Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

Out of pocket expense?

How much was/is yours? If you even had one...Im in the process of trying to get my surgery approved...I have more appointments coming up...i know its a process but its going to be well worth it thats for sure..I CANT WAIT...BUT my out of pocket expense is $600..it covers a couple of things but SHEEESSHH...kinda stressful..i cant even lie..lol

Im thinking about changing my doctor...i know of another place but idk where im at I heard good things too..

Questions..comments are more than welcomed...thank u in advanced

  • Replies 48
  • Views 3.8k
  • Created
  • Last Reply

Featured Replies

My yearly deductible $4500

Max out of pocket $9000 per year

2014 was expensive.

And I work at the insurance company. Smh

I would LOVE that kind of insurance. Prior to 2014 I had a pretty decent policy. But after being forced to switch to a crappy Obamacare policy, my insurance sucks.....$331 monthly premium, $5000 deductible, NO office visit copays and $6500 max OOP. So basically I shell out $8972 every year before insurance kicks in a penny. Affordable my ass! Makes me wish I lived much farther south, so I could take advantage of the REAL affordable health care in Mexico more often.

Edited by Kindle

@@Kindle - You live in a state that refused to accept the medicaid exemptions, huh? I have friends just one state over in the same predicament.

My out of pocket will be approximately $1400.

Be happy that's all you're paying, you could be paying all of it like me 12,500 cash and in other places up to 26,000 in cash. Wheww wee! Just be HAPPY

I just had my insurance out-of-pocket co-insurance to pay and then my $20/co-pay for office visits. The co-insurance was 10% up to a max of $1000. In the end I ended up paying somewhere around $875 for the co-insurance.

My hospital's bariatric surgery group tells you up front that there is a non-refundable (even if your insurance ends up denying you) fee of $600 that covers the psychiatric part, the nutritionist, and all other things insurance won't. But it also covers LIFETIME nutritionist appts. and support groups for their bariatric patients, so that's pretty awesome.

I have an H M O, so aside from my per diem in-hospital fee of $150 p/day, I do not have any other out of pocket expenses.

Oh, plus the specialist copays for my insurance, which for me is $40 per. (Cardiologist, Pulmonary doc., etc.)

Edited by Garifab_VSG

I had to pay whatever was left from my max out-of-pocket for the year, which came to around $1,000 in out-of-pocket. Insurance covered surgery, nutritionist, pysch eval, Protein drinks, and Vitamins.

I'm not an insurance expert, but I think you should expect that whatever your max out-of-pocket is left on your insurance the year of your surgery, you'll end up paying.

Having this surgery will save me so much in food and medical costs down the road that I was prepared to pay for the surgery myself if necessary.

Edited by AlwaysVegas

@@AhnaLucille I would call your insurance and make sure you have no deductibles you have to meet prior, there are so many different insurance companies and branches that she may not be that familiar with yours. Some require a percent that you have to pay out of pocket for surgeries, some just have set copays for hospitalization, doctor's, etc. there are so many variations. Somebody from your insurance company should be able to assist you with that and also you can request a breakdown of their coverage, so you have a copy. Somebody in the surgeon's office should be able to tell you what the surgeon's specific fee is (separate from insurance). I didn't have to meet any deductibles the $300 was for my surgeon, for his program. Normally was $500 but I got a discount because my dad had bypass by the same surgeon.

13k out of pocket.

My cost is going to be $400 for my co-pay and $725 for my deductible. i've already paid $250 in full for the 3-month perpatory program and I may have another bill for the Anethisiologist. :-\ I'm praying that insurance covers that. I have Aetna, so who knows! I'm just happy to get this done! yeah!!! It's the only thing keeping me going right now. My surgery date is 2/18/15. I'm extremely excited!!!!

Edited by BeautifullyCreated1982

@@Aranks now I'm finding really weird that no cost were brought up at the consult. Maybe I don't have any??? haha I'm dreaming! I wish I were that lucky :) When I was leaving I went to pay my copay.. but they said I didn't need to. that my dual coverage paid for it. You'd think money would be mentioned .Seeing how he said this is his job, he gets paid to do this.

My coworker went to a different surgeon's office and their program has a non refundable $250 for consult. I had nothing like that.

I've already done all the research with my insurance. My hospital is a blue distinction center so that cuts the cost. I have an idea but an actually out of pocket has not been motioned. I'm guessing around $350. two nights and surgeon.

I'm just going to wait and see. I can handle a few hundred in fees, but if its more than that. I'll have to wait until I saved up enough money or see if I can get on their payment plan.

Archived

This topic is now archived and is closed to further replies.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.