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How much did you have to pay upfront?

Did you have to pay anything upfront? I have a 2500 deductible then its 90/10. Would I have to pay this upfront?

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1700 to the surgeon and 2150 to the hospital

I was told I would have to pay my deductible the day of surgery and then the bills would come in the mail for the rest of the maximum out of pocket expense. I think it depends on your doctors office.

I paid 1200 upfront to the surgeon and a total of 2000 to the anesthesiologist, hospital, pathologist, and labs in bills after the surgery.

I was self pay so had to pay it all up front. Best money ever spent.

I had my done at a state hospital and did not pay anything up front.

I am getting sleeved March 2013. I have to pay the surgeon $500 and then the hospital will bill me. I am responsible for 20% up to $2500

  • Author

I just checked my deductible is $150 and my out of pocket is $2500, so does this mean I only have to pay the $150?

I just checked my deductible is $150 and my out of pocket is $2500, so does this mean I only have to pay the $150?

Usually that means the first $150 is your responsibility then you either have to pay the $2500 up front, then coverage is paid in full. Does it provide you any indication like, you are or the insurance is responsible for a certain percentage after the deductible is paid? That is a pretty low deductible.

  • Author

Deductible

Limit

Accumulated

Remaining Balance

In Network

Member: $150.00 $0.00 $150.00

Out of Network

Member: $450.00 $0.00 $450.00

  • Out of Pocket

    Limit
    Accumulated
    Remaining Balance
    In Network
    Member: $2,500.00 $0.00 $2,500.00

    Out of Network
    Member: $7,500.00 $0.00 $7,500.00

Deductible

Limit

Accumulated

Remaining Balance

In Network

Member: $150.00 $0.00 $150.00

Out of Network

Member: $450.00 $0.00 $450.00

  • Out of Pocket

    Limit
    Accumulated
    Remaining Balance
    In Network
    Member: $2,500.00 $0.00 $2,500.00

    Out of Network
    Member: $7,500.00 $0.00 $7,500.00

Is this a Blue Cross plan? I verify insurance eligibility for a living. Does it have anything about a coinsurance listed. One of the things you may have to do is contact customer service and check your responsibility for hospital stays and what's covered.

  • Author

[name=GENERATIONCURSECHANGER' timestamp='1360265316' post='673232]

Is this a Blue Cross plan? I verify insurance eligibility for a living. Does it have anything about a coinsurance listed. One of the things you may have to do is contact customer service and check your responsibility for hospital stays and what's covered.

[i have anthem bcbs]

Aside from office visit co-pays, I didn't pay anything up front.

  • Author

I tried to reach out to the hospital and it can take 1-2 days before they get back with me. In the meantime Anthem BCBS said that they will have to collect the deductible and be billed for the rest. I should meet my deductible with the heart and lung clearances.

My insurance is healthchoice select, $5000 deductable specifically for wls then everything else is 100%. I do not have a copay or deductable normally it is only for wls, go figure. At least they are covering it under the plan. Now to jump through all the hoops to get approval.

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