Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Out of pocket costs?



Recommended Posts

So... Just wondering what some of you have paid or are about to pay out of pocket. Any ideas of the negotiated rate with your insurance company? I have 50% coverage for everything, so from what I have seen I could be out of pocket a lot of $$. I usually have a good negotiated rate from the other surgeries, so I am a little hopeful! But, how much is your health really worth? That is what I keep telling myself!

Share this post


Link to post
Share on other sites

Our out of pocket costs are multiple office visit co-pays for all of our pre-op requirements and we have to pay for the nutrition class. Inpatient services (hospital services) are all covered 100% with a possible separate surgeon fee. Jury is still out on the separate surgeon fee. I've been curious about the contracted fees as well, but haven't come up with anything yet. The same insurance company may have different contracts/converage between different employers.

Share this post


Link to post
Share on other sites

Wow. That's a lot. I'm covered at 95% after a $150 deductible. The surgery costs $15,500. So I'm looking at around $775

Share this post


Link to post
Share on other sites

Mine is 70/30. I had to pay my surgeon $700up front pre-op this week, the hospital will be about $2200,But I get to make payments on that (thank goodness!!!) plus anesthesiology :/

I'm a family practice physician assistant for the hospital system that my surgery is going to be at...our insurance kinda sucks!!!!

HW 312, pre-op (lap-band) 294, pre-op (RNY) 251, surgery date 2/11/13, goal weight 154, current weight 251

Share this post


Link to post
Share on other sites

My surgery finacial obligation is $3500.00. I feel that it will be worth every penny.

Share this post


Link to post
Share on other sites

I paid an $80 co-payment for surgery. I pay all co-payments for surgeon and I'm putting in an appeal for the nutritionist not being covered.

DOS 12/17/12

Share this post


Link to post
Share on other sites

My surgery finacial obligation is 3500.00. I feel that it will be worth every penny.

Wow! What are they requiring down or do you have to pay all up front

Share this post


Link to post
Share on other sites

I had to pay the entire 700 for the surgeon up front, the hospital will take payments after....

Share this post


Link to post
Share on other sites

My insurance is Medicare they pay 20% I have to pay hospital $1186 Dr $386 Ass dr $286 all upfront

Share this post


Link to post
Share on other sites

Wow! What are they requiring down or do you have to pay all up front

This is my total obligation and Yes they want it upfront.. My surgery date is 03/04/2013..

Share this post


Link to post
Share on other sites

This is my total obligation and Yes they want it upfront.. My surgery date is 03/04/2013..

You're right I believe it will be worth it as well.. I just wish they would have broken it into payments

Share this post


Link to post
Share on other sites

I paid everything in cash upfront. Where I live, insurance doesn't cover this. I paid almost 10,000 $

Sent from my iPhone using RNYTalk

Share this post


Link to post
Share on other sites

This is my total obligation and Yes they want it upfront.. My surgery date is 03/04/2013..

Hey your surgery date is on my birthday! Congrats. My journey will begin on February 5th that's the day I go to my consultation... I know my insurance covers it because I'm a St. Lukes employee and I also don't have to wait the 6 month time... My concerns are mostly the fact that I haven't reached my deductible or out of pocket Max. So I'm wondering what I will have to pay up front and what they will take payments on... Just gets my nerve going... I dying for the 5th to get here I feel like that will be the date I will know my destiny... I want my life back

Share this post


Link to post
Share on other sites

You're right I believe it will be worth it as well.. I just wish they would have broken it into payments

IKR!!!!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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.
      · 0 replies
      1. This update has no replies.
    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • 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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×