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

New Insurance!



Recommended Posts

My job just announce we are getting bc/bs, but im stuck in which plan to choose please help! I can choose either the premier $0, premier 1,000, premier 500 or the advantage Indiana open access. I'm not smart with insurance stuff does anyone know about this stuff? ;-(

Share this post


Link to post
Share on other sites

Usually the 0 one is the most expensive. You have to look at each plan and choose the one that will cover your needs. Which one pays the most if that is what you need or if you can afford more out of pocket then go with a cheaper one. Each plan should out line what it covers.

Share this post


Link to post
Share on other sites

Usually the 0 one is the most expensive. You have to look at each plan and choose the one that will cover your needs. Which one pays the most if that is what you need or if you can afford more out of pocket then go with a cheaper one. Each plan should out line what it covers.

Sounds like what I wanted hear! I send want to choose the one that pay the most with the least out of pocket even if my monthly payment is higher. Thank you. You really help me. I'm going to make an outline and see which one I lean towards :-)

Share this post


Link to post
Share on other sites

You have to see which of the things you need the most. Of course wellness visits and sick visits. I wouldnt weigh in too much on emergency room visits because in all reality unless you are a sickly person how many times do you patronize the ER. In the event you should have to go to the ER and you are admitted the out of pocket cost is usually waived. We have a 200 dollar copay for the ER which I have only used once and was admitted so it was a benefit. I dont go to the ER unless I am really that sick and can't get to my doctor which is usually never. Most insurance carriers cover minute clinics which are becoming very well in need so they are just as good as the ER if you get sick. If they think its serious enough then they will send you to the ER.

Share this post


Link to post
Share on other sites

Yea I did read something about that. I'm not sickly or have health conditions at all other than weight issues. I'm thinking about call the 800 number and just asking in general the options too. My job just have these papers to us Friday and they want them back by the 10th that's not fair but I'm on it

Share this post


Link to post
Share on other sites

Rule of thumb is to buy the best insurance you can afford considering the deductibles. If u are disciplineed and can put your deductibles in an account to be used for emergencies only then you can buy insurance with a high deductible. If you see the dr a lot for various reasons you want to look for plans with cheaper office visits depending on your financial situation.

You can look at your needs and call your benefits specialist. He or she should be able to walk you through it.

Share this post


Link to post
Share on other sites

I'm not good at saving I have to admit. I will probably do better paying a higher monthly rate. I will for sure call a specialist and see what they say. You guys have been such a big help. Thank u!

Share this post


Link to post
Share on other sites

Also u can get the Fsa that helps out a lot

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

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      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

    ×