Have a PPO Plus with UHC and it involves a $300 annual deductible. My dr's office says I owe them $545 and now I'm worried that I'll have to pay the hospital some $$ the day of surgery. I was told I would only have to pay $300 out of pocket (not including co-pays for doctor visits.). My plan states that they pay 100% after the deductible and my deductible is $300. IDK why all of the sudden I'm paying an extra $245 to the surgeon, and possibly a second fee to the hospital.

Anyone else going through anything like this?

I wonder if you somehow went out of network? I also have UHc but my plan covers at 80/20 after a 500 deductible. My insurance also covers different things at different rates like with our dental for example minor work is covered 80/20 but major is 50/50 so I wonder if something crasy like that is going on

Called my insurance. Everything is in network. My deductible is $300. I've already paid that to the surgeon's office. My insurance said once it posts to my account then I shouldn't have to pay a dime more. The problem is my surgeon is billing me an extra $246 for administration fees. But agreed to accept the $300 as a down to have the surgery. So me, the surgeon, and the insurance company have to have a sit down on why I'm paying extra out of pocket and who is going to reimburse me if I do.

Wow hope you get that worked out!

All worked out!!!

What all did uhc require of you

I have united healthcare and a few months ago i called and I had to meet requirements such as bmi of 40. When I called again they said those requirements are no longer in place but based on case by case and documentation. Anyone had any experience with this? Any insight into whai I can expect? I have first surgeon consulation on May 10th. Any info would be greatly appreciated.

I think a few months ago it was decided that people with bmi of 30 or higher might be eligible for Lapland as opposed to 40+ bmi. I think it's case by case, but usually if youre under 40 bmi, you need to have 1 other problem like sleep apnea, etc.

I just got approved by Uhc about a month ago and I am having surgery may 10th. I was required to do a six month doctor supervised diet, towards the end of that I had to have a psyc eval. And of course all the normal stuff bmi over 40 or 35 with comorbs. I am 5'2 260lbs so I was well over 40 bmi. Once all the paper work was submitted it was about a week and a half.

i've been getting bills too and have uhc..my husband and i actually as he is banded too...it's annoying, but i call them and they have been taking care of it...they can't seem to figure out why i keep bills...i wish they would because each phone call with them is at least 30 minutes...well worth getting rid of all these bills we keep getting...

What's your plan and how much did you end up paying out of pocket?