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Out Of Pocket Costs

Aetna has approved my surgery! I was just wondering what the average cost is for the surgery. I have met my deductible for the year so I'm responsible for 10%. What has your out of pocket cost been?

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  • I was told by my insurance I would have a max out of pocket cost of 1000$ once I meet that insurance covers the rest but co-pays don't count toward that. so far I have paid 100$ in dr visit co-pays (

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I don't have Aetna-and had not met deductibles yet so... I had to pay my surgeon $250 and my hospital $750--would have been around$950 but I am an employee. Plus a couple of co-pays for pre appts--Nut consult-$75, psych $15, preop md $15

Jenn

Congratulations! I have Aetna, already met my deductable and so far with my 10% the surgeon was $400 (paid in advance and it can change once the charges are submitted to insurance) and the hospital said I will need to pay $590...i don't think that includes the anestheologist which I think is another $100-$150...

I was told by my insurance I would have a max out of pocket cost of 1000$ once I meet that insurance covers the rest but co-pays don't count toward that. so far I have paid 100$ in dr visit co-pays (with more to come) and another 130$ in program fees for my nutrition classes and life skills training. I have been told to anticipate another 250-300$ for the Optifast diet prior to surgery so all in all I figure I will have paid 1,500-1,750 out of pocket by the time all is said and done.

best money I will EVER spend if you ask me

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Steph and Kendra - thank you both! Twelve days til I'm sleeved. I just wanted to be prepared for what to expect expense wise. I've paid for the nutrition appointments and life skills classes as well as the OptiFast. The only thing remaining is my portion of the actual surgery!

I think my out of pocket is going to be around $2500.... And that is with my wife being an RN at the hospital where I will have my surgery.

I have an out of pocket of $3000!!! But, my job gives us an *** and ppo with no premium for me or my family. So, I guess this isn't so bad considering I have never had to pay for insurance in 8 years.

I will have to give the hosp 3294 up front before surgery May 8th. 3000 being my out of pocket max and 294 is what's left of my deductible...

i paid:

$250 for the psych eval

$200 to the nutritionist

$150 for the endoscopy

$1500 to the surgeon

$300 to the hospital

an untold amount on Vitamins, Protein powder, clear Protein drinks and other miscellaneous crap.

Even with insurance, it ain't cheap!

BTW I had a PPO and it pays 90% with a $300 deductible. My surgery wasn't until January so it reset :(

I pay 20% and my out of pocket max is 3k so I paid 3k. The total bill was close to 50k before insurance savings and insurance payments!

My copay is $3000 payable two weeks prior to surgery and at the preop visit.

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Thanks everyone!

WOW ! when do they tell you about a copay? got my date this month on the 26, and got a 4000 bill knocked down to 20 dollars i have to pay the hospital for things up to now. will i get a bill ? i have bluecross athem

I have anthem bcbs and had surgery 3/13. I'm still waiting on a bill.

I have anthem bcbs and had surgery 3/13. I'm still waiting on a bill.

DID THEY SAID IT WOULD BE A COPAY??

According to my plan I'm supposed to have an out of pocket of 3k.

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