Revision out of pocket cost
Hello! I had RNY in 2005 and I recently met with a surgeon to discuss a possible revision. The surgeon performed a endoscopy and found that my stoma has stretched and my pouch is almost 5 times it's original size. It was decided that I would be a good candidate for a DS revision; however, I was informed that even with insurance, I would have to pay almost $35,000 out of pocket! Is this common for all surgeons who are qualified to perform a RNY to DS revision?
something doesn't sound right there. They can't bill you extra because it is a revision unless the insurance won't cover.
I would get a second opinion. There are only a few sugeons that do this surgery and i would trust.
PM smiley Jamie72 abouve and ask her opinion. She fought for many years to revise to DS
Tamara
I would get a second opinion. There are only a few sugeons that do this surgery and i would trust.
PM smiley Jamie72 abouve and ask her opinion. She fought for many years to revise to DS
Tamara
No. Check out DSFacts.com. There is a list of vetted surgeons. An RNY to DS revision is very complicated and only a number of surgeons can perform them. Please choose one from the list on DsFacts. I just had my RNY to DS revision and it was fully covered. I never heard of that.
Do research first.
Do research first.
Gina
RNY 1/26/06
SW 345
Revised to DS 4/23/12
SW 268
RNY 1/26/06
SW 345
Revised to DS 4/23/12
SW 268
On June 10, 2012 at 11:31 AM Pacific Time, beauty679 wrote:
Hello! I had RNY in 2005 and I recently met with a surgeon to discuss a possible revision. The surgeon performed a endoscopy and found that my stoma has stretched and my pouch is almost 5 times it's original size. It was decided that I would be a good candidate for a DS revision; however, I was informed that even with insurance, I would have to pay almost $35,000 out of pocket! Is this common for all surgeons who are qualified to perform a RNY to DS revision?Please look in my profile for a list of qualified RNY to DS surgeons.
All surgeons offices are different, and all insurance policies are different, but I do not think you would need $35,000.00 out of pocket UPFRONT. That sounds WRONG!!!!
My quoted cash price for surgeon & 4 day hospital stay was $28,500.00 ~ No insurance, just cash, that would pay the entire surgery, and hospital~end of story. Done deal
($11,000.00 surgeon)
($17,500.00 hospital 4 day stay)
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
Hello everyone & thanks for your responses!! I went to one of the qualified surgeons that is listed on DS facts (Dr. Elariny)! My husband and best friend both thought that I should seek a second opinion because of the cost (overall cost almost $67,000 of which $35,000 would be out of pocket)! Now after reading your responses, I know that I need get a second opinion...now I have to decide between NY and CA!!! Thanks again!!!
OMG! I am so glad to read your posting....I have been rattling my brain over this. I am a RNY patient seeking a revision to DS. I live in California and one of the best Dr's is 30 minutes from my home. I have insurance but I was told that his office does not work in network insurance??? So I would have to front some of the cost up front: $300 consultatation fee and possible $5000 to $10000. Please let me know who you find?? Looking forward to hearing from you.
Lisa in San Francisco....
Lisa in San Francisco....
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