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Hey TonyaA i have bc/bs too most out of pocket for me will be 2500 i already had a copay of 265.35 for the surgery. What is the most the insurance company say you will be paying out of pocket

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We have a "high deductible" plan with a health savings account. My husband's employer contributes $2000 to the HSA, so our share of the out-of-pocket maximum was $4000. Fortunately, prescriptions count toward the maximum. I'd have to go back & add up what we've actually paid for my WLS process since some of the expenses were for other medical care. Since every thing is fully covered now through the end of the year, I'm going to have surgery on my right hand next week to release some scar tissue from a couple of trigger finger releases.

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I'm still pre-op but my total out of pocket expense will be $250.00 with Kaiser (California).

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Self pay $10,500 but worth every penny! :)

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Still pre op but mine will be covered 100% if I use a network doc and a center of excellence, which I am of course. No deductible or out of pocket. I only pay my $35 copay when I see the NUT or surgeon. I am very thankful for my husbands insurance.

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I'm also pre op and was told I would pay 150 copay to surgeon and 150 copay per day to hospital up to 500 if additional days are needed. I have BCBS Federal Basic.

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I used an out of network doctor so I paid 300 dollars and for the hospital stay i have a 100 copay and everything else is covered. I have empire bcbs Athena

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I paid 300 for my hospital stay. And about 275-300 in co-pays for everything else. I have BCBS federal

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My insurance doesn't cover WLS. I will end up about $7500 after surgery, meds, hotel and plane ticket ($8000 if I end up bringing someone with me to TJ). But as you can tell from the huge variation in replies, it all depends on your deductible, copays and insurance policy details.

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My insurance doesn't cover WLS. I will end up about 7500 after surgery' date=' meds, hotel and plane ticket (8000 if I end up bringing someone with me to TJ). But as you can tell from the huge variation in replies, it all depends on your deductible, copays and insurance policy details.[/quote']

I just had surgery in TJ last Friday and paid $4700 plus $320 for airfare. Couldn't afford it in St Louis. $17,000. It would have been worth it but I couldn't come up with that kind of cash.

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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.
      · 0 replies
      1. This update has no replies.
    • 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.
      · 1 reply
      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.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        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💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
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