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

Recommended Posts

Hey everyone..! I'm new, & have my first appointment with my doctor! (In shelton, Connecticut) on Thursday. I just got the call saying I'm covered.. But my parents switched insurance in January of 15 & the deductible is 4k! The woman said it goes towards visits ,etc but whatever is owed to the office has to be paid before procedure can be done..

I was told the deductible is what you pay before policy takes effect. What can I do? Can I do a payment plan? If I do the process of the sleeve with all the appointments needed before surgery, will it go down?

Do I have any options or do I have to wait & save?

I've waited for this for so long.. I'm getting really sad :/

Share this post


Link to post
Share on other sites

you can apply for a medical loan. It is the only way I know how. I had to pay out of pocket and that is what I did. Good luck I know how it is!

Share this post


Link to post
Share on other sites

Hey everyone..! I'm new, & have my first appointment with my doctor! (In shelton, Connecticut) on Thursday. I just got the call saying I'm covered.. But my parents switched insurance in January of 15 & the deductible is 4k! The woman said it goes towards visits ,etc but whatever is owed to the office has to be paid before procedure can be done..

I was told the deductible is what you pay before policy takes effect. What can I do? Can I do a payment plan? If I do the process of the sleeve with all the appointments needed before surgery, will it go down?

When they said "whatever is owed to the office has to be paid before the procedure is done," do they mean your balance has to be paid off or do they mean you have to prepay the procedure? If the former, then if your insurance allows $75 for each office visit, for example, then you would have to pay $75 each visit until your surgery (I doubt you would rack up $4000 in office visit charges).

Generally, a deductible is what you pay before the insurance pays. That can mean different things for different policies. Here are some examples, the first one is my own policy:

1. Office visit copays are $35, and the deductible does not apply. Everything else has a $1250 deductible (xrays, tests, etc.). Once the $1250 deductible is met, my insurance covers 70% and I pay 30%. The total I ever have to pay in one year is $5000, then insurance pays 100%.

2. The patient pays $4,000 in deductible before insurance pays a dime.

3. The first three office visits in a calendar year are $25 each, then the patient has to meet a deductible of $2,000, then the insurance pays 80% and the patient pays 20%.

So as you can see, depending on the terms of your policy, your deductible may work in different ways.

Share this post


Link to post
Share on other sites

Oh okay thank you. I've seen that people didn't have to pay the whole thing upfront.. I have my first appointment tomorrow I'm going to ask my surgeon what my options are. I won't give up!

Share this post


Link to post
Share on other sites

Please fill us in on whatever it's you decide

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

    • 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.
    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 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

    ×