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

When did you find out about your out of pocket expenses?



Recommended Posts

My surgeon's office has an insurance coordinator who met with me on my very first appointment. She was able to look up my insurance information then tell me what my deductible would be and any out-of-pocket expenses. I knew this information from the very beginning so it baffles me that you are two weeks away and nobody has told you.

Well, she and I have the same surgeon, and I don't know what her experience was but I got the letter from the insurance company, called my insurance company to verify that it was an approval and then had to call the doctors office to tell them I had been approved so we could get the ball rolling. I don't know if they are just that busy or if they are slightly disorganized but the other thing I didn't know was that I got so many follow up visits as part of my surgery; I thought I would have to pay for those since they were all in the next insurance plan year and I was having to start my deductible all over.

I had a little bit of an idea on mine because I had talked to the other surgeon that gave me all that information up front. The only things they couldn't give me super accurate data on was the cost of the psych visit and the sleep study if needed because they had several vendors that provided services and your out of pocket to them would vary depending on who you chose. So, I knew pretty much the max I was going to have to spend out of pocket. I just didn't realize that I would have to pay it all at once.

Share this post


Link to post
Share on other sites

Hi guys, Thanks for all of the info! I'm waiting for a call back.

@. and @lauriev. My situation was similar with the insurance company. After I received what I thought was the approval. I called them to confirm and they reminded me about the $5,000 bariatric deductible. Then they cover 100%. I also called the doctors office to inform them about my approval. I was told to call them because the insurance company will notify the patient first and it could take days or weeks for them to notify the doctor.

I have a co worker that had a procedure last April and she only paid $1300 out of pocket. Less than 30 days after her procedure she received a full refund from the doctors office. Not sure why and she didn't ask any questions. after some research, I found out that her surgeon doesn't have the best reputation, that's why I chose not to go that route.

@lauriev. My surgery is on a Wed. I'm super excited and its good to Know someone that has gone through the experience. I really appreciate it!

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

    • 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.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

  • 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

    ×