Medical Tourism

Joy Guion was boarding a plane for the first time to fly from her native North Carolina to Costa Rica, a sun-soaked tourism hot spot where she would stay in a four-star hotel with a personal concierge and a local driver.

But the 39-year-old utility worker from Hickory, N.C., wasn't going to Costa Rica for vacation. At 5-foot-9 and 283 pounds, Guion has "severe chronic obesity" and a family history of diabetes and heart disease, and she was headed to a Costa Rican hospital for weight loss surgery.

Gary Harwell, a 65-year-old retired manager who used to work at the same plant as Guion, accompanied her on the trip to Costa Rica. He was getting a knee replacement at the same private hospital, Hospital Clinica Biblica.

And neither will have to pay a dime for treatment. Travel expenses, surgeries and post-op recovery are all being covered by the company they work for.

Guion and Harwell work for HSM, a furniture and auto parts manufacturer in western North Carolina. The company gave Guion a choice for this surgery: Pay a co-pay in the U.S. or outsource the procedure abroad for free.

"Nothing out of my pocket," Guion said.

She and Harwell are among a growing wave of Americans frustrated by the rising costs of the U.S. health care system and heading abroad for medical procedures. Nearly one million Americans go overseas for procedures every year, according to the U.S. Centers for Disease Control and Prevention.

There is even a Medical Tourism Association -- its core mission of providing transparent education and awareness about top-of-the-line procedures and treatments at affordable prices.

Even with their insurance, both Harwell and Guion said each would have paid $3,000 out of pocket in the U.S. -- an amount Guion said she wouldn't have been able to afford. But in Costa Rica, they both pay nothing -- their company picks up the bill.

And now, some American companies are considering outsourcing medical care, dubbed "medical tourism," as a health care option.

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