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I'd Like To Know How Much Your Ins. Covers



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HI,

We all talk about ins. covering/ not covering. I thought it would be interesting to know exactly how much your ins. does cover.

If I'm approved my ins. BCBS anthem of Ohio (even though I live in NC) will cover 85%.

Anyone else? :)

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My United Healthcare paid all but $35 co-pay for the first visit. When I go for a fill, I pay $35.

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My insurance required a center of excellence and would pay 80%. My cap on yearly out of pocket is $3000, so combined with all appointments this year I will only pay $3000 for healthcare. Actual surgery costs look like approx $800.

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My insurance covered some because of the Hernia repair. My out of pocket is is $5500.

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My ins paid everything except my ded which was 250

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I paid roughly 1475 and they covered the rest.. that did not include the 12 co pay I paid for visits...

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Here is total cost for everything:

Initial Doctor Visit: $35

PreOp Appointment w/book: $275.00

Surgery: $250

Total Cost: $560

My insurance is with Tricare and a supplemental with ASI Tricare. I must say that I was truly blessed especially when I found out the cost for everything. However, I don't know what the cost will be for my follow up and fills but I have already meet my deductibles on everything.

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I have Blue Cross Blue Shield of Kansas and the surgery was 17,000 and I paid 647 once all the bills came in, which gave me free fills and office visits for life so I don't ever have to pay a co pay or anything.

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I have bcbs of il. My ded was 250 and I also have no copays

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I'm self pay in DC I'm paying 15k out of pocket financing 10k. Since I'm the first self pay they have ever had in the clinic they do not participate in the GE care card program so had to take out a personal loan. The cost includes. One year of fills, 23 hr of hospital stays and 4 f/up visits. I'm hoping to my $ next week so I can schedule surgery. Although do to the insanity of my job and my limited amount of leaving I'm not scheduling until end of May. I'm so anxious I just want to get started with ,y new life.

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The one good thing about self pay is that I don't have to go through all that insurance crap which to me is worth it!

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I have Aetna *** and they paid everything...the only thing I paid was $100 at the hospital the day of surgery for my deductible and $40 Co pay for the Dr visits.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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      1. This update has no replies.
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