Hi everyone, I have a UHC high deductible plan through my employer. My plan has a deductible of $1750 and a maximum out of pocket of $3250. This means I would never pay more than $3250 annually, even if I hadn't already met my deductible. I'm waiting on bills from the hospital so I can pay the remaining amount (out of $3250) I owe.

Just as fyi - this is what the hospital, surgeon,etc. billed insurance and what insurance paid them.

$4000 - Surgery; $2650 - insurance paid, remaining amount was labeled as "plan discount"

$27691 - Surgery, hospital stay (2 days) and misc. services such as medication; $27046 - insurance paid; I owe $644.

$270 - Pathology (hospital); $182 - insurance paid; remaining amount - plan discount

$1680 - Anesthesia; $1322 - insurance paid; remaining amount - plan discount

$114 - Xray of esophagus (1 week leak test - analysis); $86.00 - insurance paid; remaining amount - plan discount

$632 - Xray of esophagus (1 week leak test - images); $239 - insurance paid; remaining amount - plan discount

I was required to do the following before surgery approval -

1. Attend a seminar - surgeon requirement

2. Meet with a physical therapist - surgeon requirement (possibly insurance too)

3. Meeting with psychologist - insurance requirement

4. Meet with a nutritionist - surgeon requirement

5. 6 month supervised diet - insurance requirement. I met this requirement quickly since I had already participated in a Dr. supervised WLS program approx. 1.5 years ago (for exactly 6 months - who knew I would be that lucky!?).

6. Have my primary care Dr. sign off on this and include a 5 year history of weight. This was best guess since I have only been with this Dr. approx. 1 year.

7. Meet with the surgeon.

i have UHC and i also have state insurance as a secondary so my surgery will be completly free. because in MD if you have medicaid as a secondary insurance they pick up the bill for what ever your primary doesn't cover

I didn't have heparin shots at home either. My surgeon gives prescriptions for Norco tablets for pain at home. Norco is relatively cheap and your regular insurance will cover it even if they don't cover weight loss surgery.

Although I may be mixing up one answer to several posts above.

i have UHC and i also have state insurance as a secondary so my surgery will be completly free. because in MD if you have medicaid as a secondary insurance they pick up the bill for what ever your primary doesn't cover

I have the same type of insurance. I'm in NC I have met all the requirements but am waiting for a date from my doctor's office, this has been the longest most exciting wait of my life. Did you have a long wait for a surgery date?

i have UHC and i also have state insurance as a secondary so my surgery will be completly free. because in MD if you have medicaid as a secondary insurance they pick up the bill for what ever your primary doesn't cover

I have the same type of insurance. I'm in NC I have met all the requirements but am waiting for a date from my doctor's office, this has been the longest most exciting wait of my life. Did you have a long wait for a surgery date?

I'm still in the 6 month wait process won't be done til February so I'll get my date then