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weron
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PostSubject: How much did it cost??????   Tue 16 Mar 2010, 4:56 am

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Hi, I am seeing my surgeon on Saturday Dr Durmush at Liverpool and I am just curious how much everyone paid for their gastric sleeve. I am in a private health fund with hospital cover. Did you have to pay much above what the health fund covered, by the way our health fund is AHM. Any advice would be great.
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CareBear
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Number of posts: 354
Registration date: 2011-07-24

PostSubject: Re: How much did it cost??????   Sat 13 Aug 2011, 8:06 am

Emily wrote:
NIB are NOT not covering sleeves - my sister was done 3 days ago under NIB.

I had my sleeve done 4 weeks ago and was fully covered by NIB. I had no out of pocket expenses (still half expecting anaethetist bill though).
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Emily
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PostSubject: Re: How much did it cost??????   Sat 13 Aug 2011, 7:47 am

NIB are NOT not covering sleeves - my sister was done 3 days ago under NIB.
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dakodasmum
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Location: Toowoomba, Queensland
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PostSubject: Re: How much did it cost??????   Fri 12 Aug 2011, 11:18 am

Hi there, Im getting sleeved by Dr Daoud in October at Brisbane Private. My costs are as follows:

Dietician - $350 (you get back half from medicare)
Dr Daoud's Out of pocket costs - $5500 (he sends it away to health fund and medicare so you just pay the out of pocket expense)
Anthesist - $1300 (you get $600 back)
Hospital Excess - $250

I have private health insurance, Im through MBF, just have basic hospital cover :)
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jayco
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PostSubject: Re: How much did it cost??????   Fri 12 Aug 2011, 3:29 am

Hi Weron,

My daughters were sleeved by Dr Durmush in March 2011. They both had private cover. They paid $6300 up front to Dr Durmush and $1000 up front to the anaethatist. They were then refunded approx $1700 in total from medicare and the health fund. They can now claim 20% back, over $2000, in their tax returns. If you dont have private cover it's about $18000.

I was sleeved by Dr Durmush in Feb 2010 and found him to be excellent. You will be in good hands if you choose to go ahead with the op.

Good Luck

Jayco
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Oki Doki Joy
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PostSubject: Re: How much did it cost??????   Fri 05 Aug 2011, 8:04 am

I was wondering how much people are paying THIS YEAR, if it's costing more - now NIB aren't covering Gastric sleeves. Let me give you my costs for January 2011 with Dr Craig Taylor of the Oclinic - the 5k covered everything including lifetime with the surgeon, the psych (two visits), the dietitican (8 visits). I complained about getting a bill for blood tests and they covered it for me. I paid a few bucks for take home digesic tablets, is all. I think uninsured it's $9,000 mostly inclusive? Not sure.

FYI I shopped around for the best surgeon, not the best price. OClinic surprised me - I liked the surgeon's history best of all, and was shocked how much better the "package" was than other less experienced sleeve surgeons. Life is like that sometimes.

The below is from Oclinic website
http://oclinic.com.au/cost.html#1 - the clinic does both sleeves and lapbands so it's jumbled in together (same package for both ops).
Gastric Band Program: $4950 all inclusive
Sleeve Gastrectomy Program: $4950 all inclusive

Whats included:

Surgeon's fee
Assistant surgeon's fee
Anaesthetist's fee
all medical reviews for check-ups (every month for gastric band, every 3 months for sleeve gastrectomy) until you reach your goal weight, then annually for life
all band adjustments including Huber needles and consumables
Free access for additional medical consultations at any time if problems arise.
2 x psychologist consultations (before surgery and again at 6 months)
8 x dietitian and nutritionist consultations
fortnightly psychologist-moderated support group access
full colour dietary handouts and brochures explaining everything you need to know including recipe tips
No out-of pocket costs if you ever need any corrective surgery for your gastric band/sleeve (provided you maintain your health insurance)

Provided you are covered by private health insurance, the all inclusive cost of either the gastric band or sleeve gastrectomy programs is $4950. (if you don't have private health insurance don't worry! We can still help you. click here for details about our uninsured patient program) Our fee covers all of the normal aspects of your surgery and aftercare, including surgery in a private hospital, your anaesthetist and assistant surgeon fees, and all clinic follow-up appointments, including 8 dietitian consultations, 2 psychology appointments, and unlimited consultations with your specialist surgeon and clinic physician (this includes all your band adjustments for life). You will also enjoy unlimited access to our support groups, which are conducted every fortnight by our psychologists.

There are no limits, expiry dates, or any hidden additional charges levied by us at any stage. You can feel safe that once you've paid your program fee you're completely covered. At OClinic we insist on transparency. Clear and simple.

As a further exclusive benefit to OClinic patients, provided you remain in your health fund, you will not have to pay if any corrective surgery is ever needed in the future. We stand by the quality of our surgery and confidently provide this guarantee.

The program fee must be paid in full before your surgery. Please note that you cannot claim a further rebate from your health fund or Medicare as these discounts have already been taken into account in our program fee. However, you may be eligible to claim a further rebate of $690 when you lodge your tax return as our program qualifies for the medical expenses safetynet. (click here for more details)


Are there any costs not covered by the program fee?


Whilst the program fee covers all the major costs associated with your weightloss procedure and your lifelong aftercare, there may be some other potential costs to be aware of, such as low calorie diet meal replacements, vitamins, health fund excess, costs relating to blood tests and other investigations (such as Xrays), pharmacy expenses, and other specialist consultations (for instance, sleep apnoea diagnosis and treatment). Also, in the event you have treatment performed by doctors not related to OClinic then this may attract a cost (for example if you decide to have a band adjustment whilst you are away on holiday).

Your initial consultation with Dr Taylor is $130 (this is the standard initial consultation fee to see a specialist- you will be able to get a Medicare rebate of $67 provided you have a GP referral).

click here for further details about the OCare total care program



Private Health Insurance- check that you’re covered

The hospital costs associated with gastric banding surgery are usually covered by most levels of private health insurance. Some of the more basic levels of cover such as extras-only cover may not include weightloss surgery. (NIB Health fund only covers gastric banding in its top-level cover). A 12-month waiting period usually applies if you have recently joined a health fund. Gastric banding is NOT considered cosmetic surgery. It has a Medicare item number and is recognised by all the major health funds. To find out if you are covered, contact your health fund and quote the following Medicare item number:

Gastric Banding:
item no. 30511
Sleeve Gastrectomy: item no. 30518

AHSA- Alliance Funds
(Teachers, Defence, Police, etc) http://www.ahsa.com.au (02) 9411 9100
HCF http://www.hcf.com.au 13 13 34
MBF http://www.mbf.com.au 13 11 37
Medibank Private http://www.medibank.com.au 13 23 31
NIB http://www.nib.com.au 13 14 63
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Abbadabbadoo
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PostSubject: Re: How much did it cost??????   Wed 17 Mar 2010, 12:54 am

and remember any out of pocket cost over $1500, you can claim back in your tax return.

trust me the accountant will see me fast this year :-)
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JustcallmeJo
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PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 8:14 pm

In NZ it is unusual to get any assistance (some Health Insurance companies will assist slightly). Most are done privately. Mine cost me $19k!!
In our region there 'used' to be someone who would do the bands under the public system, but tha didn't last long and it was only for the real cruicial cases.
NZ really needs to look at the obesity problem we have and start to make it easier for people to have the op. I was just lucky that I has recently resigned from my job and still had my superannuation to use. I figure it was a good investment for my 'retirement'.
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issi
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PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 1:06 pm

Be prepared for complications that may occur, even minor ones, my op was supposed to cost just under $600 all up out of pocket as there was no surgeon fee but because of all the extra tests and hospital readmissions 3 times I ended up over $2000 extra out of pocket... and my complication wasn't considered a major one only minor and was caused by an incompetent nurse at the hospital we have since found out making me lift myself on a triangle hours after my surgery. Be prepared for extra costs and have somebody there with you so that you can't be treated worse than an animal when your not able to adequately defend yourself.
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weron
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Number of posts: 45
Location: liverpool, australia
Registration date: 2010-03-16

PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 11:39 am

smiley80 wrote:
I too am going with Dr Durmush, when you go to the group meeting, you get all that information. I am not quiet sure as to how much money you will get back from AHM, but basically it will cost around $4500.00. I see him on the 30th to get the date. All the best for the appointment!

weron wrote:
Hi, I am seeing my surgeon on Saturday Dr Durmush at Liverpool and I am just curious how much everyone paid for their gastric sleeve. I am in a private health fund with hospital cover. Did you have to pay much above what the health fund covered, by the way our health fund is AHM. Any advice would be great.

Thanks for that I just wanted to be a bit prepared before I got there. I am pretty sure I am covered for everything with the health fund but I will check once I get all the info from Dr Durmush on Saturday. Have you got your op booked yet??
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darkstar
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Location: Adelaide
Registration date: 2010-01-11

PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 11:12 am

Hi,

I'm pre-op, so this could change, but here's what we expect.

My surgeon's charging $2000. Normally, the anaesthetist wouldn't charge a gap, but I present a complicated case, so he may charge a $500 gap to help him cover the costs of the extra measures he has to take..

I think I also have a $250 hospitalisation co-payment because of my PHI policy.

= $2,750.

Be prepared to shell out for some expensive tests you can probably partially claim back on Medicare later. eg: Barium swallow: $220
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miss
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PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 11:09 am

I too am going with Dr Durmush, when you go to the group meeting, you get all that information. I am not quiet sure as to how much money you will get back from AHM, but basically it will cost around $4500.00. I see him on the 30th to get the date. All the best for the appointment!

weron wrote:
Hi, I am seeing my surgeon on Saturday Dr Durmush at Liverpool and I am just curious how much everyone paid for their gastric sleeve. I am in a private health fund with hospital cover. Did you have to pay much above what the health fund covered, by the way our health fund is AHM. Any advice would be great.
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Wren
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PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 11:02 am

Hi

Mine is costing $1600 which is early 09 price and my surgeon honoured the price at the time. Also anthetist did not charge gap. I think he now charges $2000

maybe it's worthwhile coming to Adelaide to get it done cheaper? at least it's closer than Mexico!!
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Libby
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PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 8:13 am

Here is the link for an older thread of surgery costs if you want to have a look.

http://www.gastricsleevesupport.com/the-sleever-s-monthly-f29/cost-of-your-op-t1486.htm?highlight=cost+of
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Janette
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PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 8:00 am

Mine also around $6000 out of pocket, this includes surgeon, assistant surgeon and anaesthetist.
And like Raingold, well worth every cent!
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Raingold
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PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 7:28 am

Mine's ended up being towards the $6000 range. Haven't totally added it up yet. But - [deleted lots of extra comments] the results have been totally worth every single cent and I wish I'd done it years ago!
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TexasBell
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PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 5:41 am

Hi, I am with Grand United which I think merged with AHM. Dr was $2,800 out of pocket, included are all follow ups (on medicare) and 3 visits with dietician. Anaesthetist out of pocket is $1,100. No excess for hospital. Good luck with your appointment.
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Megan
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PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 5:15 am

I am with AHM and my sleeve 2 weeks ago cost me $2000 out of pocket. This was paid direct to my surgeon and includes my follow up for 2 years from procedure.

My anaesthetist was no gap.

I had no co-payments to AHM as we have family hospital with no excess/co-payment. AHM covered all hospital and theatre costs.

I am however in Adelaide and obviously with a different surgeon.
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applesauce
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PostSubject: Re: How much did it cost??????   Tue 16 Mar 2010, 5:07 am

It depends on the surgeon. The price range seems to be between about $2,000 and $6,000. tho price is NO way to judge if you are getting a good surgeon or not. Prices are also different between states. WA has the best prices it seems. I am sure that one of your surgeons patients will come along with wht they paid. But you can phone your surgeon and ask it isnt rude or anything everybody has to budget what they need for surgery, the receptionst in most cases can give you the price or a good idea of it :)

applesauce
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weron
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Registration date: 2010-03-16

PostSubject: How much did it cost??????   Tue 16 Mar 2010, 4:56 am

Hi, I am seeing my surgeon on Saturday Dr Durmush at Liverpool and I am just curious how much everyone paid for their gastric sleeve. I am in a private health fund with hospital cover. Did you have to pay much above what the health fund covered, by the way our health fund is AHM. Any advice would be great.
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How much did it cost??????

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