered by your insurance.
  • You must agree to raise money for 10% of the price of the grant you receive to help the next person down the line.

Other Ways To Pay For Weight Loss Surgery

Before &  After

If you do not have health insurance, or if your insurer will not cover weight loss surgery, talk to your doctor and your surgeon about financing plans. Check on the interest rate, and make sure you are OK with all of the terms.

Show Sources

Anita Courcoulas, MD, MPH, chief of minimally invasive bariatric and general surgery, University of Pittsburgh School of Medicine.

American Society of Plastic Surgeons: “Insurance Coverage: A Patient’s Guide.”

American Society for Metabolic and Bariatric Surgery: “Metabolic & Bariatric Surgery.”

WebMD Medical Reference: “Preparing for Weight Loss Surgery” and “Your Options in Weight Loss Surgery: Making the Choice.”

National Conference of State Legislatures: “Health Reform and Health Mandates for Obesity.”

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Does Colon Cleanse Pills Help You Lose Weight

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Should I Pay In Cash Or Use Insurance

When considering getting a bariatric procedure done, insurance is the ideal way to go. However, whether you should pay out of pocket or through insurance will depend on the type of policy you have. Today, most major insurance carriers cover laparoscopic gastric bypass, gastric sleeves, and lap band surgeries. However, that does not mean your health plan also provides coverage for such procedures.

While some plans entirely exclude bariatric surgery, others may require you to pay more to include coverage for weight loss procedures, Read your individual health policy carefully or ask your agent to know whats covered and whats not.

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Does Medicare Cover Bariatric Surgery

Medicare covers some weight-loss surgeries, including laparoscopic banding surgery and gastic bypass surgery.

You need to meet requirements and deemed severely obese. You and your doctor need to get pre-approval for weight-loss surgery.

Similar to other insurers, Medicare will likely require a BMI of at least 35, your weight must also be causing serious health issues and youve attempted for years to lose weight through diet and exercise.

You Can Afford Weight Loss Surgery

Considering Weight Loss Surgery

When you have obesity-related health problems, you can achieve weight loss effectively through bariatric surgery. However, one of the most common reasons people dont pursue weight loss surgery is finances. But you may be surprised how affordable weight-loss surgery really is. We have some insight on how to pay for weight loss surgery without sacrificing the quality of care.

It is important to know that bariatric surgery can be life-changing and, in some cases, lifesaving. The key here is to take steps towards your health by taking advantage of financing options available to you. We believe that anyone who requires weight loss surgery should have the opportunity to pay for it.

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What Is Gastric Bypass Weight

Roux-en-Y gastric bypass is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. It’s often done as a laparoscopic surgery, with small incisions in the abdomen.

This surgery reduces the size of your upper stomach to a small pouch about the size of an egg. The surgeon does this by stapling off the upper section of the stomach. This reduces the amount of food you can eat. The surgeon then attaches this pouch directly to part of the small intestine called the Roux limb. This forms a “Y” shape. The food you eat then bypasses the rest of the stomach and the upper part of your small intestine. This reduces the amount of fat and calories you absorb from the foods you eat. It also reduces the amount of vitamins and minerals you absorb from food.

Which Factors Affect The Cost Of Weight Loss Surgery

Costs for weight loss surgery primarily depend on these three factors:

  • Type of surgery. Some weight loss surgeries are more labor intensive than others and therefore end up costing more.
  • Your surgeon. In general, surgeons practicing in areas with higher costs of living will charge more for weight loss surgery. Surgeon experience also plays a role in how much they charge.
  • Location. Hospitals arent just for urgent care. The hospital or operating room you choose to have your surgery at will charge a variable price compared to other similar facilities in your area.
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    I Had A Gastric Sleeve What I Wish Id Known Before Having Surgery

    When her family eventually saw how Fowler was gaining her confidence back and how much weight she was actually losing they became more supportive, she said.

    Now, while Fowler still aims to lose at least another 70 pounds, the Brit continues to stick to her healthy lifestyle by having an exercise routine, making better choices and lowering her 3,500-calories-a-day intake to 1,200 calories. She has even stopped ordering and bingeing on fatty take-out meals.

    Im also saving so much money which is definitely helpful being a student, she said. Ive found enjoyment in cooking again and knowing exactly what Im eating.

    Meanwhile, Fowler recently saw a photo of herself and she was surprised at how she looked, adding that she would often edit her older photos very hard to ensure she looked right.

    First Steps To Navigating The Weight Loss Insurance Maze

    Paying for Your Weight Loss Surgery

    The first step you should take is to read your policy and find out which procedures your insurance company covers and what you must do to qualify for the procedure. Most patients can access the details of their plan online and/or call the insurance companys toll-free number if they have questions.

    The next step is to find a bariatric surgeon who accepts your insurance and set up a consultation. The surgeons office should have a person who handles the insurance paperwork and this person should become your best buddy! Unless you have an obscure insurance company, chances are they have worked with this company previously and will at least have a basic understanding of the inner workings of that insurance company

    Every insurance company will have requirements that you must meet to qualify for coverage. One of these requirements may be that you have tried and failed to lose weight through other methods. These attempts must be documented. The forms of documentation required will vary by an insurance company and may include:

    • Gym Memberships

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    How To Get Approval For Your Surgery

    A growing number of states have passed legislation that requires insurance companies to provide weight-loss surgery benefits for patients who meet certain criteria. While insurance coverage for weight-loss surgery is widespread, there is often a lengthy, complicated approval process. Here are some of the key steps you should take to obtain approval from your insurance company for weight loss surgery:

    Read and understand your certificate of coverage. Your insurance company is required by law to provide you with this document. If you do not have a certificate of coverage, consult your employers benefits administrator or ask your insurance company directly.

    Start with your primary care provider. In most cases, your primary care provider must refer you to a qualified bariatric surgeon. Even if you are not required to get a referral, it is a good idea to have the support of your primary care provider.

    Organize your medical records. Before visiting your bariatric surgeon, its important to gather information about your health, including your history of dieting efforts. These valuable documents will be used at every stage of the approval process.

    Document every visit. When you consult with a health care professional or participate in a supervised weight loss program for obesity-related issues, its important to track this information. Document weight-loss attempts through joining diet centers and fitness clubs. Keep good records, including receipts.

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    Risks Of Each Type Of Surgery

    Talk to your doctor to understand all of your risks. Here are some of the most common or serious risks for each type of weight-loss surgery:

    Adjustable gastric banding.

    After this surgery, you are more likely to need another surgery to fix problems than you would after gastric bypass. For example, some people need a second surgery because they aren’t happy with having the band. Or the band can slip. Or it can work its way from the outside of the stomach to the inside. This is called an erosion.

    Gastric bypass and gastric sleeve surgeries.

    These can cause a leak from the stomach into the belly area. The leak can cause an infection called peritonitis.

    Gastric bypass.

    With this surgery, the connection between the stomach and the small intestine can get narrow. This can cause nausea and vomiting after you eat.

    Medicaid Pay For Weight Loss Surgery

    Weight Loss Surgery: Robotic Bariatric Procedure

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    Is Tricare Coverage Available For Endoscopic Sleeve Gastroplasty

    Endoscopic sleeve gastroplasty is a relatively new weight loss procedure that has been gaining popularity in recent years. The procedure involves reducing the size of the stomach by using an endoscope, a thin tube with a light and camera, to place sutures on the inside of the stomach. As a result, the stomach size is reduced, allowing for reduced food intake and aiding in weight loss. But does Tricare, the health care program of the United States Department of Defense, cover this procedure? This article will explore the answer to this question and provide a comprehensive overview of Tricare coverage for endoscopic sleeve gastroplasty.

    Uniformed military personnel, retirees, and their families all around the world are covered by Tricare, a worldwide health-care program. The majority of Tricare health plans are compliant with the Affordable Care Acts minimum essential coverage requirements. TRICARE does not cover these services. The gastric bypass is one of the bariatric surgery techniques that can help you lose weight. During a gastric bypass, the surgeon creates a small pouch, about the size of an egg, that divides the top of the stomach from the rest of the stomach. This surgery is used to treat a wide range of diseases, including high cholesterol, hypertension, joint pain, diabetes, sleep apnea, and infertility.

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