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

Lifetime Maximum



Recommended Posts

Quick question for anyone out there who might have encountered something similar.

My wife and I have been looking into getting banded, but until now our insurance has excluded the surgery. My wife switched jobs and her new insurance does cover rny and the band, so we are both excited and get to work on setting things in motion.

While going over my policy I find that it has a Lifetime Maximum of $5000 on bariatric surgery per person. I know self-pay can be 2-3x this amount and I know the Dr/hospital bill way more than self-pay due to the discount rate the contract with the ins requires. I have a hard time believing that a 30k-40k bill gets reduced to anything close to this amount, so what should I expect my out of pocket to be? I know each Dr/Ins relationship is different so just a general idea would be most appreciated.

I know I have a 1500 deductible to meet then a 10% copay, if that helps any.

Thanks

Josh

edit: added additional information

Share this post


Link to post
Share on other sites

my out of pocket costs were around $1800.00 (worth every penny)!:D

Share this post


Link to post
Share on other sites

Regardless of the end cost, I have no doubt that I won't regret it, just trying to get an idea how much to start puttin in the HSA.

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

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 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

    ×