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How Much Out Of Pocket?

Hi all! My hubby and I r going thru this journey together. Hub is sch June 26, I'm scheduled July 11. We r so excited and ready for our new journey to begin( praying for no complications daily) hub got a call from dr office asking for around $3k a peice! Omg! But she did say we can get a payment plan going. Like we don't hav 6k just lying around. But I am so greatful for my insurance because I know this is am expensive surgery. Anyone else get a call at last min about money?

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Not last minute.... i knew what my co pay was when i started this process. Which gave me time to start saving.

Wow I have to say I am very greatful for my insurance cuz I didn't have to pay out of pocket for anything. Thank goodness you are able to get a payment plan!

Well when I started the process, my insurance company told both me & my doctors office that it was covered. A month ago, my doctors office was informed that it was an "excluded" procedure. I appealed, I stressed that I have a BMI of 45 (morbid obesity) & still was denied, I have had to pay the $25,300 with the help of family, credit cards, & loan from the bank. I could have saved some money by changing my surgery from the Roux-en-Y to the lap band and saved about $10,000 but me & my surgeon decided prior to being denied that I would not lose enough weight.

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Wow. Thanks for ur story. I am blown away at ur insurance. But I'm glad u hav great family and friends to help u thru this. I'm thankful for my situation cause I would hav no help( money wise) if it came down to it.

Did you ask them why and what is the 3K charge for? Did you know that there would be a charge "before" you booked surgery.

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Not really. I asked a co worker did same thing hap to her she said yep. Actually around 2k so I feel lil better

I got a call exactly one week before my surgery date saying I had to pay almost $3000 before surgery.

I knew I had to pay my out of pocket for surgery but figured I would be billed after surgery. I believe the way she put it was "Do you want to pay now, over the phone or would you like to pay it the morning you come in for surgery?" I was so stressed out about it they took my blood pressure 6 times at my last nutritionist appointment.

It was terrible, I had come so far and worked so hard only to be asked "Oh, didn't so-and-so tell you?". Luckily they did agree to a payment plan 3 days before surgery.

I hope all goes well for the two of you. It's wonderful that you will both be going through this together.

Hi all! My hubby and I r going thru this journey together. Hub is sch June 26' date=' I'm scheduled July 11. We r so excited and ready for our new journey to begin( praying for no complications daily) hub got a call from dr office asking for around 3k a peice! Omg! But she did say we can get a payment plan going. Like we don't hav 6k just lying around. But I am so greatful for my insurance because I know this is am expensive surgery. Anyone else get a call at last min about money?[/quote']

Well I knew there would be some kind if out-of-pocket fee just didnt know how much till now. I git scheduled for my wls for July 16 2012 last week, then the hospital admitting/Billing called me and sd I have already met my yearly deductible, sd my part was like $600+ and INS pays 20% of that, then sd by going thru a Center of Excellence hospital they give me another discount which gave me a grand total rounded up of $455 out-of-pocket.

Then since goin thru my fiance's work insurance, they have a wellness rewards program. We have the health care spending account for our healthcare costs. The wellness program agent sd by having a successful wls and completing the follow up qualifies me for rewards fees back into our hsa acct. They sd by completing a successful surgery and follow up they will put a $1000 credit back into our hsa acct. She says causw the wls qualifies as bettering your health. I was like awesome.......so happy. Cause will help when fiance' goes for his knee surgery to get screws taken out whwre he had a rod put in leg a yr ago. Yayyyyyyyy.........

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