Terms and Conditions
By using this appointment system, I understand and acknowledge that I am able to make appointments with various providers and for different services. I recognize that it is my responsibility to determine if those providers contract with my health insurer and what my financial responsibility will be for these visits. By clicking on the link below and making an appointment, I signify that I have read these terms and conditions in their entirety.
SCHEDULING SEQUENCE FOR GENERAL & PLASTIC SURGERY:
There are no special requirements or rules or sequence for general surgery appointments.
Simply make an appointment with the surgeon of your choice for a desired amount of time.
SCHEDULING SEQUENCE FOR BARIARIC (Weight Loss) SURGERY:
Appointments must be made for the following in the following Order. If you make your appointments out of order, you will not be able to move to the next step. If you do not attend a scheduled appointment, you will not be able to move to the next step.
|
Sequence |
Appointment |
Provider |
Amount Due |
|
First |
Discussion Group Meeting |
USWLS |
None |
|
Second |
Dietitian |
USWLS |
$399.00-$2000.00 |
|
Third |
Physician Assistant |
ALAGSA or USWLS |
Co-payment if participating insured, additional fee if not |
|
Fourth |
Surgeon |
ALAGSA or other Surgeon |
Co-payment if participating insured, additional fee if not |
SCHEDULING SEQUENCE FOR BARIARIC (Weight Loss) FOLLOW-UP:
|
Appointment |
Provider |
Amount Due |
|
First visit after surgery or hospitalization |
PA or Fellow or Surgeon |
None |
|
Second visit 3-5 Weeks after surgery or hospitalization |
USWLS Dietitian |
None. You Must Bring your Calorie and Gram Count with you |
|
Third visit 3 months after surgery or hospitalization |
USWLS Dietitian |
None. You Must Bring your Lab Results With you and those should be complete and should be performed at least 10 days before this visit |
|
Fourth Follow-up at 6 months |
Varies |
Varies |
|
Fifth Follow-up at 9 months |
Varies |
Varies |
|
Sixth Follow-up at 1 year |
Varies |
Varies |
|
Annual Follow-ups thereafter |
Varies |
Varies |
SCHEDULING SEQUENCE FOR OUTSIDE BARIARIC (Weight Loss) FOLLOW-UP:
Patients who have undergone surgery elsewhere and would like to have follow-up with our program, must call for details. Typically we require the patient to attend as a new patient all required sessions and then follow-up per the routine above. For Lap-Band patients, we do provide adjustment services.
BARIATRIC SURGERY SCHEDULING:
Due to the large number of options available, and the nature of the lifestyle, psychological, and eating changes that occur with bariatric surgery, surgeons who perform bariatric surgery usually require the services of a structured bariatric program in order to ensure success. The surgeons at ALAGSA rely on Advanced Bariatric Services, LLC (ABS), also known as USWLS for program services. A description of those services is below:
USWLS provides a comprehensive educational program to prepare the patient
pre-operatively and assist the patient postoperatively during the patient’s
weight-loss. USWLS does not participate with any insurance. USWLS coordinates
support groups monthly, and provide nutritional consultations before and after
surgery. USWLS provides a preoperative educational seminar that describes the
WLS journey and the surgical options for WLS and Plastic surgery after major
weight loss. The program is designed to allow the patient to learn the
patient’s new relationship with food and to provide the patient with a solid
foundation for a new and healthy eating pattern and lifestyle. The nurse will
coordinate with the patient’s PCP to be certain all the patient’s required
general health exams and screening tests are brought up to date. Unfortunately
most of the time, patients have so frequently seen their doctors for specific
complaints that their routine screening testing has been postponed for years.
Diagnoses like sleep apnea, venous stasis disease, coronary artery disease,
peripheral vascular disease, and many others are sought after with the help of
the patient’s PCP and all information is collected and organized by our nurse
and staff for presentation to the patient’s insurance company and to the
patient’s surgeon. Certainly any new diagnoses or problems identified are
forwarded to and managed by the patient’s PCP or through referral to an
appropriate specialist. If the patient does not have a PCP, USWLS can assist the
patient in finding one, and our qualified staff and affiliates can also help in
the patient’s health improvement journey. After the patient’s surgery,
follow-up sessions are available at one month, three months, six months and
yearly for nutritional and activity guidance. Additional individual
consultations with our nutritionist or nurse or physician assistant may require
additional fees. Insurance coverage is a complex issue for many patients. USWLS
Program staff are qualified to help the patient determine coverage issues such
as what surgeons are available who participate with the patient’s plan or
those who do not participate, and what the fees would be with different surgeons
or at different hospitals. Obviously
USWLS do not guarantee any fee quotes, but provides good faith estimates based
on policy information provided by the patient or responsible party and the
planned procedures.
The
patient is required to pay a non-refundable program fee of $2000.00. This is a
one-time fee, and is due at the patient’s first appointment. If the patient
has a financial situation that would prevent the patient from having surgery due
to this fee, USWLS will do everything USWLS can to work with the patient to
arrange a workable low interest payment plan.
If paid in full at the patient’s first visit, the fee includes the
patient’s initial can of Vita4Life vitamins, and a calorie counting book.
USWLS
encourages local surgeons to use the USWLS bariatric services program because
USWLS believes that this program improves the overall quality of experience that
a patient has before and after WLS. When a new surgeon joins our team, USWLS
sometimes offers a limited time discount on the program fee for that new
surgeon’s patients as a courtesy to the new surgeon. This discount has nothing
to do with the surgeon’s experience and is only related to the timing of the
surgeon’s practice relocation or start up. The program is also designed to
encourage the patient to return for follow-up. To that end, all surgeons who
perform the Lap-Band agree to do the first two post-operative adjustments at no
charge for patients who have enrolled in our program and who’s insurance does
not cover the adjustments.
Checks
for the program fee should be made payable to ABS. Major credit cards are also
accepted (Visa, MasterCard).
Significant
planning and effort has occurred to provision the resources that USWLS offer in
an effort to reach excellence in service and support during the patient’s
weight-loss journey. At times an outside consultation, or consultation and
additional visits with members of the program may be needed for special
situations, and to assure success and safety as much as possible. Under those
circumstances, additional charges may be necessary. The resources, materials and
programs offered by USWLS and its affiliates do not guarantee continued success.
And, depending on solvency, demand and participation, components, materials,
programs, offerings may be added,
adjusted or altogether discontinued without notice.
I Accept these terms and conditions and wish to make an appointment.