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

What was your out of pocket?



Recommended Posts

Hi all!! I'm very new to this site and to the decision to go forward with this weight loss journey. I have just scheduled my first of what I'm sure will be many appointments but it's not until May 16th. I have already confirmed my insurance company will cover 80% of the surgery after I've jumped thru all their hoops of course, but they couldn't give me a ballpark of what I should expect for my out of pockets because its a "negotiated rate". I live in Georgia and I've read (though I'm not sure how true it is...), that the cost of surgery here is on the lower scale compared to other states. I would really love to know from anyone willing to share, how much they ended up paying AFTER insurance! Thank you!!

Share this post


Link to post
Share on other sites

I paid $3750 as per my insurance requirement. I used an FSA to pay a large part of that

Share this post


Link to post
Share on other sites

I am fortunate to have amazing insurance and I only had to meet my $300 deductible.

Share this post


Link to post
Share on other sites

I was told my procedure would be 100% covered with a few $35 co pays. I asked and asked every time I talked to my surgeon's office to make sure.

I did receive a $250 bill in the mail right before Christmas, I was not to happy about this. But when you look at the big picture I guess it wasn't much to pay at all.

Also my first three follow up appointments were covered with no out of pocket co pay.

Share this post


Link to post
Share on other sites

After meeting my deductible, my cost was $2157. I was expecting it to be more, and I was prepared to be out of pocket about $5,000; glad I didn't have to pay that much. I work for the same healthcare system in oOrth Carolina that the bariatric group is part of so it was in network. Of course, there were all the co-pays for the various appointments pre-surgery. Appointments with my surgeon post-surgery were no charge for 3 months.

Share this post


Link to post
Share on other sites

My total out of pocket for rhe surgeon is $664, but I have to pay $175 for 3classes at the surgeons office $180 for the Nut and my $25 copay for the Psychology appt. So total I'm. Gonna be out like $1000 plus.

Share this post


Link to post
Share on other sites

Thanks so much everyone!!! I really appreciate the info, I'm fairly confident now I can budget for under $5k. You ladies are all such an inspiration!!

Share this post


Link to post
Share on other sites

I know that for my insurance I have to pay $500 deductible for the surgery. I am not sure the cost of the PCP visits. Im suppose to have 6 before surgery with copays of 40.

Share this post


Link to post
Share on other sites

I had great insurance, and only paid $15 co-pays for office visits. Nothing else.

Share this post


Link to post
Share on other sites

I'm hoping I had this planned out right for myself. I am on HSA plan at work and my deductible is $2000 I already met my deductible this year with an ER visit for a kidney stone. So from now until the end of the year I should pay zero dollars. So basically what is broken on me this year is getting fixed. So next up is the dermatologist and allergist.

Share this post


Link to post
Share on other sites

I'm scheduled to have my surgery April12th. The hospital just called to say my deductible is $500. Considering how much the surgery cost I'm ok with the $500 and happy to have insurance. I paid $400 for the Nut and Psy already

Share this post


Link to post
Share on other sites

The only cost to me is the hospital stay and the anesthesiologist which comes out to a little less then 2,000.

Share this post


Link to post
Share on other sites

My insurance only covered 80% so my portion came to $3100.00 and I got a separate bill from Anesthesia for $467.00. I only stayed 1 night in the hospital because I felt fine. I'd you stay longer your bill will go up

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

    ×