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What Has To Be Paid Upfront?



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So i got the info today about my approval for surgery but never got to talk to my surgeons office today. So does anyone know what you have to pay upfront?

My insurance says my OOP exspense is 15% of plan allowance. Does that mean i have to pay all before surgery???

Did anyone get to pay theirs in payments?

Help!!

Way too many questions right now

Krysti

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It varies from Dr to Dr, and from plan to plan. I already met my deductible this year, and my OOP max is $ 3000.00, of which I already met $1500.00. My Surgeon fees were $ 185.00 ( 10 % co insurance after my ded was met). The hospital I am having it at took a $ 100.00 deposit, and will bill me the rest. They don't want to take anything more because the actual fees can vary...surgery may take longer, or not as long, etc. But for me the most I could HAVE to pay is the rest of the OOP ($ 1500.00 )..but it wont be that much.

If you know what hospital you're having it at, you can call once they get all your papers from your surgeon. Most will take payments once they get the letter of approval from insurance as well. They know the bulk will be paid, and if the hospital is in network, most will have an adjustment for the amount charged as well.

Hope that helps..it looks like rambling now that I look at it.

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I have a 2k max out of pocket and I paid that upfront. The Dr. offered me 0% interest financing, but I wanted the airline miles from my credit card :D

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@Donny. You used Dr. Kim as well i just didnt know if they made you pay all at once or how It went. Any other advice you can give me?

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@mammasmelting . Thank you, every little bit helps!! Im just a little confused :)

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I'd ask them about their financing plan. They started telling me and I just said no because I was just going to pay it all as needed. I paid my labs and EGD day of and I paid my surgery day of. Every single part of the process you pay day of which helped me out a lot.

If I missed anything or you want to know any specifics fire away! I will help you with any questions you have regarding them!

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Thanks Donny! Where did you do your surgery at? Like Dallas or trophy club?

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Trophy Club! The Ritz Carlton of hospitals lol. Amazing staff and huge nice rooms with private bathrooms

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This is great information. .as to I am having my surgery with Dr. Kim on Dec. 20th..so far I judt paid the scheduling fee of 250.00 I have my cardiac testing on the 11th...and testing at the hospital on the 7th

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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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.
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      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.

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        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💪
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