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lynettecadengo

Gastric Sleeve Patients
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Posts posted by lynettecadengo


  1. I agree with [mention=255228]OutsideMatchInside[/mention]. I've got BCBS of IL (and live in IL), but it varies from policy to policy. I would think at the very least you would need to pay to your max out of pocket, then insurance covers rest of the surgery cost. Your surgeon's office may be able to help get more information from BCBS of IL, but it'd be better for you to do the phone calls just so you can ask all the questions you need and not worry about anything getting lost in translation.

    I actually spoke with my doctors office today and got some clarification. As for the rest of my questions I'll go ahead and call BCBS. Thanks!



  2. You have to read your policy we can't tell you. I had BCBSIL and my surgery was covered 100%, plus I had met my out of pocket and deductible for the year before surgery.

    Your Eval might have been covered by a co-pay or metal health services might be covered fully. We don't know your policy, they are all different, you have to read it and call BCBSIL with questions. They are nice and responsive.

    Thank you I'll definitely call!


  3. So I don't know much about how insurance works and was hoping to get some clarification.

    I am insured with BCBSIL but I live in Texas and I have not met my deductible yet. I went to my psyc evaluation which showed up on my BCBS account for $500 but I did not have to pay anything out of pocket for that. A little over a week ago I had chest x-rays done, a stress test some type of breathing test. For all three of those I was billed $963 and the nurse who had done my chest x rays told me it was because I have not met my deductible but that it would be applied towards it. I guess my question is why was I billed for the tests but not for the psychological evaluation?

    I was also recently approved by my insurance about a week ago. So if I have the surgery will I have to pay full price since I haven't met my deductible or will my insurance cover most of it?

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