Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Hey everyone..! I'm new, & have my first appointment with my doctor! (In shelton, Connecticut) on Thursday. I just got the call saying I'm covered.. But my parents switched insurance in January of 15 & the deductible is 4k! The woman said it goes towards visits ,etc but whatever is owed to the office has to be paid before procedure can be done..

I was told the deductible is what you pay before policy takes effect. What can I do? Can I do a payment plan? If I do the process of the sleeve with all the appointments needed before surgery, will it go down?

Do I have any options or do I have to wait & save?

I've waited for this for so long.. I'm getting really sad :/

Share this post


Link to post
Share on other sites

you can apply for a medical loan. It is the only way I know how. I had to pay out of pocket and that is what I did. Good luck I know how it is!

Share this post


Link to post
Share on other sites

Hey everyone..! I'm new, & have my first appointment with my doctor! (In shelton, Connecticut) on Thursday. I just got the call saying I'm covered.. But my parents switched insurance in January of 15 & the deductible is 4k! The woman said it goes towards visits ,etc but whatever is owed to the office has to be paid before procedure can be done..

I was told the deductible is what you pay before policy takes effect. What can I do? Can I do a payment plan? If I do the process of the sleeve with all the appointments needed before surgery, will it go down?

When they said "whatever is owed to the office has to be paid before the procedure is done," do they mean your balance has to be paid off or do they mean you have to prepay the procedure? If the former, then if your insurance allows $75 for each office visit, for example, then you would have to pay $75 each visit until your surgery (I doubt you would rack up $4000 in office visit charges).

Generally, a deductible is what you pay before the insurance pays. That can mean different things for different policies. Here are some examples, the first one is my own policy:

1. Office visit copays are $35, and the deductible does not apply. Everything else has a $1250 deductible (xrays, tests, etc.). Once the $1250 deductible is met, my insurance covers 70% and I pay 30%. The total I ever have to pay in one year is $5000, then insurance pays 100%.

2. The patient pays $4,000 in deductible before insurance pays a dime.

3. The first three office visits in a calendar year are $25 each, then the patient has to meet a deductible of $2,000, then the insurance pays 80% and the patient pays 20%.

So as you can see, depending on the terms of your policy, your deductible may work in different ways.

Share this post


Link to post
Share on other sites

Oh okay thank you. I've seen that people didn't have to pay the whole thing upfront.. I have my first appointment tomorrow I'm going to ask my surgeon what my options are. I won't give up!

Share this post


Link to post
Share on other sites

Please fill us in on whatever it's you decide

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 2 replies
      1. AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        Hope you’re doing well!

    • jparadigm

      Hello lovlies!
      Today is a beautiful day in west Michigan! I hope you all have a beautiful Tuesday and rest of your week!! 🤗
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Having gall bladder surgery in a few days and I so hope the recovery is easier than the one from the modified DS! I could use a bit of luck/pep talk for a change. I'm starting to be able to walk around without experiencing dizziness, but it would be great if the random pain in my chest and abdomen would go away!!
      · 0 replies
      1. This update has no replies.
    • Dawn 1974

      4/4/2024 - new patient orientation. Wt 313
      4/5/2024 - got all my lab work done.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×