BCBS Federal in Texas (Basic or Standard better?) Lap Band to Sleeve Revision

[band2RNY 12]

I'm BCBS basic and while I've not had the revision, my total hospital bill for the sleeve and 2 nights in the hospital was $300. Just make sure your hospital, surgeon, anesthesiologist (I.e. EVERBODY) is in the network. Best of luck to you! I think basic is the way to go with respect to these types of procedures.

Thanks! Yes, key is to make sure all are in network. So, it is possible to not have to pay drug costs. Good luck to you!

[cricketcree 10]

True!! Goodluck to you as well!!!!

[band2RNY 12]

My revision surgery is scheduled November 5th! My band slipped and the port is all messed up! He gave me the option of having the surgery in 3 weeks but I just need more time to think it all over and get things set. I'm not required to do 3 month diet, etc.

He told me to decide on RNY or Sleeve and today I told him i'm leaning more towards the sleeve, so that is what he signed me up for. But, i'm actually thinking about RNY now and I might get that. I need to read a lot more on it.

150 co-pay hospital and 150 co-pay surgeon.... and 30% of drugs so i'm happy about that. I'm still going to call the hospital once everything starts getting into the process and try and get out of the 30% for drugs costs. lol

[cricketcree 10]

Just as I thought! Good deal!!! If you find out about how much the 30% will be, let me know please!!! I'm trying to figure it out as well!!

[band2RNY 12]

Ok I will. I'm hoping all of it is in-network.

[band2RNY 12]

I just called my doctor insurance coordinator and she said they have to schedule me with an in-network hospital so all charges should be in network and she doesn't see me having to pay 30% drugs. I'm still going to double check when the hospital calls me to set up surgery and get it in writing.

[cricketcree 10]

So if the hospital is in network then you don't pay the 30%?

[band2RNY 12]

So if the hospital is in network then you don't pay the 30%?

That's the way she made it sound.

[cricketcree 10]

That would be great!!!!!!!!

[chinamama 104]

If you have basic IT HAS TO BE IN NETWORK, or they pay $0!!!!

[SuzyB 182]

Some of bcbs plans require center of excellence as well as being in network.

[band2RNY 12]

wonder why some hospitals charge 30% and some don't?

[Silkylady 3]

I have basic and I only paid 150.00 for the actual surgery and hospital stay. When I got the statment from BCBS they had been billed a total of 59,000$ from the hospital. The charges included surgery ,all drugs administered during surgery,my 1 night stay and all drugs administered after surgery. Insurance paid 29,000 and my cost was the 150.00 co pay for surgery. My surgeon's office was a center of excellence with BCBS , so I dont know if that made a difference in how it was billed or not.

[cricketcree 10]

Oh wow Silky!! I called the hospital where I'm having the procedure done . I was told $150 for te surgeons fee and 100 per night for hospital stay, then 30% drug/ supply cost.