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

Question about insurance/out of pocket



Recommended Posts

Say mental health today. She said some things need to be paid out of pocket. But when I called insurance they say they cover bariatric surgery 100%.. I'm wondering what's not covered

Share this post


Link to post
Share on other sites

It could be any number of things... nutritionist, classes, etc. Are you done with mental health? They might want to do some psych testing that isn't covered by your insurance. You might want to call them back and ask them what they believe you will be paying for.

Share this post


Link to post
Share on other sites

My insurance may pay for the actual surgery but I had to pay out of pocket for the nutritionist visits and the psych visit (he didn't take insurance of any kind) and my 5-week Behavioral Skills class. I've also had many co-pays leading up to surgery. All in all I've paid over $1000 out of pocket so far.

But that's my insurance and the things my surgical program required.

Share this post


Link to post
Share on other sites

My insurance has covered everything. I just had to pay my deductible and max out of pocket of $2000. My psych visit I just paid a co-pay of $25.

Share this post


Link to post
Share on other sites

If this provider isn't covered on your insurance find one that is. You are the one paying the bills don't let your surgeon force you into paying for things you could have covered.

Share this post


Link to post
Share on other sites

My hospital program charged a $100.00 fee (not covered by insurance) to join the program. plus I had to pay $60.00 for my nutrition classes.

Share this post


Link to post
Share on other sites

My insurance company (BCBS) covers 100% of the expenses but there is a $1,000 deductible. I am also responsible for all co-pays with visits associated with the surgery. If you have a healthcare spending account, it would be a great help!

Share this post


Link to post
Share on other sites

With BCBS Federal so far I paid 35 for psychology visit, 35 for surgeon visit, 100 for sleep apnea home study, 200 for surgeon to do EGD, 360 for hospital oupt. For EGD, 280 for the cpap, nothing for dietician, my 2 days in hospital for surgery will be 350.00. I dont remember if I pay surgeon anything for surgery. I guess this is not too bad.

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

    • ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 2 replies
      1. AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

        Congratulations! You're making excellent progress and looking amazing!

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 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

    ×