I found a surgeon, however, the facility charges several fees which are not covered by insurance, totaling over $700 on top of the out of pocket I will have to pay for the surgery. Is this common?

It seems to me that happens in any medical treatment I've had. So far, I've only had a $100 fee that had to come straight out of pocket, but I've just begun my process. So far I haven't been told of any other costs that won't be covered other than my co pays. And every insurance is different so it's hard to say. I won't be surprised if I have more.

I have Aetna. I have a $100 copay day of surgery. My patient coordinator told me that according to my insurance that the most I can pay put of pocket is $500. My surgeon's office will bill me within a month of surgery. I have to pay $350 at my pre op appt, which will cover my 6 months post op appts.

Thank you both for responding. The bariatric coordinator told me no one's insurance covers the surgeon's fee, I just was not expecting it to be so much. But so far I think they're the best I've found.

My copy for monthly visits to my surgeon are $50. Not all insurances have coverage for obesity (except surgical treatment) so I know some who pay this part themselves. (The charges for these monthly visits at my surgeon's office are $167)

I paid $200 for the scope ( around $2000).

I have had to pay about 250 to meet my 750 deductible during the process.

On surgery day i have no copay, but I am responsible for 10% (coinsurance) I believe it will be around 2,000 for hospital/ surgeon fees and around 500 for anesthesia. The total charges for gastric bypass are about 31,000 so not to bad. ????????

I am not sure of my max out of pocket so I might not have to pay all of my 10%- I need to get on my plan documents to double check!

Edited September 28, 201510 yr by TMG1980TMG

I think it depends ... I have Aetna and so far I have paid $30 copayment for surgeon consult, $30 copayfor psych evaluation, $250 for NUT, I am not sure how much my copay will be for medical testing. But once insurance approves I will have a $250 deductible.

Edited October 5, 201510 yr by kirklandt89

I'm lucky cause my insurance is through my work which is at the health organization I'm having all this with. My surgeon isn't "with" the organization so I have to pay the in-network fees for him but everything else is covered.

Anyone have experience with anthem health keepers plus?

I'm responsible for 10% of the surgery cost, and I have to meet my $100 deductible by the day of surgery. I had to pay $150 total to see the psychiatrist and nutritionist. I think you will see that it's different for everyone.