Approvals with BCBS Federal

[wileyns 16]

Does anyone know how much we should expect to pay out of pocket with Fed BC/BS?

[MeFirst 65]

Does anyone know how much we should expect to pay out of pocket with Fed BC/BS?

I had a $200 surgeon fee

$175 hospital fee

2 $40 co-pays to surgeon for appts

$100 co-pay for EGD, X-ray, and EKG

Plus, my program had a $300 fee for all the NUT appointments and meetings. But that's not related to insurance.

I think the anesthesiologist bills separately, so not sure about that yet. My surgery is 3/14

Edited March 4, 2016 by MeFirst

[NewLife1985 45]

I posted all my fees so far on the link below

http://www.bariatricpal.com/topic/361874-my-approval-story-with-bcbs-federal-tx/

I posted all my fees so far on the link below

http://www.bariatricpal.com/topic/361874-my-approval-story-with-bcbs-federal-tx/

[SusanB55 89]

Hello all you lovely people My name is Susan and I subscribe to this thread and have been following it..."lurking" if you will. I am VERY angry with my bariatric surgeon's staff. Maybe you all can help me? My husband and I are both jumping through the bariatric hoops in the hopes to be approved for the sleeve. Because my husband is diabetic and his health is primary, I have been firm in that I would like him to have surgery before me. The doctor and staff understood and set up the nutrition and dr supervised appts within the 90 day period, which I know you all know about. They told him on his last appt that his 90 days start from his first nut appt, not his first dr sup'd appt. These two appts were 2 months apart due to their scheduling. So now they are saying that his 90 days extends to the end of May when it was supposed to be all wrapped up THIS month. Please advise me. Did your 90 days start with the NUT appt? Is that true? I'm so pissed. This is what THEY do all day, every day! And they screwed it up and just say "oh, sorry". I can't tell you how depressed we are over this. Thank you all.

[wileyns 16]

@@SusanB55 I didn't use my NUT for the 90 day weight loss I just used my PCP and it counted from the very first time I saw her in October and I went back in Nov, Dec and Jan. Wish I could be more help :-/

[SusanB55 89]

@@SusanB55 I didn't use my NUT for the 90 day weight loss I just used my PCP and it counted from the very first time I saw her in October and I went back in Nov, Dec and Jan. Wish I could be more help :-/

Ok, well thanks anyway. I hope somebody else can address this.

[MeFirst 65]

I'm so sorry that I'm not going to be much help either. My first surgeon's appt was November 3 and first NUT class November 4. So not sure which date they used.

However, I do believe it has to be a 90 day supervised diet (not 90 days from when you met your surgeon). But......it seems that meeting with your surgeon and getting weighed in should count. Good luck finding answers. I'm curious as well.

[SusanB55 89]

I'm so sorry that I'm not going to be much help either. My first surgeon's appt was November 3 and first NUT class November 4. So not sure which date they used.

However, I do believe it has to be a 90 day supervised diet (not 90 days from when you met your surgeon). But......it seems that meeting with your surgeon and getting weighed in should count. Good luck finding answers. I'm curious as well.

That is the problem. My husband's first dr supervised was December 29 and the next appointment was with the NUT on February 25. Almost two months later. We didn't suspect anything and figured the office knew what they were doing. OMG, they totally screwed it up.

[Christinamo7 4,042]

I had to pay 350 before surgery and a couple of copays - but my bills that have come in after surgery added on will end up paying about 1000 out of pocket. BCBS Federal Select

[Roalmc77 61]

I have fed bcbs standard last year and basic this year. My payments for nutrionist, psych, 3 monthly meetings with primary care physician, first meeting with surgeon were all under standard. It was 3 30 dollar Co pays one for nutritionist one for psych one for surgeon. 3 20 dollar co-pays one for each month with primary care physician. Thanks to these forums, I then switched to basic at beginning of 2016. Preop appt is 40 copay, surgeon for day of surgery is 200 copay, and hospital is 100 a night capped at 500. The hospital is this low because of my hospital being a bcbs center of excellence for bariatric surgery. According to the bcbs insurance person my anesthesiologist is included in the hospital copay.

Sent from my SM-G920V using the BariatricPal App

[Roalmc77 61]

Also for you federal bcbs people look into the my blue wellness card. It is a part of your insurance that will pay you money for filling out information on your health. $50 for filling it out then you can set goals and track them. Once you complete certain goals you get $40 per goal. I think 3 goals per year is the cap. But these are goals you can complete in 21 days or less. Every year you can do it again. If your on a family plan 2 members over 18 can do it. So it's like 340 free dollars a year. Has to be spent on medical bills or prescriptions is the only caveat. I had $50 on it from last year and almost done with my goals from this year. Should be just about enough to pay my surgeon fee and 1 day in hospital.

Sent from my SM-G920V using the BariatricPal App

[McNaughty 16]

I have BCBS Fed Basic but also have Health Choice which is the Oklahoma state employee insurance. I am hoping (fingers crossed) that they will pick up some of the deductibles even though bariatric is not covered under them. We will see.<br />