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dharriott

Gastric Sleeve Patients
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Posts posted by dharriott


  1. I got approved for my Gastric Sleeve procedure by Blue Cross Blue Shield of Georgia in January. I called my insurance to confirm the details of my deductible and out of pocket amounts. I had an interesting conversation with the customer service agent. My individual deductible is $350 and my out of pocket maximum is $2890.00 ($350 of that amount is the deductible). My plan covers the Gastric Sleeve at 80% and I am responsible for 20%. My confusion is that the financial coordinator for my surgeon states I have to pay $2890.00 at the date of my surgical interview (happens about 3 days prior to surgery) but my insurance states that the procedure can happen after I pay the deductible which is $350.00. and that I would essentially be responsible for 20% of the procedure once it was completed as the amount would be unknown until after it was done. My confusion is why am I paying the full $2890.00 before I have the procedure if my insurance states they would pay for the procedure after the $350.00 is paid. Has this happened to anyone else?

    Any advice or clarification would be appreciated. I hate insurance...so confusing..

    So what did u find out?


  2. Wow that is fast! I went to my mail box this morning and received my approval letter. :) I am scheduled for Feb 26th. Might have to move it a week so that my husband is available... It's all so exciting, isn't it? Do u feel it's happening way to fast for you?

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