The Columbus Dispatch

More Americans travel to save costs on surgical procedures

- By Phil Galewitz

CANCÚN, Mexico — Donna Ferguson awoke in the resort city of Cancún before sunrise on a sweltering Saturday in July.

She wasn’t headed to the beach. Instead, she walked down a short hallway from her Sheraton hotel and into Galenia Hospital.

A little later that morning, a surgeon, Dr. Thomas Parisi, who had flown in from Wisconsin the day before, stood by Ferguson’s hospital bed and used a black marker to note which knee needed repair.

“I’m ready,” Ferguson, 56, told him just before being taken to the operating room for her total knee replacemen­t. For this surgery, she would not only get free care but also receive a check when she got home.

The hospital costs of the American medical system are so high that it made financial sense for both a highly trained orthopedis­t from Milwaukee and a patient from Mississipp­i to leave the country and meet at an upscale private Mexican hospital for the surgery.

Ferguson gets her health coverage through her husband’s employer, Ashley Furniture Industries. The cost to Ashley was less than half of what a knee replacemen­t in the United States would have been. That’s why its employees and dependents who use this option have no out-of-pocket co-pays or deductible­s for the procedure; in fact, they receive a $5,000 payment from the company, and all their travel costs are covered.

Parisi, who spent less than 24 hours in Cancún, was paid $2,700, or three times what he would have received from Medicare, the largest single payer of hospital costs in the United States. Private insurers often base their reimbursem­ent rates on what Medicare pays.

Ferguson is one of hundreds of thousands of Americans who seek lowercost care outside the United States each year, with many going to Caribbean and Central American countries. For many, a key question is whether the facility offers quality care.

In a new twist on medical tourism, a Denver company is tapping into this market. The company, North American Specialty Hospital, known as NASH, has organized treatment for a couple of dozen Americans at Galenia Hospital since 2017.

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