Frequently Asked Questions
Medical / Nursing
I have scheduled surgery with Dr. Spiro….now what?
You will receive pre and post-operative instructions in the mail from our office. We will set up your post-operative appointments for you. If you are scheduled for Same Day Surgery and will not be staying over in the hospital, you should expect to be seen the following day in the office.
Am I required to have any type of testing before surgery?
You will be required to have standard pre-admission testing done which (depending upon your age and medical history) may include blood work and/or an EKG and other testing.
If you have any conditions for which you are followed by a physician for (such as hypothyroidism or hypertension), you can expect that you will need medical clearance in addition to the standard pre-admission testing.
Our office can schedule pre-admission testing for you at St. Barnabas Medical Center, or we can give you a prescription for pre-admission testing and it can be done at most out-patient labs including your primary care physician’s office. Labs must be done within 30 days of your scheduled surgical procedure.
What is medical clearance and how do I get it?
If you are required by our office to obtain medical clearance, you will be notified by mail one month prior to your scheduled surgical procedure.
Medical Clearance is a letter from your primary care physician stating that you are in reasonable medical condition for the surgery. This letter is obtained by you (the patient) calling your primary care physician’s office and scheduling a pre-operative appointment. When you call to schedule the appointment, please let your doctor’s office know that this appointment is for medical clearance.
Your appointment for medical clearance should be scheduled for 2 to 4 weeks prior to your scheduled surgical procedure. Your doctor will need to fax the letter of medical clearance to our office.
Are there any medications, vitamins, or supplements that I should avoid before surgery?
YES! Some medications, vitamins, and supplements can cause prolonged bleeding during surgery and can lead to negative outcomes post-operatively. You must avoid these for at least four (4) weeks prior to surgery. Please see our extensive list in our printable forms section (Medications to Avoid). If you have any questions about any medications, supplements, or vitamins that you should stop, please contact our office.
Do I need to quit smoking before surgery?
YES! Smoking and even simply being exposed to 2nd hand smoke can cause delays of healing and even lead to re-operation. It is imperative that you quit smoking for at least 6 weeks before surgery, as well as avoid all 2nd hand smoke before surgery and immediately after surgery.
Nicotine replacement products such as: the patch, gum, lozenges, or electronic cigarettes CANNOT be used to quit.
It is our office policy to randomly nicotine test patients multiple times before surgery. This requires stopping in our office for about 5-10 minutes to provide a urine sample.
Do I see the doctor again before surgery, after my initial consultation? Is there a charge for this visit?
The pre-surgical “Discussion Appointment” is a routine pre-operative visit for all patients.
At this appointment, your planned surgical procedure will be discussed in detail with Dr. Spiro and any questions you may have will be answered. There is no additional fee for this visit.
However, patients who have yet to schedule surgery and wish to be seen additional times may be charged for these visits, especially if these visits are long after the intial consultation.
Am I required to purchase certain types of surgical garments or dressings for use after my surgery?
Depending upon your procedure, you may be required to purchase post-surgical garments (bras and girdles) and dressings. Bras and girdles are available for purchase through our office. The instructions that will be mailed to your home about four weeks prior to surgery will specifically include information about any garments or dressings that need to be purchased.
How can I pay for my surgery? Does your office have financing options?
- Our office accepts Visa, Mastercard, Discover Card and American Express. You may also pay by Cash or Bank Check. Personal Checks will only be accepted 3 weeks prior to the scheduled surgical date.
- As a service to our patients, our office is pleased to offer the CareCredit Card, the nation’s leading patient payment program. CareCredit offers a range of financing options to meet our patients’ needs. The programs supported by our office include no upfront costs, no annual fees, and no pre-payment penalties.
For patients interested in non-surgical procedures such as Botox and/or Cosmetic Fillers, CareCredit offers a Six (6) Month No Interest Payment Plan. For surgical procedures ranging from $2,000 to $25,000, CareCredit offers an Extended Payment Plan up to 48 months with low monthly payments.
It’s easy to apply either online at www.carecredit.com, or by telephone at (800) 365-8295. Online applications receive a credit decision within seconds
Approximately how long is the wait to actually have (schedule) surgery once I am seen in consultation?
Surgery can usually be performed within a 4 week period of time, however, dependent upon the number of procedures you are interested in the wait may be slightly longer.
Where does Dr. Spiro perform his surgery?
Dr. Spiro operates in two different facilities to accommodate his patients:
St. Barnabas Medical Center – Livingston, NJ
Ambulatory Care Center – Livingston, NJ
What days of the week does Dr. Spiro perform surgery?
Monday, Wednesday and Thursday.
What happens if I need to cancel or reschedule my surgery?
If surgery is cancelled or rescheduled within 3 weeks of the scheduled date your booking fee may be forfeited. Exceptions may be made for unforeseen medical conditions with documentation from a physician indicating it would be inadvisable for the patient to undergo surgery at that time.
When do I have to pay for my surgery?
All fees are payable in advance. The full surgical fee is due 3 weeks prior to surgery unless other arrangements with our office have been made.
Do you require a deposit to hold a date for surgery?
Our office does require a deposit (booking fee) of $500.00 per surgical hour to secure a surgical date.
Does Dr. Spiro’s surgical fee include anesthesia and facility costs?
Anesthesia and facility fees are not included in Dr. Spiro’s surgical fee. Our office will estimate the cost for both anesthesia and facility once you are seen in consultation and Dr. Spiro has determined the amount of time required to perform your surgery.
Do you charge a fee for consultations? What is the fee?
There is a charge for all consultations. The pre-determined amount depends on the extent of the evaluation.
Do you participate with insurance?
We are Non-Participating Providers, however, we will work with your carrier on your behalf through your out of network benefits. I suggest you call your insurance company to verify your out of network policy.
Am I charged for the visits following my surgery if it was covered by insurance?
Three months of routine follow-up visits are included in the surgical fee.
How long does it take for a claim to be paid?
After a claim is received by your insurance company, it takes them approximately 4-6 weeks to process it.
Are breast reductions covered by insurance?
Breast reductions may be covered by your medical insurance, however, certain criteria must first be met.
Guideline established by most insurance carriers indicate that Reduction Mammoplasty is considered to be medically necessary for treatment of macomastia (large breasts) in patients at least 16 years of age when the following criteria are met.
Macromastia is causing at least one of the following conditions/symptoms with documented failure of at least one continuous 6 month trial of appropriate medical management.
- Shoulder, upper back/neck pain, and or ulnar nerve palsy for which no etiology has been found on appropriate evaluation.
- Intertrigo, dermatitis eczema, or hidradenitis at the inframammary fold.
- If other co-morbidities are present, breast size has been documented as exacerbating the underlying condition.
- Pre-operative photos confirm the presence of significant grooving from bra straps and intertrigo present.
All insurance companies should have a written policy for Reduction Mammoplasty. I suggest contacting your insurance company find out specifically what their policy is. Call our office for additional details.
Are Tummy Tucks (Abdominoplasty) covered by insurance after gastric bypass surgery?
This procedure is usually not a covered procedure and is considered cosmetic. However, if the excess skin (pannus) is causing painful and irritating rashes, or if the excess skin is interfering with your walking, your insurance company may consider coverage.
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