2015 gastric bypass surgery cost health insurance
Hello, I am 152 cm tall and weigh 78 kg.
After evaluation by a doctor, I am eligible for gastric bypass surgery covered by health insurance.
However, I cannot find the latest information on the out-of-pocket expenses after deducting the insurance coverage.
Could you please let me know how much I would still need to pay? Thank you.
amy, 30~39 year old female. Ask Date: 2015/06/27
Dr. Chen Qingbin reply Internal Medicine
Currently, our hospital does not perform gastric bypass surgery, and the fee schedules set by different hospitals may vary, so it may be necessary to inquire directly.
Reply Date: 2015/06/27
More Info
Gastric bypass surgery, also known as Roux-en-Y gastric bypass, is a popular procedure for individuals struggling with obesity. In Taiwan, the National Health Insurance (NHI) covers this surgery for patients who meet specific criteria, including a body mass index (BMI) over 35 or a BMI over 30 with obesity-related health conditions. Given your height of 152 cm and weight of 78 kg, you would qualify for this procedure under the NHI guidelines.
The total cost of gastric bypass surgery can vary significantly depending on the hospital and the specific circumstances of the surgery. Generally, the total cost of the procedure in Taiwan can range from NT$200,000 to NT$400,000 (approximately USD 6,700 to USD 13,400). However, with NHI coverage, patients typically only need to pay a portion of the total cost, which is often referred to as the "co-payment."
For patients who qualify for NHI coverage, the out-of-pocket expenses after insurance can be significantly reduced. The co-payment for gastric bypass surgery can range from NT$30,000 to NT$100,000 (approximately USD 1,000 to USD 3,300), depending on the hospital and any additional services required, such as pre-operative assessments, post-operative care, and any complications that may arise.
It is essential to consult with your healthcare provider or the hospital's billing department to get a precise estimate of the costs involved. They can provide detailed information on what the NHI will cover and what you will need to pay out of pocket. Additionally, they can inform you about any potential additional costs, such as medications, follow-up appointments, or nutritional counseling, which may not be fully covered by insurance.
In terms of the surgery itself, gastric bypass is considered safe and effective for weight loss, with many patients experiencing significant improvements in their health and quality of life. The procedure involves creating a small pouch from the stomach and rerouting the small intestine to this pouch, which limits food intake and reduces calorie absorption.
While the surgery has a high success rate, it is crucial to understand that it is not a quick fix. Patients must commit to lifestyle changes, including dietary modifications and regular physical activity, to achieve and maintain weight loss. Additionally, long-term follow-up care is necessary to monitor nutritional status and manage any potential complications.
In summary, if you are considering gastric bypass surgery in Taiwan, you can expect to pay a reduced amount due to NHI coverage. The exact out-of-pocket cost will depend on the hospital and any additional services you may require. It is advisable to have a thorough discussion with your healthcare provider to understand all aspects of the procedure, including costs, benefits, and necessary lifestyle changes post-surgery.
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