Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

How much was your out of pocket?!?

I have a HSA acct with bc/bs texas. They have a very high deductible 2500 ahh!!!! I just don't see why the hospital wants their % upfront as well with my deductible. My co insurance is 10400$ before bcbs pays 100%. I highly doubt the hospital will reimburse me back my money that they charged me up front. My facility fee is

90-10%

Needing to vent

Thanks

  • Replies 32
  • Views 4.4k
  • Created
  • Last Reply

Featured Replies

Ugh, I am holding my breath about what the final amount will be. I have a straight 80/20 plan, but it's not just the surgeon, it's the hospital, the anesthesia, etc, etc, etc.

One tip I've heard to save money when you're in the hospital is to bring your own liquid Tylenol or other surgeon-approved medicines. The hospital will of course give them to you if you forget, but they will charge a giant premium for them.

Chin up, just keep thinking about how you will recoup your losses tenfold over your lifetime from the grocery bill savings.

5000 and that includes my air fair to mexico and all tips I gave out.

My out of pocket max is $2,000. I'm pre-op but my MD says to expect to be in the hospital for two days. If that is the case, then I will only pay $1,000 as I have a $500/day hospital stay copayment. Trying to find the silverlining: Having heard from most self-payers that the cost of surgery starts at about $5,000 and up. I figure I'm lucky.

I should mention I have an H.M.O so that keeps my costs down in comparison. We have a PPO option at my work and it is 80/20 also. I hope the finances work out for you. Vent whenever you need too! :)

Mine was a straight $250.00 copay

  • Author
Ugh' date=' I am holding my breath about what the final amount will be. I have a straight 80/20 plan, but it's not just the surgeon, it's the hospital, the anesthesia, etc, etc, etc.

One tip I've heard to save money when you're in the hospital is to bring your own liquid Tylenol or other surgeon-approved medicines. The hospital will of course give them to you if you forget, but they will charge a giant premium for them.

Chin up, just keep thinking about how you will recoup your losses tenfold over your lifetime from the grocery bill savings.[/quote']

Thanks that's what I keep telling myself too :)

  • Author
Ugh' date=' I am holding my breath about what the final amount will be. I have a straight 80/20 plan, but it's not just the surgeon, it's the hospital, the anesthesia, etc, etc, etc.

One tip I've heard to save money when you're in the hospital is to bring your own liquid Tylenol or other surgeon-approved medicines. The hospital will of course give them to you if you forget, but they will charge a giant premium for them.

Chin up, just keep thinking about how you will recoup your losses tenfold over your lifetime from the grocery bill savings.[/quote']

Thanks!!

  • Author
5000 and that includes my air fair to Mexico and all tips I gave out.

That's sounds like just about everything I have to pay with insurance

I too have a high deductible plan combined with an HSA account. My deductible is $4000.00, which I met throughout the year leading up to my surgery for pre-op requirements---doc. visits, lab work, sleep study, etc. Then when my surgery rolled around I had to pay $1,000.00 of my surgeon's fee but everything else was covered at 100%. Basically I guess you could say that I had to pay a total of $5000.00 out of pocket for my surgery, and that's a lot of money, but I feel very fortunate that that's all I had to pay considering the total charges billed out for everything related to my surgery were just over $29,000. Granted the insurance company knocked those charges down to just under $20,000 through contractual adjustments, but that's still a pretty hefty amount.

At 3 months out and 61 pounds down, I can say without hesitation that it was definitely the best $5000.00 I've ever spent.

  • Author

I went down myself to the hospital this morning just left and I was told I have to pay them 2150$ finally I have an answer!!!! Paid a 1000$ today and the scheduled my surgery for the 25th at 5:30 am everything sinking in now. I will be admitted for 2 days

I have a HSA acct with bc/bs texas. They have a very high deductible 2500 ahh!!!! I just don't see why the hospital wants their % upfront as well with my deductible. My co insurance is 10400 before bcbs pays 100%. I highly doubt the hospital will reimburse me back my money that they charged me up front. My facility fee is

90-10%

Needing to vent

Thanks

My out of pocket was $0

How's everything going, OP? I assume you had the surgery already?

That's sounds like just about everything I have to pay with insurance

My insurance covers the surgery but there is an almost 4 year wait... I decided not to wait and pay out of pocket.

$780.00, i have a bcbs policy

I was so blessed! I have a $2000 deductible, but my employer reimbursed us for it. I had to pay the $2000 up front, but I get it back.

I live in KS, but work from home for a software dev firm in Massachusetts. My insurance is BCBS of Mass. Ironically, BCBS of KS doesn't not cover WLS. I am not sure if this happened or not, but at a WLS seminar I attended as a prerequisite of my surgery they told us that Medicare/Medicaid would start covering WLS in 2013. It is sad to me that a private plan (that you have to pay for) wouldn't cover WLS, but Medicare and Medicaid possibly would.

Archived

This topic is now archived and is closed to further replies.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.